Rare Type of Deep Neck Infection: Two Cases of Descending Necrotizing Mediastinitis

Descending necrotizing mediastinitis is a relatively uncommon complication of deep neck infections. Patients often have some type of immuno-compromised condition. Computed tomography is very helpful for early diagnosis. Poor prognosis is due to delays in diagnosis or inappropriate surgical drainage. We present two cases of descending necrotizing mediastinitis that was successfully treated because of early diagnosis and adequate surgical intervention.