EM Vivas · Maxillofacial and dental emergencies
Maxillofacial and dental emergencies — Viva
Viva on Ludwig's angina and deep neck infection with airway management.
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Prompt
A patient with Ludwig's angina sits forward drooling with a muffled voice; CT shows submandibular involvement.
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Viva Stems
- Define Ludwig's angina and state its characteristic findings. [1]
- What is your airway plan and in what order do you escalate? [1]
- Describe the pathway of odontogenic infection into the deep neck and mediastinum. [2][3]
- Which space involvement predicts descending necrotising mediastinitis? [3]
- What antibiotic strategy do you start in the ED? [1]
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