Ludwig's angina is a bilateral infection with the submandibular space that contains 2 storage compartments in the ground of the mouth, your sublingual space and the submylohyoid (often known as submaxillary) space. It was first described by the German medical professional, Wilhelm Frederick von Ludwig throughout 1836. This kind of contamination normally comes from a great afflicted 2nd or third mandibular molar tooth. It is an ambitious, swiftly distributing cellulitis without having lymphadenopathy together with possibility of airway obstructions and requirements watchful monitoring and speedy treatment pertaining to prevention of asphyxia and faith pneumonia.
The actual anatomy, microbiology, specialized medical symptoms, imaging, as well as treatments for submandibular space infections (Ludwig's angina) will likely be examined below. Other deep neck space infections are generally talked about individually. (See "Deep neck space infections".)
Even though expression Ludwig's angina has been loosely used on a new heterogeneous assortment of microbe infections relating to the sublingual and submylohyoid (submaxillary) spots, this diagnosis ought to be on a the subsequent time-honored outline:
- The infection will begin inside the floorboards from the mouth. It really is characteristically a hostile, quickly spreading "woody" or perhaps brawny cellulitis regarding the submandibular space.
- The problem can be a swiftly scattering cellulitis with no lymphatic system involvement and generally without having abscess formation.
- The submylohyoid along with sublingual areas are involved.
- Chlamydia will be bilateral.
The particular submandibular space is placed from the submental along with submandibular triangles between the mucosa from the floorboards of the mouth along with the shallow coating of the deep cervical ligament. It can be subdivided through the mylohyoid muscle into the sublingual space (which contains the actual sublingual glandular, hypoglossal nerve, section of the submandibular sweat gland, along with free connective tissue) and also the submylohyoid space (which contains your submandibular salivary human gland as well as lymph nodes). The 2 sections communicate posteriorly across the mylohyoid muscle. This particular makes up about the bilateral participation simply by continuous propagate of infection from the submandibular space throughout Ludwig’s angina.