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- Coca Pelaz Andrés A Department of Otolaryngology, Hospital Universitario Central de Asturias, c/Valdés 10, Oviedo Asturias, Spain. acocapelaz@yahoo.es, José L Llorente Pendás, and Carlos Suárez Nieto.
- Department of Otolaryngology, Hospital Universitario Central de Asturias, c/Valdés 10, Oviedo Asturias, Spain. acocapelaz@yahoo.es
- Am J Otolaryngol. 2010 Mar 1; 31 (2): 117-9.
BackgroundAn extremely rare case that to our knowledge has not been reported before is described, in which a patient had a Ludwig's angina as a complication of direct microlaryngoscopy.MethodsWe report a Ludwig's angina after a direct microlaryngoscopy for a Reinke's edema, due to erosion on the internal face of the mandible produced by compression of the laryngoscope.ResultsThe patient underwent placement of 2 drainages, intraoral and cervical, and several incisions on the floor of the mouth, with intravenous corticosteroids and antibiotics and with resolution of the illness without performing tracheostomy.ConclusionsLudwig's angina is an extremely rare complication of microlaryngoscopy, but it is potentially life-threatening. Early diagnosis and treatment resulted in survival of the patient without complications.Copyright (c) 2010 Elsevier Inc. All rights reserved.
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