Ludwig's Angina in the Pediatric Population

Lin, Harrison W.; O’Neill, Allison F.; Cunningham, Michael J.

doi:10.1177/0009922809333095

Cited by 39 publications

(32 citation statements)

References 16 publications

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“…Furthermore, they can be life threatening in some cases (e.g. Ludwig’s angina) 10 . Sometimes, the differential diagnosis of expansive sublingual lesions can be clinically challenging.…”

Section: Discussionmentioning

confidence: 99%

Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients

et al. 2017

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Lesions in the floor of the mouth can be a challenging diagnosis due to the variety of pathological conditions that might be found in this area. Within a broad range of lesions, attention has to be addressed to those that require specific management, such as a dermoid cyst (DC) and a ranula. Especially in pediatric patients, in whom the failure of diagnosis can postpone the correct treatment and cause sequelae later in life. DC, a developmental anomaly, is managed primarily by surgical resection. On the other hand, ranula is a pseudocyst that may be treated by marsupialization. This article reports a large and painful lesion in the floor of the mouth in a pediatric patient. With a diagnostic hypothesis of ranula, two surgical interventions were performed, but there were recurrences of the lesion. Subsequently, the patient was referred to the Oral and Maxillofacial Surgery Unit for re-evaluation. Computed tomography showed a semi-transparent image suggesting a cystic formation. Another surgical procedure was performed where the lesion was completely removed. Anatomopathological analysis confirmed the diagnosis of DC. The five-year follow-up showed no signs of recurrence. This article indicates that although DC in the floor of the mouth is rare, it should be considered in the differential diagnosis of other diseases in this area. This precaution may be particularly important in the following circumstances: 1) Similar lesions that have different therapeutic approaches and, 2) To prevent future sequelae in pediatric patients.

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“…Furthermore, they can be life threatening in some cases (e.g. Ludwig’s angina) 10 . Sometimes, the differential diagnosis of expansive sublingual lesions can be clinically challenging.…”

Section: Discussionmentioning

confidence: 99%

Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients

et al. 2017

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“…[1] Mostly seen in middle aged adults with an incidence of 25-30% in children. [2] In adults, it most commonly arises from an infected second or third mandibular molar tooth, where as in children mostly occurs subsequent to upper respiratory tract infection (URI). In around one third cases, dental infection most commonly of first molar is the cause while etiology remains unknown in the remaining cases.…”

Section: Discussionmentioning

confidence: 99%

Ludwig’s Angina: A Challenge for Anaesthesiologist

Singh¹,

Sharma²,

Jain³

et al. 2017

AIMDR

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Ludwig's angina is an aggressive, rapidly spreading cellulitis of the floor of mouth and neck. It is less frequently seen in children as compared to adults. Successful management of Ludwig's angina requires proper understanding of the anatomy, appropriate antibiotic therapy and surgical drainage whenever needed. Airway management is of prime concern and should be done with prior planning and cooperation of surgeon and anaesthesiologist. We hereby describe the successful management of Ludwig's angina in a 3 year old child.

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“…Despite current antibiotic therapy, Ludwig's angina is associated with a high mortality rate in the pediatric population. 2 The word "angina" has roots in both Latin and Greek, stemming from words meaning "choke" and "strangle," respectively. The modern definition of Ludwig's angina by Grodinsky describes a bilateral cellulitis, but not abscess, of the submandibular space, involving connective tissue, fascia, and muscles, but not glands.…”

Section: Discussionmentioning

confidence: 99%

“…In pediatric cases, it is associated with an estimated mortality rate of 10% to 17%. 2 In contrast to the adult population, in which 70% to 90% are of odontogenic origin, in pediatric cases dental infection is the source of infection only 50% of the time, with the remainder of cases coming from mucosal lacerations, submandibular sialadenitis, and mandibular fractures. In this case, the patient's frenulectomy was the likely mucosal breach leading to iatrogenic Ludwig's angina.…”

Section: Discussionmentioning

confidence: 99%