{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T22:11:26Z","timestamp":1792534286497,"version":"4.5.0"},"reference-count":20,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:p>Ludwig's angina (LA) is a gangrenous cellulitis of the neck that spreads via continuity of the fascial planes. Treatment of LA includes aggressive antibiotic therapy as well as surgical drainage in many cases. The most common cause of infection is odontogenic and can be due to both aerobic and anaerobic bacteria. Signs and symptoms of LA include bilateral cervical swelling, dysphagia, drooling, neck tenderness, elevation and posterior distension of the tongue, restricted neck movement, trismus, dyspnea, and stridor, which can result in difficult airway management. Proper preoperative assessment of patients with LA should include identifying features that may cause difficulties with mask ventilation, direct laryngoscopy, and intubation. Alternative methods of ventilation should be considered and immediately accessible, including a plan on how and when they would be used in the event that a patient cannot be mask ventilated or intubated. Marking external anatomical airway landmarks prior to manipulating the airway can save vital time if an emergent airway becomes necessary.<\/jats:p>","DOI":"10.2344\/anpr-66-01-13","type":"journal-article","created":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T17:29:06Z","timestamp":1560274146000},"page":"103-110","source":"Crossref","is-referenced-by-count":26,"title":["Ludwig's Angina: Anesthetic Management"],"prefix":"10.2344","volume":"66","author":[{"given":"Regina A. E.","family":"Dowdy","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, The Ohio State University, College of Dentistry, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hany A.","family":"Emam","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, The Ohio State University, College of Dentistry, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryant W.","family":"Cornelius","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, The Ohio State University, College of Dentistry, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1191","reference":[{"key":"i0003-3006-66-2-103-b01","series-title":"Am J Forens Med Pathol","first-page":"255","article-title":"A case of Ludwig angina","volume":"23","author":"Marcus \n              BJ,","year":"2008","unstructured":"Marcus \n              BJ, \n            \n            \n              Kaplan \n              J, \n            \n            \n              Collins \n              KA. \n            \n          \n          A case of Ludwig angina. 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The Atlas of Emergency Medicine. 4th ed. New York, NY: McGraw-Hill."},{"key":"i0003-3006-66-2-103-b04","series-title":"Am J Otolaryngol","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/j.amjoto.2006.10.012","article-title":"Challenging airways in deep neck space infections","volume":"28","author":"Karkos \n              PD,","year":"2007","unstructured":"Karkos \n              PD, \n            \n            \n              Leong \n              SC, \n            \n            \n              Beer \n              H, \n            \n            \n              Apostolidou \n              MT, \n            \n            \n              Panarese \n              A. \n            \n          \n          Challenging airways in deep neck space infections. Am J Otolaryngol. 2007;28:415\u2013418. doi:10.1016\/j.amjoto.2006.10.012"},{"key":"i0003-3006-66-2-103-b05","series-title":"Current Diagnosis & Treatment: Surgery. 14th ed","article-title":"Otolaryngology: head & neck surgery","author":"Weinberger \n              PM,","year":"2014","unstructured":"Weinberger \n              PM, \n            \n            \n              Terris \n              DJ. \n            \n          \n          Otolaryngology: head & neck surgery. In: Doherty GM, ed. Current Diagnosis & Treatment: Surgery. 14th ed. New York, NY: McGraw-Hill;2014."},{"key":"i0003-3006-66-2-103-b06","series-title":"Plastic Surgery: Volume 3: Craniofacial, Head and Neck Surgery and Pediatric Plastic Surgery. 4th ed","article-title":"Anatomy of the head and neck","author":"Afifi \n              AM,","year":"2018","unstructured":"Afifi \n              AM, \n            \n            \n              Sanchez \n              RJ, \n            \n            \n              Djohan \n              RS. \n            \n          \n          Anatomy of the head and neck. In: Rodriguez ED, Losee JE, Neligan PC, eds. Plastic Surgery: Volume 3: Craniofacial, Head and Neck Surgery and Pediatric Plastic Surgery. 4th ed. London, UK: Elsevier;2018."},{"key":"i0003-3006-66-2-103-b07","series-title":"Deep neck space infections","author":"Chow \n              AW","year":"2017","unstructured":"Chow \n              AW\n            \n          \n          Deep neck space infections. Available at: https:\/\/www.uptodate.com.\/contents\/deep-neck-space-infections-in-adults. Accessed September 20,2017."},{"key":"i0003-3006-66-2-103-b08","series-title":"The Big Picture: Gross Anatomy","article-title":"Chapter 25. Overview of the neck","author":"Morton \n              DA,","year":"2011","unstructured":"Morton \n              DA, \n            \n            \n              Foreman \n              K, \n            \n            \n              Albertine \n              KH, \n            \n          \n          eds. Chapter 25. Overview of the neck. In: The Big Picture: Gross Anatomy. 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Available at: http:\/\/accessmedicine.mhmedical.com\/content.aspx?bookid=1130&sectionid=79736907."},{"key":"i0003-3006-66-2-103-b10","series-title":"Zitelli and Davis Atlas of Pediatric Physical Diagnosis. 7th ed","author":"Zitelli \n              BJ,","year":"2018","unstructured":"Zitelli \n              BJ, \n            \n            \n              McIntire \n              SC, \n            \n            \n              Nowalk \n              AJ. \n            \n          \n          Zitelli and Davis Atlas of Pediatric Physical Diagnosis. 7th ed. Philadelphia, Penn: Elsevier;2018."},{"key":"i0003-3006-66-2-103-b11","series-title":"Miller's Anesthesia","first-page":"2523","article-title":"Anesthesia for ear, nose, and throat surgery","author":"Miller \n              RD,","year":"2015","unstructured":"Miller \n              RD, \n            \n            \n              Doyle \n              JD. \n            \n          \n          Anesthesia for ear, nose, and throat surgery. In: MillerRD, Cohen NH, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL, eds. Miller's Anesthesia. Philadelphia, Penn: Elsevier\/Saunders; 2015:2523\u20132549."},{"key":"i0003-3006-66-2-103-b12","series-title":"Anaesthesia","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1111\/j.1365-2044.1985.tb10759","article-title":"Ludwig's angina: the anaesthetic management of nine cases","volume":"40","author":"Loughnan \n              TE,","year":"1985","unstructured":"Loughnan \n              TE, \n            \n            \n              Allen \n              DE. \n            \n          \n          Ludwig's angina: the anaesthetic management of nine cases. 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Trends Anaesth Crit Care. 2015;5:28\u201335."},{"key":"i0003-3006-66-2-103-b17","series-title":"Am J Med","first-page":"115","article-title":"Ludwigs angina","volume":"124","author":"Costain \n              N,","year":"2011","unstructured":"Costain \n              N, \n            \n            \n              Marrie \n              T. \n            \n          \n          Ludwigs angina. Am J Med. 2011;124:115\u2013117."},{"key":"i0003-3006-66-2-103-b18","series-title":"Int J Obstet Anesth","first-page":"25","article-title":"Difficult and failed intubation in obstetrics","volume":"6","author":"Harmer \n              M.","year":"1997","unstructured":"Harmer \n              M. \n            \n          \n          Difficult and failed intubation in obstetrics. 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