TREATMENT OF DESCENDING NECROTIZING MEDIASTINITIS ASSOCIATED WITH DEEP NECK INFECTIONS: AN ACCOUNT OF THE MOST CURRENT DATA

Deep neck infections (DNIs) are life-threatening diseases that represent the crossroads between maxillofacial surgery and otorhinolaryngology. A DNS has the potential to extend into the mediastinum, where it can trigger a very dangerous disease known as descending necrotizing mediastinitis (DNM), which has a high mortality rate. This article reviews the etiology, bacteriology, clinical manifestations, diagnostic techniques, and management approaches for DNIs and DNM. We emphasize the importance of early diagnosis by imaging studies, such as computed tomography (CT), and a multidisciplinary approach utilizing antibiotics coupled with surgical intervention for the management of these life-threatening diseases.