Buradasınız

Ludwig’s angina: a case report and review of airway management options

Journal Name:

Publication Year:

Abstract (2. Language): 
Ludwig's angina is a rare, but potentially life-threatening, diffuse cellulitis of the neck and the floor of the mouth, usually secondary to odontogenic infection. It has an acute onset and spreads rapidly,affecting the deep spaces of the neck and leading to oedema, distortion and obstruction of the airway.Early diagnosis and immediate treatment are essential to avoid complications. The appropriate use of antibiotics, airway protection techniques, and formal surgical drainage of the abscess remains the standard protocol of treatment in cases of Ludwig's angina.We report a case of a 65 year old male, diagnosed with Ludwig’s angina ofodontogenicorigin, which later got complicated with necrotising fasciitis, along with a review of the available airway management options during surgical drainage.
266
269

REFERENCES

References: 

1.ShamimulHasan, Sarah Asif ,ShakebaQuadri.Ludwig’s angina – an alarming multidisciplinary challenge -
overview of literature UJP 2013-02(05), page 1-44.
2.Saini S, Kshetrapal KK, Ahlawat G, Kamal H, Singh TAnaesthetic challenges in a patient with Ludwig
angina: A case report.SAJAA 2008; 14(5): 10-11.
3.LuqmanMuhamed et al in ADVANCED LUDWIG’S ANGINA - A CASE REPORTIndian Journal of
Medical Case Reports ISSN: 2319–3832(Online)2013 Vol.2 (3) July-September, pp.17-19.
4.Topazian R G et al oral and maxillofacial infection 4th ed. Philadephia, Pa, W.B.Sauder 2002.
5.Kurien M ,Mathew J, Job A, Zachariah N.Ludwig’s angina.Clinical Otolaryngology 1997 ; 22(3): 263-65.
Indian Journal of Basic and Applied Medical Research; March 2015: Vol.-4, Issue- 2, P. 266-269
269
www.ijbamr.com P ISSN: 2250-284X , E ISSN : 2250-2858
6.Perkins CS, MeisnerJ ,Harrison JM.Acomplication of tongue flap piercing.British Dental Journal 1997; 182:
147-148
7. M. U. Anwar, A. K. M. F. Haque, J. Rahman, R. Morris, and J. McDermott. “Early radical surgery and
antimicrobial therapy with hyperbaric oxygen in necrotizing fasciitis.” Plastic and Reconstructive Surgery vol.
121, no. 1, pp. 360–361, 2008.
8.Ovassapian A, Tuncbilek M, Weitzel EK, Joshi CW. Airway management in adult patients with deep neck
infections: a case series and review of literature. Anaesth Anal 2005; 100(2): 585-9.
9.ChetanRaval, MohdRashiduddin: Nasal Endotracheal Intubation under Fibreoptic endoscopic control in
Difficult Oral Intubation, twoPediatric Cases of Submandibular abscess. Oman Med J; 2009 January; 24(1):51-
53.
10. Arun k. Gupta et al “cervical plexus block for drainage of Ludwig’s angina in paediatric patient”
Anaesthesia Paediatric Neonatal, Vol. 7, N. 3, December 2009
11.Potter JK, Herford AS, Ellis E III. Tracheostomy versus endotracheal intubation for airway management in
deep neck infections. J oral maxillofacsurg 2002; 60:349-54.
12.Colnenro Ruiz C, Labajo AD, Yanez VI, Panaigua J.Thoracic complication of deeply situated serous neck
infection.J craniomaxillofacsurg 1993;21:76-81.
13.Durand M, Joseph M: Infections of the upper respiratory tract. In Harrison's Principles of Internal Medicine.
Volume 1. 16th edition. McGraw-Hill; 2001:191.
14.MM Wolfe, JW Davis and SN Parks. Is surgical airway necessary for airway management in deep neck
infections and Ludwig’s angina? Journal of Critical Care, vol.26, no.1, pp.11-14, 2011.

Thank you for copying data from http://www.arastirmax.com