{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T19:54:17Z","timestamp":1785182057601,"version":"3.55.0"},"reference-count":12,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Otolaryngology"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>The mortality rate from descending necrotising mediastinitis (DNM) has declined since its first description in 1938. The decline in mortality has been attributed to earlier diagnosis by way of contrast-enhanced computed tomographic (CT) scanning and aggressive surgical intervention in the form of transthoracic drainage. We describe a case of DNM with involvement of anterior and posterior mediastinum down to the diaphragm, managed by cervicotomy and transverse cervical drainage with placement of corrugated drains and a pleural chest drain, with a delayed mediastinoscopy and mediastinal drain placement. We advocate a conservative approach with limited debridement and emphasis on drainage of infection in line with published case series.<\/jats:p>","DOI":"10.1155\/2012\/504219","type":"journal-article","created":{"date-parts":[[2012,2,29]],"date-time":"2012-02-29T21:00:14Z","timestamp":1330549214000},"page":"1-4","source":"Crossref","is-referenced-by-count":3,"title":["Descending Necrotising Mediastinitis: A Case Report Illustrating a Trend in Conservative Management"],"prefix":"10.1155","volume":"2012","author":[{"given":"B. A. 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