Abstract

Ludwig’s Angina (LA) is a diffuse cellulitis of the floor of the mouth and cervical region, specifically submandibular, sublingual and submental spaces. LA can present with several different manifestations, correlated with its proximity to the mouth and neck areas. This case describes a young male, 28 years-old, with a late diagnosis of LA that was managed until full recovery. Protecting the patient’s airway is the cornerstone of the medical management of LA, since it is the leading cause of mortality. The patient was transferred to the emergency OR and once the airway was secured, multiple dental extractions of decayed teeth and extra-oral drainage of the submandibular and sublingual abscesses were performed. He showed complete resolution of the submandibular and cervical oedema, with a perfectly patent airway and without any sequelae. This article aims to raise awareness of this pathology, and to share a case report that began with a life-threatening condition but resulted in a successful outcome without severe sequelae. It illustrates the importance of a rapid intervention when the diagnosis of Ludwig’s Angina is suspected. Having a multidisciplinary team with an experienced anesthesiologist and oral and maxillofacial surgeon is paramount in the management of this life-threatening condition.

Keywords

• Ludwig's Angina
• Emergency
• Infection of the head and neck
• Airway compromise

References

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• Craniofacial Surgery

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