| Surgical management of Ludwig's angina. | |
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MedLine Citation:
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PMID: 17610689 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Ludwig's angina (LA) is a dangerous surgical condition that can cause severe airway compromise and death. There is controversy regarding the best way to manage the airway of patients with LA. Options range from conservative management involving close observation and i.v. antibiotics to airway intervention, including tracheostomy and endotracheal intubation using fibre-optic nasoendoscopy. We present evidence supporting a role for conservative airway management in a select subset of patients. METHODS: This paper reviews 9 years' experience of treating patients with LA at Liverpool Hospital. RESULTS: Twenty-one out of 29 (72%) of our patients were treated conservatively following initial clinical assessment. One of these patients subsequently deteriorated requiring emergency intubation. Of those treated non-conservatively at initial presentation, seven patients were able to be intubated using fibre-optic nasoendoscopy and one patient required tracheostomy under local anaesthesia. CONCLUSION: A general discussion of issues related to the management of LA is presented. Based on our experience we conclude that there is a subset of patients with LA who can be managed safely with conservative management. |
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Authors:
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Simon L L Greenberg; Johnson Huang; Robert S K Chang; Subramaniam N Ananda |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: ANZ journal of surgery Volume: 77 ISSN: 1445-1433 ISO Abbreviation: ANZ J Surg Publication Date: 2007 Jul |
Date Detail:
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Created Date: 2007-07-05 Completed Date: 2007-09-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101086634 Medline TA: ANZ J Surg Country: Australia |
Other Details:
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Languages: eng Pagination: 540-3 Citation Subset: IM |
Affiliation:
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Department of Ear, Nose and Throat Surgery, Liverpool Hospital, Sydney, New South Wales, Australia. tssbdj@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Humans Intubation, Intratracheal Ludwig's Angina / diagnosis, surgery* Middle Aged Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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