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A Review of Current Airway Management

Arch Otolaryngol Head Neck Surg. 1999;125:600.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Ludwig angina is a dreaded infection involving the sublingual, submandibular, and submental spaces. Its pathogenesis is most often related to an odontogenic infection gaining access to these spaces and thereby creating a clinical scenario manifested by painful swelling in the floor of the mouth, tense edema and induration of the submental soft tissues, and progressive elevation and posterior displacement of the tongue. The pain and trismus, along with the swelling of the oral and cervical tissues and tongue displacement, create a severely compromised airway.

Figure appears in full text version. William W. Shockley, MD

Marple has addressed the issues surrounding the management of this tenuous airway in a timely and balanced fashion. As he points out, Ludwig angina is seen with decreasing frequency; therefore, physician experience with this potentially life-threatening infection is much less than it was a generation ago. With advances in medical care, we now have better antibiotics, more readily available critical care facilities, . . . [Full Text of this Article]

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