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루드위그 봉와직염의 치험례
Treatment of Ludwings angina

구강생물학연구 1990년 14권 1호 p.145 ~ 148

김성권, 김수관,

소속 상세정보

김성권 ( Kim Sung-Kwon ) - 조선대학교 치과대학 구강악안면외과학교실
김수관 ( Kim Su-Gwan ) - 조선대학교 치과대학 구강악안면외과학교실

KMID : 0353319900140010145

Abstract

Ludwig´ s angina is a severe cellulitis beginning usually in the submadibular space and 2ndarily involving the sublingual and submental space as well.
The patient with Ludwig´ s angina manifests a rapidly developing boardlike swelling of the floor of mouth conequent elevation ofthe tongue.
The sweling is firm, painful and diffuse, showing no evidence of localization. There is difficulty in eating and swallowing as well as on breathing.
The treatment for Ludwig´ sangina includes prompt and definitive mangement of the airway by tracheostomy, and incision with thorough drainage of the spaces involved in the in the infection.
Intensive antibiotic therapy is also used.
Although acute orofacial infections are relatively uncommon, constant awareness of the potential life--threatening nature of some should never be overlooked.