22 May Ludwig’s angina was first detailed by the German surgeon Wilhelm Friedrich von Ludwig in We present a case . Fritsch DE, Klein DG. Ludwig’s angina is a form of severe diffuse cellulitis that presents an acute onset and spreads rapidly, bilaterally affecting the submandibular, sublingual and. Ludwig angina refers to rapidly progressive inflammation (cellulitis) of the floor of mouth, which is potentially life-threatening due to the risk of rapid airway.

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Abstract Ludwig’s angina is a form of severe diffuse cellulitis that presents an acute onset and angina de ludwig rapidly, bilaterally affecting the submandibular, sublingual and submental spaces resulting in a state of emergency. Published by Elsevier Editora Ltda. In the past, there have been occasions in our unit where the patient df been extubated postoperatively and needed to go back to theatre for an emergency awake tracheostomy, hence, the prolonged intubation.

Ludwig’s angina

Ludwig’s angina is potentially a life threatening condition and should be treated with respect. Ludwig’s angina was coined after the German physician, Wilhelm Friedrich von Ludwig who first described this condition in as a rapidly angina de ludwig frequently fatal progressive gangrenous cellulitis and edema of the soft tissues of the neck and floor of the mouth.

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Inability angina de ludwig swallow saliva and stridor raise concern because of imminent airway compromise. He was also given regular dexamethasone and adrenaline nebulisers as needed luddig there were any episodes of respiratory distress.

Ludwig’s Angina: The Original Angina

Salmonella enterica Typhoid feverParatyphoid fever angina de ludwig, Salmonellosis. Video of the fibreoptic intubation illustrating swollen base of tongue and swollen epiglottis. Teeth pulpdentinenamel.

Periapical, mandibular and maxillary hard tissues — Bones of jaws Angina de ludwig Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: The commonest cause is an infected lower wisdom, and this is seen in our practice. Signs inside the mouth may include angina de ludwig of the floor of mouth due to sublingual space involvement and posterior displacement of the tongue, creating the potential angina de ludwig a compromised airway.

Ludwig’s angina resulting from the infection of an oral malignancy. However, elective tracheostomy anginw planned for airway maintenance with the help luudwig an otolaryngologist. Synonyms or Alternate Spellings: The presence of an abscess involving any of these spaces may raise concern. The wound was irrigated with normal saline, and a separate tube drain was placed and secured to the skin with silk sutures [ Figure 2 ].

Squamous cell papilloma Keratoacanthoma Malignant: A review of current airway management. Clin Otolaryngol Allied Sci. After the procedure, lurwig patient remained intubated and mechanically ventilated in the intensive care unit.


Check for errors and try again. His ldwig was Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal syndrome Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.

In Angina de ludwig angina, the angina de ludwig space is the primary site of infection. Log in Sign up.

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In other projects Wikimedia Commons. The patient was kept intubated for 72 hours Figure 2 before being safely extubated and transferred to the ward.

Airway management in patients with Ludwig’s angina remains challenging. Arch Otolaryngol Head Neck Surg. Master dentistry 3rd ed.

The appropriate use of parenteral antibiotics, airway protection ludsig, and formal surgical drainage of the infection remains the standard protocol of treatment in advanced cases of Ludwig’s angina. Footnotes Source of Support: Open in a separate window. It is named after Wilhelm Frederick von Ludwig angina de ludwiga German physician who first described this condition in 2.