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eISSN: 2581-9615 || CODEN (USA): WJARAI || Impact Factor: 8.2 || ISSN Approved Journal

Management of Ludwig’s angina: A case report

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  • Management of Ludwig’s angina: A case report

Ita Musta’inah 1, Indra Mulyawan 2, 3, * and Andra Rizqiawan 2, 3

1 Specialist Program, Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.

2 Department of Oral and Maxillofacial Surgery, Academic Dental Hospital, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.

3 Department of Oral and Maxillofacial Surgery, Dental Clinic, Academic Hospital of Universitas Airlangga, Surabaya, Indonesia.

Case Report

World Journal of Advanced Research and Reviews, 2025, 25(01), 1352-1356

Article DOI: 10.30574/wjarr.2025.25.1.3912

DOI url: https://doi.org/10.30574/wjarr.2025.25.1.3912

Received on 12 November 2024; revised on 14 January 2025; accepted on 17 January 2025

Background: Ludwig's angina is a progressive cellulitis of the soft tissues of the neck and floor of the mouth that spreads quickly and frequently results in death. It is an infection which affects the sublingual, submental, and left and right submandibular spaces. Because it might obstruct airways, the condition is an emergency that needs to be treated right away

Purpose: The purpose of writing this article is to describe the treatment of Ludwig’s angina.

Case: A 31-year-old male patient came with a chief complaint of swelling on the right cheek in the last 4 days. 

The patient had a history of hepatitis B. Clinical examination showed facial asymmetry, deep caries of 36 and 47, root remains of 37.

Case management: Patient was treated by multiple extraction, incision and drainage of abscess, and exploration of mediastinum under general anesthesia.

Conclusion: This case report shows that prompt treatment of Ludwig's angina provides great outcome. Patients with comorbidities may require intensive care which decreasing the risk of fatality.

Abscess; Hepatitis B; Ludwig’s angina; Odontogenic infection

https://journalwjarr.com/sites/default/files/fulltext_pdf/WJARR-2024-3912.pdf

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Ita Musta’inah, Indra Mulyawan and Andra Rizqiawan. Management of Ludwig’s angina: A case report. World Journal of Advanced Research and Reviews, 2025, 25(01), 1352-1356. Article DOI: https://doi.org/10.30574/wjarr.2025.25.1.3912.

Copyright © 2025 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0

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