Ludwig's angina.ppt
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Transcript of Ludwig's angina.ppt
LUDWIG’S ANGINA
Chan, Ernest O.
DMD2E
DEFINITIONGerman physician (
Wilhelm Friedrich von Ludwig)(1836)Also known as ”angina ludovici”“Angina Maligna" and "Morbus
Strangularis" life-threatening cellulitis or connective
tissue infection in the floor of mouth.Dental infection (Abscess, Extraction,
Caries)Obstruct the airways
CAUSESBacterial InfectionDental infections (80%) Infected lower molars or
pericoronitis (3rd Molar)Piercings of the lingual frenulum.Submandibular space infection,
Sublingual space infection, Submental space
SIGNS AND SYMPTOMSBilateral edemaSwellingTongue elevatedBreathing difficultyFeverNeck painWeaknessDifficulty swallowing, DroolingEar acheSpeech ("hot potato" in the mouth)
DIAGNOSISClinicalCT scanPalpating
TREATMENTAirway control (Tracheostomy)
(Severe)Surgery (Drainage and
Debridement) by maxillofacial surgeon
Antibiotic medications (Penicillin group)