路德维希咽峡炎合并面神经麻痹的罕见病例报告
A rare presentation of Ludwig's angina with facial nerve palsy, case report.
作者信息
Dessalegn Megbar, Bogale Manendante, Alemayehu Dawit, Assefa Wubshet, Deresse Tilahun
机构信息
Department of Surgery, School of medicine, Debre Markos University, 269, Ethiopia.
Department of Surgery, School of medicine, Debre Markos University, 269, Ethiopia.
出版信息
Int J Surg Case Rep. 2023 Jun;107:108309. doi: 10.1016/j.ijscr.2023.108309. Epub 2023 May 9.
INTRODUCTION AND IMPORTANCE OF CASE
Ludwig's angina is an inflammation of neck spaces making it immediately life-threatening. The infection spreads to adjacent planes destructing facial planes, aspirations of infective particles, or septic embolism to distant areas. Understanding the rare presentations will help early diagnosis and treatment.
PRESENTATION OF CASE
This is about a 40 years-old man who presented with painful anterior neck swelling of 7 days duration. A diagnosis of Ludwig's angina with unilateral facial nerve paralysis and treated with immediate incision and drainage.
CLINICAL DISCUSSION
Ludwig's may present clinical with a variety of complications. This complication may be related to ongoing sepsis or mass effects manifesting with airway compromise or nerve palsy.
CONCLUSION
Although facial nerve palsy associated with Ludwig's angina is rare, it improves with immediate surgical decompression.
病例介绍及重要性
路德维希咽峡炎是颈部间隙的炎症，可立即危及生命。感染扩散至相邻平面，破坏面部平面，感染性颗粒的吸入或远处的脓毒性栓塞。了解罕见表现有助于早期诊断和治疗。
病例呈现
这是一名40岁男性，出现持续7天的前颈部疼痛性肿胀。诊断为路德维希咽峡炎伴单侧面神经麻痹，并立即进行切开引流治疗。
临床讨论
路德维希咽峡炎可能出现多种并发症。这种并发症可能与持续的败血症或表现为气道受压或神经麻痹的肿块效应有关。
结论
虽然与路德维希咽峡炎相关的面神经麻痹很少见，但立即进行手术减压可使其改善。
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