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Ludwig's angina: a clinical review
Somchai Srirompotong1, Thumnu Art-Smart
1Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, 40002 Khon Kaen, Thailand. srirompotong@yahoo.com
Summary
Ludwig
Area of Science:
- Oral and Maxillofacial Surgery
- Infectious Diseases
Background:
- Ludwig's angina is a severe, rapidly progressing cellulitis of the floor of the mouth.
- It can lead to airway obstruction and was historically fatal.
- Modern treatment combines antibiotics and surgical intervention.
Purpose of the Study:
- To review the clinical presentation, management, and outcomes of Ludwig's angina patients.
- To identify common causes and effective treatment strategies.
Main Methods:
- Retrospective review of nine patients diagnosed with Ludwig's angina between July 1996 and June 2002.
- Analysis of clinical data including symptoms, causative factors, treatment, and complications.
- Microbiological cultures of drained material.
Main Results:
- All patients presented with fever, neck swelling, bilateral submandibular swelling, and tongue elevation.
- Dental infections were the cause in 89% of cases.
- Seven of nine patients required surgical drainage; one needed a tracheotomy. All patients recovered.
Conclusions:
- Ludwig's angina requires prompt diagnosis and management.
- A combination of high-dose antibiotics and surgical intervention is often necessary.
- Despite potential complications, outcomes are generally favorable with appropriate treatment.