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Anaesthetic management of Ludwig's angina with comorbidities

Ludwig's angina is a rapidly progressing necrotising cellulitis affecting the posterior oropharynx, submaxillary and sublingual spaces. It can cause elevation and displacement of the tongue resulting in airway obstruction. Death in such cases occurs due to airway compromise.[1] The most common cause is tooth extraction or dental infection. It can be complicated by airway compromise or extension into the mediastinum or extension into deeper soft tissues like cervical fascia.[2] The treatment involves appropriate antibiotics, airway control and surgical intervention (incision and drainage).