Multiprofessional Assistance of a Ludwig Angina: Case Report

Authors

  • Kananda Kelly Pereira Guimarães Graduada em Odontologia pela Faculdade de Ensino Superior de Floriano, FAESF, 64809-170 Floriano-PI, Brasil https://orcid.org/0000-0002-7835-8809
  • Maria Aparecida Guimarães da Silva Graduada em Odontologia pela Faculdade de Ensino Superior de Floriano, FAESF, 64809-170 Floriano-PI, Brasil
  • Natacha Kalu dos Santos Bernardes Gonçalves Mestre em Endodontia pela São Leopoldo Mandic, 13045-755 Campinas – SP, Brasil/Professora pela Faculdade de Ensino Superior de Floriano, FAESF, 64809-170 Floriano-PI, Brasil https://orcid.org/0000-0002-5075-3225
  • Marco Antonio Gonçalves Fontineles Cirurgião Bucomaxilofacial , Especialização em Cirurgia e Traumatologia Bucomaxilofacial pela UFPI -Universidade Federal do Piauí 64000-140 Teresina – PI, Brasil
  • Felipe Rocha Reis Graduado em Medicina pelo Centro Universitário UNINOVAFAPI Teresina – PI, Brasil
  • Erik Neiva Ribeiro de Carvalho Reis Doutor em Cirurgia e Traumatologia Bucomaxilofacial pela Faculdade de Odontologia de Araçatuba UNESP-SP, 16015-050 Araçatuba – SP, Brasil

DOI:

https://doi.org/10.21270/archi.v11i4.5747

Keywords:

Ludwig's Angina, Infection, Tracheostomy

Abstract

Ludwig's angina is a rapidly spreading cellulitis, which mainly affects the floor of the mouth, progressing towards the submandibular, sublingual, and submental spaces, which can cause airway collapse, resulting in ventilatory failure and death. This paper aims to describe a clinical case report of Ludwig's Angina of odontogenic origin who underwent surgery at Hospital Regional Tibério Nunes in Floriano-PI, with emphasis on airway management. A 23-year-old female patient without comorbidities was seen by a dentist three times, with toothache before admission due to Ludwig's Angina. After the patient was admitted to the Hospital Regional Tibério Nunes by the Bucomaxillofacial Surgery and Traumatology team, it was discovered that she had cellulitis with airway obstruction. She needed an emergency surgical debridement of the airway and extraction of the infectious site. Early recognition and rapid intervention are critical in the treatment of this serious condition, as airway management in patients with Ludwig's angina remains challenging. The choice of the safest technique must be based on the clinical picture, the available technical condition, and the urgent need to preserve the patient's life.

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References

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Published

2022-09-26

How to Cite

Guimarães, K. K. P., Guimarães da Silva, M. A., Gonçalves, N. K. dos S. B., Fontineles, M. A. G., Reis, F. R., & Reis, E. N. R. de C. (2022). Multiprofessional Assistance of a Ludwig Angina: Case Report. ARCHIVES OF HEALTH INVESTIGATION, 11(4), 676–682. https://doi.org/10.21270/archi.v11i4.5747

Issue

Section

Original Articles