Ludwig's Angina Complications And Difficult Airway Algorithm Application

Proposal Number:


Proposal Type:

Medically Challenging Case Report Poster 


Chamandeep Brar  
Stony Brook University Hospital


Wesam Andraous  
Stony Brook University Hospital


Ludwig's Angina is an aggressive and rapidly spreading bilateral neck infection which carries a 50% mortality rate if left untreated. In this case report we will discuss a 32 year old female who presented to the Emergency Department with impending respiratory distress from Ludwig's Angina. Our initial plan was to intubate via awake nasal fiberoptic which was ultimately unsuccessful due to the excessive bleeding from the friable tissue, leading to surgical intervention from an ENT Surgeon. After multiple surgeries, rare infection progression to the mediastinum was seen and was washed out by a Cardiothoracic Surgeon.
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   ·Before and After

Professional Category:



OR Management/Administration

Enter up to two references.

1. Chow, Anthony W. “Submandibular Space Infections (Ludwig's Angina).” UpToDate, 17 June 2019, space infections&source=search_result&selectedTitle=2~100&usage_type=default&display_rank=2.
2. Ludwig's Angina Costain, Nicholas et al. The American Journal of Medicine, Volume 124, Issue 2, 115 - 117