Angina Ludovici

Angina Ludovici

Intro

Angina Ludovici is often a bilateral disease with the submandibular space that will contains two chambers inside the floorboards in the mouth, the sublingual space as well as the submylohyoid (often known as submaxillary) space. It was initially tagged by the particular German doctor, Wilhelm Frederick von Ludwig inside 1836. This particular an infection most commonly arises from an attacked 2nd or perhaps 3rd mandibular molar teeth. It is really an ambitious, speedily distributing cellulitis with no lymphadenopathy using potential for respiratory tract obstructions and needs cautious overseeing as well as quick input pertaining to protection against asphyxia and also faith pneumonia.

Your anatomy, microbiology, medical symptoms, image resolution, along with management of submandibular space bacterial infections (Angina Ludovici) will probably be evaluated below. Some other deep neck space infections are generally reviewed on their own. (Discover "Deep neck space infections".)

DEFINITION

Although the expression Angina Ludovici may be often used on any heterogeneous assortment of microbe infections relating to the sublingual and also submylohyoid (submaxillary) spaces, this particular prognosis ought to be restricted to the subsequent established explanation:

- The issue starts inside flooring from the mouth. It really is usually an aggressive, quickly spreading "woody" or brawny cellulitis relating to the submandibular space.
- The issue is really a swiftly dispersing cellulitis with no the lymphatic system effort and customarily without abscess creation.
- The submylohyoid along with sublingual spaces are involved.
- The infection can be bilateral.

ANATOMIC Factors

The actual submandibular space is situated inside submental and submandibular triangles between your mucosa of the flooring of the mouth and also the superficial layer from the heavy cervical fascia. It really is subdivided with the mylohyoid muscle in the sublingual space (that contains your sublingual glandular, hypoglossal neurological, area of the submandibular human gland, along with reduce connective tissue) and also the submylohyoid space (containing the particular submandibular salivary gland as well as lymph nodes). The 2 sections connect posteriorly around the mylohyoid muscle. This is the reason the actual bilateral participation through contiguous spread regarding an infection inside submandibular space inside Ludwig’s angina.