Ludwig's Angina

Costain, Nicholas; Marrie, Thomas J.

doi:10.1016/j.amjmed.2010.08.004

Cited by 45 publications

(63 citation statements)

References 5 publications

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“…La dyspnée et la dysphonie sont des signes plus rares. Douleurs lors de mouvements de la langue [30], écoulement de salive et paresthésies dans les territoires concernés [28] font évoquer une angine de Ludwig. Les signes généraux témoignant d'un sepsis sévère (fièvre élevée, altération rapide de l'état général, syndrome confusionnel) doivent inquiéter.…”

Section: Cellulite Cervico-faciale [22 23]unclassified

Tuméfactions cervico-faciales per et post-opératoires immédiates en chirurgie bucco-dentaire

Calon

Schellenberger

Gros

et al. 2013

Med Buccale Chir Buccale

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Résumé -Il n'est pas rare que le chirurgien-dentiste soit confronté à une tuméfaction cervico-faciale (TCF) per ou post-opératoire immédiate. Bien qu'il s'agisse généralement d'un phénomène bénin, il est souvent source d'inquié-tude pour le praticien et le patient. Une revue de littérature se propose de présenter les différentes étiologies de tuméfactions cervico-faciales per et post-opératoires, et d'apporter les éléments pratiques pour leur diagnostic. Parmi ces tuméfactions, l'emphysème sous-cutané est un évènement banal, bénin et facile à diagnostiquer mais souvent méconnu, ce dont témoigne le nombre de cas rapportés. Plus rares, mais potentiellement graves, il convient également de citer l'hématome du plancher buccal et l'angioedème qui peuvent être la conséquence du geste bucco-dentaire ou des médicaments. Dans ce cadre, il est en effet nécessaire de savoir reconnaître les prodromes d'une détresse respiratoire. Enfin, la fasciite nécrosante cervico-faciale se doit d'être reconnue tôt du fait de son extrême gravité, d'autant que son incidence paraît croissante. Un tableau récapitulatif présente les principales causes de TCF per et post-opératoires après chirurgie dentaire, leur chronologie, leurs principaux symptômes et les mesures thérapeutiques à mettre en oeuvre.Abstract -Cervicofacial swelling after dental treatment: what the dentist should know. Although generally harmless, the occurrence of cervicofacial swelling (CFS) during or after dental surgery can be worrisome for the dentist or the patient. This article is a literature review of most causes of CFS after dental surgery. Practical diagnosis tools should allow distinguishing between benign and dangerous situations. Indeed, the occurrence of a spectacular but harmless condition like subcutaneous emphysema may cause unnecessary concern, as witnessed by the many case reports in medical literature. On the other hand, conditions like hematoma of the floor of the mouth or angioedema may be caused by the dentist (through surgery or medication) and can become lifethreatening. Upper airway compromise should be recognized early on. Cervical fasciitis (CF) is a severe and often fulminating septic emergency with potentially dramatic consequences, warranting immediate intensive and surgical care. The increasing incidence of CF and its possible occurrence after dental surgery warrants a high level of suspicion in a septic patient. Finally, a summary chart will point out the time course, symptoms and management of the different causes of CFS after dental surgery.Lors d'un acte de chirurgie bucco-dentaire ou dans son décours immédiat, la survenue d'une tuméfaction cervicofaciale (TCF) n'est pas rare. Si elle présente généralement un aspect bénin (bien qu'inquiétant parfois pour le praticien ou le patient), elle peut en de rares occasions, nécessiter une prise en charge spécifique. Le but de ce travail était de faire une revue synthétique des éléments cliniques associés aux

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Section: Cellulite Cervico-faciale [22 23]unclassified

Tuméfactions cervico-faciales per et post-opératoires immédiates en chirurgie bucco-dentaire

Calon

Schellenberger

Gros

et al. 2013

Med Buccale Chir Buccale

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“…The source is often the second and third mandibular molars and expands into a bilateral cellulitis of the sublingual and submandibular areas. [1] In addition to constitutional symptoms, patients may endorse trismus, or the inability to move the jaw. [1] The maximum interincisal distance is thus important to measure and follow on physical exam.…”

Section: Introductionmentioning

confidence: 99%

“…[1] In addition to constitutional symptoms, patients may endorse trismus, or the inability to move the jaw. [1] The maximum interincisal distance is thus important to measure and follow on physical exam. Dysphagia, painful tongue movement, and otalgia may also be seen.…”

Section: Introductionmentioning

confidence: 99%

“…[1,2] Angina originates from the Latin and Greek roots for "choke" and "strangle", which corresponds to the devastating airway obstruction that can occur in these cases. [1] Infection may also spread within the deep planes of the neck resulting in complications such as mediastinitis and necrotizing fasciitis. [3][4][5][6] Ludwig's angina is usually a sequela of odontogenic infection.…”

Section: Introductionmentioning

confidence: 99%

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“Air” on the side of caution: The importance of early recognition and intervention in Ludwig’s angina

Long

Demirci

Kruse

2018

CRIM

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Ludwig's angina is a deep neck infection of the supramylohyoid and inframylohyoid spaces. Without prompt recognition and intervention, it can progress to airway compromise with significant morbidity and mortality. Although otolaryngologists and oral surgeons are well-versed in this condition, it is vital that physicians across all specialties are knowledgeable about the presentation and basic treatment of this potentially fatal condition. Here we report a case of Ludwig's angina in a 29-year-old male that was successfully managed with both medical and surgical intervention. We also aim to describe the presentation and treatment of Ludwig's angina in order to increase awareness in non-surgical fields.

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“…1 The patient should be referred urgently to a head and neck specialist when Ludwig angina is diagnosed. 4 If the patient is sufficiently stable to allow radiologic investigations, CT is useful to evaluate deep neck and mediastinal conditions. 5 The most common cause of Ludwig angina is infection in odontogenic tissue.…”

mentioning

confidence: 99%