Ludwig's angina is defined as a potentially lethal, rapidly spreading cellulitis, involving the sublingual and submandibular spaces, and is manifested by a brawny suprahyoid induration, tender swelling in the floor of the mouth, and elevation and posterior displacement of the tongue. During a life-threatening infection such as Ludwig's angina, the mother and foetus are vulnerable to septicemia and asphyxia. We describe a case of decompression of Ludwig's angina in a 28 weeks pregnant patient under bilateral superficial cervical plexus block. The block, coupled with bilateral mandibular nerve block, provided ample anaesthesia to perform a thorough incision and drainage, including transection of mylohyoid with lowering of the floor of mouth and rapid relief of respiratory obstruction.
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Importance of the Physical Exam in Diagnosing Ludwig's Angina Without Access to Modern Imaging Modalities in the Developing World.
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Internal Medicine, Johnston Memorial Hospital, Abingdon, USA.
Ludwig's angina (LA) is a rapidly progressive cellulitis-causing airway obstruction that can spread through fascial planes to the floor of the mouth and into the mediastinum. Early recognition and treatment are essential for preventing potentially fatal complications. Diagnosis is based on clinical suspicion and confirmed through CT and ultrasound (US).
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Department of Oral and Maxillofacial Surgery, Kampala International University-Teaching Hospital, Bushenyi, Uganda.
Ludwig's angina is a potentially fatal condition characterized by a rapid onset of cellulitis that bilaterally involves the submandibular, sublingual, and submental spaces. This report describes the case of a 29-year-old female who presented to us with Ludwig's angina following a tooth extraction performed by a traditional healer in Southwestern Uganda. The patient stayed home for over a week before she could seek formal treatment, and this delay led to severe infection and necrotizing fasciitis with extensive tissue necrosis.
View Article and Find Full Text PDFThe use of antibiotics in the management of odontogenic facial swellings in children and adolescents: A scoping review.
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Melbourne Dental School, Faculty of Medicine, Dental and Health Sciences, The University of Melbourne, Australia; Inflammatory Origins, Murdoch Children's Research Institute, The Royal Children's Hospital, Australia; Department of Dentistry, The Royal Children's Hospital Melbourne, Australia.
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Article Synopsis
- * A case study highlighted a 70-year-old woman treated for Ludwig angina using a superficial cervical plexus block, which allowed for successful surgery and stable postoperative recovery without major complications.
- * Proper airway management is crucial in treating Ludwig angina, as many patients require advanced care measures; however, there is still a lack of consensus on the best practices among healthcare providers.
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