Ontogenous mediastinitis: pathogenesis, clinics, diagnostics, outcomes

On the example of 143 patients with odontogenic mediastinitis is shown that this complication accounts for about 0,3% of all acute odontogenic infection. In 80% mediastinitis attack people with chronic somatic diseases, in 51,7% - from 31 to 50 of age. Mediastinitis may occure in two cases: pus can spread to the mediastinum from the primary inflamed zone; or as a result of generalization of infection and sepsis. Manifestation of mediastinitis include 3 symptoms: pain, toxic - that are most important in the course of disease; the 3-d - constraintion of nerves and vessels, that can make the diagnosis difficult in the period of disease.

Prognosis and outcome depend on opportune hospitalization and appropriate therapy. Life quality after mediastinitis depends on adequate therapy of concomitant somatic disease.