Department of OMFS, Aligarh Muslim University, Aligarh, India.
J Perioper Pract. 2022 Apr;32(4):66-68. doi: 10.1177/1750458919834195. Epub 2019 Feb 27.
Ludwig's angina is defined as a potentially lethal, rapidly spreading cellulitis, involving the sublingual and submandibular spaces, and is manifested by a brawny suprahyoid induration, tender swelling in the floor of the mouth, and elevation and posterior displacement of the tongue. During a life-threatening infection such as Ludwig's angina, the mother and foetus are vulnerable to septicemia and asphyxia. We describe a case of decompression of Ludwig's angina in a 28 weeks pregnant patient under bilateral superficial cervical plexus block. The block, coupled with bilateral mandibular nerve block, provided ample anaesthesia to perform a thorough incision and drainage, including transection of mylohyoid with lowering of the floor of mouth and rapid relief of respiratory obstruction.
路德维希咽峡炎是一种潜在致命的、迅速扩散的蜂窝织炎，累及舌下间隙和颌下间隙，表现为舌骨上区坚硬的肿胀、口腔底部触痛性肿胀以及舌体抬高和后移位。在危及生命的感染（如路德维希咽峡炎）中，母亲和胎儿易发生败血症和窒息。我们描述了一例 28 周孕妇在双侧颈浅丛阻滞下进行路德维希咽峡炎减压的病例。该阻滞联合双侧下颌神经阻滞，提供了充足的麻醉效果，以进行彻底的切开引流，包括切断颏舌肌以降低口腔底部，并迅速缓解呼吸阻塞。
