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Two cases report of descending necrotizing mediastinitis from posterior pharyngeal abscesses Ayako Okubo 1 , Taro Takanami 1 , Ryosuke Yoshino 1 , Takeshi Unno 1 , Hitomi Ikeda 1 , Kotaro Ochi 1 , Hibiki Yabe 1 , Hiroaki Masuda 1 , Seikei Kan 1 , Toshitake Tanaka 1 , Motoyoshi Kurosaki 1 , Kotaro Wakamatsu 2 , Takashi Oshiro 2 , Atsushi Sano 3 , Hitoshi Terada 4 , Yasushi Ota 1 , Munetaka Ushio 1 1Department of Otolaryngology, Toho University Sakura Medical Center Keyword: 膿瘍切開排膿術 , 縦隔ドレナージ , 嚥下リハビリテーション pp.823-829
Published Date 2025/9/20
DOI https://doi.org/10.11477/mf.091434910970100823
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 In this case report, we described two cases of descending necrotizing mediastinitis(DNM) resulting from PPA.

Case 1:A 52-year-old woman with obesity was initially treated with thoracic drainage. Her respiratory condition worsened, and she underwent PPA incisional drainage and subsequent mediastinal drainage due to progression from PPA to DNM.

Case 2:A 65-year-old man with diabetes was treated with extraction of the left tonsil, excision of the PPA to drain the pus, and open chest drainage for the DNM from the PPA. Subsequently, an incision and drainage of the neck abscess were performed.

 PPA and DNM necessitate immediate treatment and long-term swallowing rehabilitation.


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電子版ISSN 1882-1316 印刷版ISSN 0914-3491 医学書院

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