Ludwig's angina: A retrospective study of seven cases

Mohd. Razif Mohamad Yunus, Fadzlina Abdul Karim, S. H A Primuharsa Putra, Roslan Abdul Rahman, Heng Swee Heong, Ghazali Mat Nor, Roszalina Ramli

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate the clinical outcome and morbidity of patients diagnosed with Ludwig's angina treated at the National University of Malaysia Hospital. Patients and Methods: This retrospective study reviewed the cases of 7 patients (6 males and 1 female) between the ages of 19 and 69 years (mean, 38.7 years) who were treated between July 2001 and April 2005. Demographics, aetiology, microbiology, associated systemic diseases, treatment, airway management, duration of hospital stay and outcome were reviewed. Results: Dental infection was documented as the most common cause (71%) of Ludwig's angina, followed by infection of the submandibular gland (29%). Systemic illnesses included type I and 11 diabetes mellitus, hepatitis B and C, hypertension and chronic renal failure. Intravenous antibiotics were started immediately in all patients. Only 1 patient underwent emergency tracheostomy. All but 1 patient underwent incision and drainage under general anaesthesia using fib reoptic intubation technique. Infected teeth were also removed at the same time. Postoperatively, the airway was secured by either endotracheal intubation (71.4%) or tracheostomy (14.3%); in 14.3% of the cases, no artificial airway was used. Five patients were managed in the intensive care unit for 1 to 3 days. All except 1 patient made uneventful recoveries, and they were discharged after 4 to 26 days of hospitalisation (mean, 11.6 days). Conclusions: Airway protection, aggressive antibiotic therapy and surgical decompression can significantly alter the mortality rates associated with odontogenic infection in Ludwig' s angina.

Original languageEnglish
Pages (from-to)263-267
Number of pages5
JournalAsian Journal of Oral and Maxillofacial Surgery
Volume18
Issue number4
Publication statusPublished - Dec 2006

Fingerprint

Ludwig's Angina
Retrospective Studies
Tracheostomy
Tooth
Infection
Anti-Bacterial Agents
Surgical Decompression
Airway Management
Intratracheal Intubation
Submandibular Gland
Malaysia
Hepatitis C
Microbiology
Hepatitis B
Type 1 Diabetes Mellitus
Intubation
General Anesthesia
Chronic Kidney Failure
Intensive Care Units
Drainage

Keywords

  • Cellulitis
  • Ludwig's angina
  • Surgical decompression

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Oral Surgery

Cite this

Mohamad Yunus, M. R., Karim, F. A., Primuharsa Putra, S. H. A., Rahman, R. A., Heong, H. S., Nor, G. M., & Ramli, R. (2006). Ludwig's angina: A retrospective study of seven cases. Asian Journal of Oral and Maxillofacial Surgery, 18(4), 263-267.

Ludwig's angina : A retrospective study of seven cases. / Mohamad Yunus, Mohd. Razif; Karim, Fadzlina Abdul; Primuharsa Putra, S. H A; Rahman, Roslan Abdul; Heong, Heng Swee; Nor, Ghazali Mat; Ramli, Roszalina.

In: Asian Journal of Oral and Maxillofacial Surgery, Vol. 18, No. 4, 12.2006, p. 263-267.

Research output: Contribution to journalArticle

Mohamad Yunus, MR, Karim, FA, Primuharsa Putra, SHA, Rahman, RA, Heong, HS, Nor, GM & Ramli, R 2006, 'Ludwig's angina: A retrospective study of seven cases', Asian Journal of Oral and Maxillofacial Surgery, vol. 18, no. 4, pp. 263-267.
Mohamad Yunus MR, Karim FA, Primuharsa Putra SHA, Rahman RA, Heong HS, Nor GM et al. Ludwig's angina: A retrospective study of seven cases. Asian Journal of Oral and Maxillofacial Surgery. 2006 Dec;18(4):263-267.
Mohamad Yunus, Mohd. Razif ; Karim, Fadzlina Abdul ; Primuharsa Putra, S. H A ; Rahman, Roslan Abdul ; Heong, Heng Swee ; Nor, Ghazali Mat ; Ramli, Roszalina. / Ludwig's angina : A retrospective study of seven cases. In: Asian Journal of Oral and Maxillofacial Surgery. 2006 ; Vol. 18, No. 4. pp. 263-267.
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