LUDWIG ANGINA ?BRAWNY EDEMA?SURGICAL ANATOMY/ETIOLOGY/CLINICAL FEATURES/PATHOLOGY/MANGEMENT/COMPLICATION

-

                        LUDWIG ANGINA


STUDENTS CORNER :
HI !my dear stencildent family ,today we will be discussing about a very important topic ,yes its about Ludwig angina here we given a sample as to how you can present this answer when asked first of all do start by listing out table of content ,then move on to describing the surgical anatomy ,reason for Ludwig angina existence and how it gets precipitated ,pathology ,clinical features ,management -surgery point of view and conclude with complications.

                        TABLE OF CONTENT :

INTRODUCTION

SURGICAL ANATOMY

ETIOLOGY

PRECIPITATAING FACTOR

PATHOLOGY

CLINICAL FEATURES

MANAGEMENT 

SURGERY

COMPLICATION








INTRODUCTION:

  • Ludwig angina refers to serious ,potentially life threatening polymicrobial cellulitis of submental ,submandibular region combined with inflammatory edema of mouth
  • Organism commonly isolated : STAPHYLOCOCUS AUREUS ,STREPTOCOCUS VIRIDAN
  • ANEROBE :Fusiform bacilli,diptheroid 

Cellulitis: 

  • Diffuse inflammation of soft tissue ,tend to spread through space (tissue)







SURGICAL ANATOMY:

  • Location is the infection of submandibular space 
  • submandibular space is space above hyoid bone and is divided into two by mylohyoid muscle
  • Ludwig  angina is a space infection primarily involving submandibular space and secondary involving sublingual and submental
Typically affected structure:

  • Anterior neck
  • Pharyngomaxillary space
  • Retro pharynx
  • Superior mediastinum











ETIOLOGY :

  • Originate from?- odontogenic infection - second and third molar -root lies at level of mylohyoid
  • Tongue piercing
  • Epiglottis
  • Oral ulceration
  • Sialadenitis
  • Infected thyroglossal cyst 







PRECIPITATING FACTORS :

  • Carious tooth
  • Cancer of oral cavity
  • Chemotherapy
  • Calculi in submandibular gland
  • Chronic disease-diabetes






PATHOLOGY:

Ludwig angina :

  • Cellulitis of submandibular space via connective tissue ,muscle anterior neck and beyond
  • Edema of suprahyoid tissue
  • Supraglottic larynx elevate
  • Tongue -posteriorly displaced
  • Airway narrowing
  • Sepsis
  • Toxemia -as infection deep to deep closed fascial plane





Advanced infection:

  • Airway compromised and internal jugular vein thrombosis and cavernous sinus thrombosis and brain abscess









CLINICAL FEATURE:

  • Elderly patient who present with diffuse swelling in submandibular and submental

BRAWNY EDEMA


  • Putrid halitosis
  • High grade fever with toxicity
  • Bull neck appearance







MANAGEMENT:

  • Airway maintenance 
  • proper antibiotic fluid ,electrolyte management
  • if it does not respond to conservative treatment - surgery

SURGERY :

  • Under general anesthesia 
  • Incision is made at submandibular region
  • Submandibular gland is mobilized 
  • Mylohyoid muscle is divided ,pus drained
  • Wound closed with loose sutures






COMPLICATION:

  • Mediastinitis 
  • Septicemia
  • Edema of glottis 





COM

Comments

Post a Comment

Popular posts from this blog

Sterilization technique in microbiology

-
Image
HELLO! DOCTOR VANAKAM, I hope you all are doing good today we will be discussing sterilization various methods of sterilization, about dry heat sterilization and moist heat sterilization along with different methods employed, and what are the materials to be placed in this method in detail about autoclave its principle, working and of course uses. As I have had already informed you all through my previous post on the contribution of Louis Pasteur and Koch postulates if we haven't checked it out yet do check it out using this link   https://www.stencildent.com/2020/07/contributions-of-louis-pasteur-and-koch.html  wherein I would explain the importance for the need of the HOUR and always to sterilize things to and from the patients and also get geared up for the next post on SHOCK wherein I would cover the definition, types, classification along with etiology, pathogenesis, flow chart, the complication of septic shock in detail so now without any further ado lets get starte...
Read more

STAGES AND STEPS IN TOOTH PREPARATION

-
Image
                      STAGES AND STEPS IN                                        TOOTH  PREPARATION                 TOOTH PREPARATION INVOLVES 2 STAGES  1) INITIAL TOOTH PREPARATION:    OUTLINE FORM AND INITIAL DEPTH PRIMARY RESISTANCE FORM  PRIMARY RETENTION FORM CONVENIENCE FORM 2) FINAL TOOTH PREPARATION  REMOVAL OF REMAINING CARIES PULP PROTECTION SECONDARY RESISTANCE AND RETENTION FORM FINISHING OF EXTERNAL WALL FINAL PROCEDURE OF CLEANING AND INSPECTING  Each stage and step is explained in detail please refer to above notes . note:please do not  download and share all rights are reserved to stencildent.
Read more

Hypersensitivity microbiology notes

-
Image
                          HYPERSENSITIVITY   hello, doctor vanakam, I hope you all are doing good, as intimated through the last post on anaerobic culture method  https://www.stencildent.com/2020/08/anaerobic-culture-methods-microbiology.html  if u haven't checked it out do read using this link without any further ado lets get started. CONTENTS: 1)Definition 2)Classification 3)type 1 hypersensitivity reaction a)1st exposure b)2nd exposure c)mediators of reaction d)late-phase reaction 4)type 4 hypersensitivity 5)treatment  1)DEFINITION: It refers to a condition in which immune response results in excessive reaction leading to tissue damage, disease, or even death in a sensitised host. 2) CLASSIFICATION: Coomb and gel classification in 1963 into type 1 to 4  Type 1,    type 2, type 3       : They depend on the interaction of antigen with humoral antibodies They are the i...
Read more