Qadeer-ul hassan, Zaib-un-nisa Qadeer, Khalid Rasheed, Suneel Kumar Punjabi.
Emergency Management of Ludwig’s Angina at Tertiary Care Hospital: 12 Years Experience.
J Pak Dent Assoc Jan ;19(4):216-9.

OBJECTIVE: To report the management and treatment protocol of Ludwig’s angina at a tertiary care hospital Hyerabad Sindh. METHODOLOGY: A Retrospective & non-comparative study was undertaken on total 101 patients of both gender were included, who received medical, airway management and surgical treatment. Etiology, microbiology, Culture & Sensivity, associated systemic diseases, duration of hospital stay and outcome were reviewed. Material was collected from Oral & Maxillofacial Surgery Department, Institute of Dentistry, Liaquat University of Medical & Health Sciences, Jamshoro from January 1994 to December 2008. RESULT: A total 101 cases of Ludwig’s angina were included, 43 (42.6%) patients were female and 58(57.4%) were male. All the patients were managed with surgical drainage within the first 12 hours after hospital admission. Maximum hospital stay was up to 2 weeks. Common symptoms found were Neck swelling, Breathing difficulty, Fever, Pain & Redness (In all patients). Dental problem was more common in 71(69.3%) cases, Dental problem associated with Diabetes mellitus was found in 21(20.7%) and tonsillar infections in 07(6.9%) and sunmandibular sailadenitis 2(1.9%) patients. Maximum complications were Mediastinitis 10(9.9%), Sepsis 9(8.9%) and Death 5(4.8%) CONCLUSION: Incision and drainage and close monitoring promote good outcomes in majority of patients.

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