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sqadia.com provided you a video on Cellulitis recently. Now, cellulitis can be further classified into Cavernous Sinus Thrombosis and Ludwig’s Angina. In this video, we will be specifically talking about Ludwig’s Angina. ▬ 📌 Ludwig’s Angina Ludwig’s Angina named after a German physician in 1836, described it as the cellulitis involving the floor of the mouth and neck. Watch the video to identify the facial spaces: Submandibular, Sublingual and Submental. 👉 Ludwig’s Angina - Etiology Ludwig’s Angina can be caused by: 🔵 Infection of the Mandibular Molars 🔵 Peritonsillar or Parapharyngeal Abscess 🔵 Tongue Piercing 🔵 Oral Lacerations 🔵 Fractures of Mandible 🔵 Submandibular Sialadenitis 👉 Ludwig’s Angina - Pathophysiology Watch the video to understand the pathophysiology of Ludwig’s Angina diagrammatically. Here are some important points: ✔️ Infection from the 2nd and 3rd Mandibular Molar ✔️ Bacteria e.g., streptococcus, and others like staphylococcus, fusobacterium etc. ✔️ Infection initiates at the subgingival pocket and enters the musculature of the floor of the mouth ✔️ Entering the sublingual space ✔️ Lingual aspect of the tooth socket is thinner, so it travels faster. ✔️ Entering the Submandibular space Watch the video to understand the pathophysiology diagrammatically. 👉 Ludwig’s Angina - Risk Factors Some conditions can even increase the risk of Ludwig’s Angina like: 🟠 Dental Caries 🟠 Recent dental treatment. 🟠 Diabetes Mellitus 🟠 Immunocompromised Patients e.g., AIDS 🟠 Organ Transplantations Watch the video for more detail. 👉 Ludwig’s Angina - Clinical Features ✔️ Swelling of the neck close to the clavicles ✔️ Woody tongue ✔️ Bull’s Neck ✔️Neck pain, restricted movement of the neck. ✔️ Drooling and sore throat ✔️ Dysphagia, Dysarthria, Dysphonia ✔️ Breathing difficulty and respiratory obstruction ✔️Tachypnea, Dyspnea and Stridor ✔️There is some detail added on wheezing which differentiates it from stridor. ✔️Fever, Chills, Tachycardia, Restlessness and Leukocytosis Watch the video for more information about these risk factors. 👉 Ludwig’s Angina - Management Management of Ludwig’s Angina is based on 2 main principles: ⚫️ Maintaining the airways- Flexible fiberoptic nasal intubation, Orotracheal intubation, Tracheotomy, Cricothyrotomy ⚫️ Resolving the Infection - Intravenous antibiotics (Penicillin, Clindamycin and Metronidazole), Intravenous corticosteroids, Surgical Decompression of the swelling if medical intervention fails. Watch the video for more information and Ludwig’s angina pictures, ▬ 🎬 5500+ sqadia.com Medical Videos ▬▬▬▬▬▬▬▬▬▬ 👩🏻⚕️ Accessible Medical Student Education 24/7/365 💡 Simplifying Medical Learning 💪 Study Hard, Dream Big, Achieve More