Ludwig's angina is a high severity infection because of the risk of airway obstruction due to the rapid spread of the abscess into the deeper spaces. Therefore, performing the correct treatment is one of the keys to a successful result. A 44-year-old male patient came to the Emergency Unit of Hasan Sadikin Hospital, complaining of shortness of breath, severe pain, and progressive swelling. Extraoral examination showed a localized-fluctuated swelling located at the right lower jaw that extended to the chin, left lower jaw, and the frontal region of the neck region while a sequential organ failure assessment revealed a score of 2. A diagnosis of Ludwig's angina and septic shock was confirmed. Intravenous infusion of norepinephrine was administered and a tracheostomy was performed. The next treatment phase consisted of a drainage procedure, tooth extraction, and placement of the Penrose drain. The patient was discharged 10 days later with a satisfactory outcome.
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| http://dx.doi.org/10.1177/2050313X20930909 | DOI Listing |
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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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