EM SAQs · Maxillofacial and dental emergencies
Maxillofacial and dental emergencies — SAQ
SAQ on Ludwig's angina and deep neck space infection with airway management.
On this page
Study tools
Target exams
ACEMFRCEMABEM
Prompt
A 34-year-old man presents with 2 days of progressive toothache and 12 hours of floor-of-mouth swelling, drooling and muffled voice.
Stem
A 34-year-old man presents with 2 days of progressive toothache. He now has 12 hours of floor-of-mouth swelling, drooling, and a muffled voice. He sits leaning forward and is working to breathe.
a) What is your leading diagnosis? (1 mark) [1]
b) Describe your airway management plan. (7 marks) [1]
c) State your antimicrobial and surgical plan. (4 marks) [1]
d) List two feared complications. (3 marks) [1][3]
References4ShowHide
- [1]Bridwell R, Gottlieb M, Koyfman A, Long B. Diagnosis and management of Ludwig's angina: an evidence-based review Am J Emerg Med, 2021.PMID 33383265
- [2]Vieira F, Allen SM, Stocks RMS, Thompson JW. Deep neck infection Otolaryngol Clin North Am, 2008.PMID 18435993
- [3]Brajkovic D, Zjalić S, Kiralj A. Prognostic factors for descending necrotizing mediastinitis in deep neck infection Eur Arch Otorhinolaryngol, 2022.PMID 34542654
- [4]Hopper RA, Salemy S, Sze RW. Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics, 2006.PMID 16702454