Bedside ultrasound of the soft tissue of the face: A case of early Ludwig’s angina

Gaspari, Romolo

doi:10.1016/j.jemermed.2005.11.044

Cited by 18 publications

(12 citation statements)

References 9 publications

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“…A recent study by Shah et al 10 found that ultrasound was a useful adjunct to clinical examination in differentiating cellulitis from an abscess. Several other studies have also shown that ultrasound is a reliable tool in detecting pus in the head and neck [11][12][13] with a sensitivity of 96% and specificity of 82%. 14 Emergency ultrasound assessment of soft tissue infections in children has also been found to be useful.…”

Section: Discussionmentioning

confidence: 90%

Point-of-care ultrasound for oral and maxillofacial surgeons

Ryba

George

2017

British Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 90%

Point-of-care ultrasound for oral and maxillofacial surgeons

Ryba

George

2017

British Journal of Oral and Maxillofacial Surgery

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“…It had a 50% mortality before the common use of antibiotics as a result of upper airway oedema, but therapeutic advances including antibiotics and supportive therapy have reduced the mortality to 8% 1. By its strictest definition Ludwig’s angina should include bilateral space involvement, the absence of abscess involvement and no lymphatic involvement.…”

Section: Discussionmentioning

confidence: 99%

“…By its strictest definition Ludwig’s angina should include bilateral space involvement, the absence of abscess involvement and no lymphatic involvement. The most common cause is dental infection,1 especially of the second and third lower molars 2. Predisposing factors include dental carries, recent dental treatment, systemic illnesses such as diabetes mellitus, malnutrition, alcoholism and immunosuppression and immunocompromise 3.…”

Section: Discussionmentioning

confidence: 99%

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Ludwig's angina in a 76-year-old man

O’Connor

2009

Emergency Medicine Journal

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This case is of a 76-year-old man who presented to the emergency department with a 24-h history of a progressive tense, tender midline neck swelling. A computed tomography scan revealed Ludwig's angina and the patient went on to develop respiratory compromise and was admitted to the intensive care unit. The patient's clinical course later became complicated by abscess formation requiring drainage under general anaesthetic. He was eventually discharged home some 9 days after his initial presentation. The emergency medicine management issues surrounding Ludwig's angina are discussed briefly. This case highlights the dynamic airway changes seen in this uncommon condition. Whereas Ludwig's angina has previously been associated in the emergency medicine literature with a younger age group and in patients with a history of dental infection or treatment, this case highlights the fact that it may occur despite these two common associations.

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“…Through physical examination alone, it is difficult to differentiate superficial from deep infections of the face and neck, whereas emergency ultrasound plays a role in quickly finding the hypoechoic superficial lesions under the epidermis or dermis layer. The diagnosis of this condition with bedside soft tissue ultrasound on the face is required to detect uncommon infections of the deep tissues of the face and neck that usually evolve from more superficial infections, such as dental abscesses 109 .…”

Section: Other Es Assessments Of the Elderlymentioning

confidence: 99%