Decompression of Ludwig's angina in a pregnant patient under bilateral superficial cervical plexus block

Journal of Perioperative Practice
Tabishur RahmanSajjad Rahman

Abstract

Ludwig's angina is defined as a potentially lethal, rapidly spreading cellulitis, involving the sublingual and submandibular spaces, and is manifested by a brawny suprahyoid induration, tender swelling in the floor of the mouth, and elevation and posterior displacement of the tongue. During a life-threatening infection such as Ludwig's angina, the mother and foetus are vulnerable to septicemia and asphyxia. We describe a case of decompression of Ludwig's angina in a 28 weeks pregnant patient under bilateral superficial cervical plexus block. The block, coupled with bilateral mandibular nerve block, provided ample anaesthesia to perform a thorough incision and drainage, including transection of mylohyoid with lowering of the floor of mouth and rapid relief of respiratory obstruction.

References

Jan 1, 1983·Archives of Otolaryngology·N SnowM Steiner
Apr 1, 1982·The Laryngoscope·H C PattersonM Strome
Oct 16, 2002·The British Journal of Oral & Maxillofacial Surgery·R AnandV Ilankovan
Nov 22, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Moshe ShteifZvi Laster
Jun 28, 2014·Annals of Medical and Health Sciences Research·Od OsundeN Ver-Or

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Citations

Jul 3, 2021·Tropical Medicine and Infectious Disease·Resi PucciValentino Valentini

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