[Odontogenic XXXX . Diagnostics and treatment].

@entity1 @entity2611 @entity1764
The aim of our work was to evaluate the diagnostic and treatment of @entity1 with odontogenic @entity1764 . METHODS: The last 10 years (1991-2001) 13 males and 4 females, mean age 43 years, with odontogenic @entity1764 were submitted to surgical treatment. Primary odontogenic abscess occurred in all. Before admission to our clinic, 14 @entity1 were treated at stomatological department. Diagnosis was made by clinical manifestation, roentgenographical features and confirmed by findings at mediastinum tissues during operation. RESULTS: All @entity1 at the admission day underwent @entity2611 with transcervical mediastinal drainage. In 5 cases this management was associated with mediastinal drainage by transthoracic approach. For another 5 @entity1 thoracotomies were performed late, the last 7 survived without thoracotomy. Six @entity1 died, mortality rate was 35.2%. The reason of the high mortality rate-delay of transthoracic mediastinal drainage in 5 cases, when transcervical was inadequate. CONCLUSION: Ample cervicotomy, associated with transcervical and transthoracic mediastinal drainage can significantly reduce the mortality rate for odontogenic @entity1764 .
