Mediastinum Drainage by Cervicotomy in the Neck and Mediastinum Cellulitis: About 12 Cases

Mediastinum cellulitis is a serious ENT emergency of significant mortality. The prognosis depends on the period of care and diagnostic. The management sometimes requires the cooperation ENT, thoracic Surgery and reanimation. It is a retrospective study about 12 cases presenting neck and mediastinum cellulitis treated at the ENT department, 20 August 1953 Hospital in Casablanca Morocco, spreading over 3 years (September 2012-septembre 2015). We have 70 cases of cervicofacial cellulitis during this 3 years, only 12 of them are retained who presenting mediastinum complications. It is very important to search utilisation of non-steroid anti-inflammatory drugs or cortisone medications during inflammatory episode, and unbalanced diabetes. All the patients received the same management scheme and stayed in intensive care unit depending on the degrees of severity. We obtain favourable evolution especially after stabilization of tare specially diabetes which remains the most common cause. Two daily dressing changes with extensive washing with hydrogen peroxide and povidone-iodine has proven effective.