{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:09:37Z","timestamp":1790352577368,"version":"4.1.0"},"reference-count":0,"publisher":"Care Comm","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rozhl Chir"],"published-print":{"date-parts":[[2024,12,31]]},"abstract":"<jats:p>Introduction: Descending necrotizing mediastinitis (DNM) is a relatively uncommon but serious type of inflammation. Even today, the mortality is around 20%. An overview of DNM issues, recent literature and clinical practice of our department is presented.\nAnatomy and etiology: The cause is the descent of an originally oropharyngeal infection from the deep neck space into the mediastinum.\nTherapy: Treatment takes place in an intensive care department, with a combination of antibiotics. Elimination of the neck source of inflammation is a prerequisite. The type of surgical drainage depends on the stage and extent of mediastinal involvement. Cervicomediastinal, mediastinothoracic, or cervicomediastinothoracic \u201cRendezvous\u201d drainage are options.\nConclusion: The basis of DNM treatment is adequate surgical drainage, but interdisciplinary care (surgeon, anesthesiologist, ENT and dental surgeon) is a necessary condition.\n<\/jats:p>","DOI":"10.48095\/ccrvch2024502","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T12:50:21Z","timestamp":1736254221000},"page":"502-504","source":"Crossref","is-referenced-by-count":1,"title":["Descending necrotizing mediastinitis \u2013 a surgical view"],"prefix":"10.48095","volume":"103","author":[{"given":"Jarmil","family":"\u0160afr\u00e1nek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"28151","published-online":{"date-parts":[[2024,12,31]]},"container-title":["Rozhledy v chirurgii"],"original-title":["Descendentn\u00ed nekrotizuj\u00edc\u00ed mediastinitida \u2013 chirurgick\u00fd pohled"],"deposited":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T12:50:26Z","timestamp":1736254226000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.perspinsurg.com\/rvch\/article\/view\/1008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,31]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,31]]},"published-print":{"date-parts":[[2024,12,31]]}},"URL":"https:\/\/doi.org\/10.48095\/ccrvch2024502","relation":{},"ISSN":["0035-9351","1805-4579"],"issn-type":[{"value":"0035-9351","type":"print"},{"value":"1805-4579","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,31]]}}}