[Secondary superior mediastinitis in otorhinolaryngology].

The factors responsible for superior mediastinitis are described in 12 patients with inflammatory pathologies of ENT-organs, with emphasis on the anatomical-topographic characteristics of the neck and mediastinum subcutaneous spaces. Clinical symptoms typical of anterior and posterior superior mediastinitis are summarized. Procedures of emergency treatment of secondary superior mediastinitis are described. It is emphasized that the first thing to be done is to treat areas of primary inflammation and thus to prevent infection propagation in the mediastinum. It is recommended to open the mediastinum as soon as possible and to drain it actively. It is also recommended to include reinfusion with autoblood of patients exposed to UV irradiation to the combined therapeutic protocols.