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Int J Otolaryngol. 2011;2011:231816. doi: 10.1155/2011/231816. Epub 2011 Jul 6.

Ludwig's Angina-A Controversial Surgical Emergency: How We Do It.

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1
Otolaryngology/Head & Neck Surgery Department, University College Dublin, Dublin 4, Ireland.

Abstract

OBJECTIVES:

To review the current protocols used for management of Ludwig's angina and to assess the efficacy of conservative measures in these cases.

METHODS:

A retrospective review of patients who were admitted to our institution for management of Ludwig's angina between 2003 and 2010.

RESULTS:

Two patients were identified. Both were managed successfully with conservative measures and close airway observation. None needed an emergency intubation or surgical tracheostomy. There were no mortalities, and both had a short hospital stay.

CONCLUSION:

Recently, management of Ludwig's angina has evolved from aggressive airway management into a more conservative one. This is based on close airway observation on a specialised airway unit and a serial clinical airway assessment. Improved imaging modalities, antibiotic therapy, surgical skills, and clinical experience are the key factors behind this change in practice.

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