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http://dx.doi.org/10.1002/hed.28050 | DOI Listing |
Clin Case Rep
August 2025
Department of Pediatrics, School of Medicine, Neonatal and Children's Health Research Center Golestan University of Medical Sciences Gorgan Iran.
Ludwig's angina is a rare but potentially fatal cellulitis that affects the submandibular, sublingual, and submental spaces, typically triggered by dental infections. This case report details a severe presentation of Ludwig's angina in a 6-year-old girl who presented with submandibular swelling, fever, voice alterations, and respiratory distress. Diagnosis was based on clinical evaluation, supported by CT imaging, revealing significant airway narrowing and lymphadenopathy.
View Article and Find Full Text PDFA A Pract
July 2025
Department of Multidisciplinary Medical, Surgical and Dental Specialties, University of Campania "Luigi Vanvitelli," Naples, Italy.
Submental endotracheal intubation consists of a conventional orotracheal intubation followed by a submental incision to access the submental space. The endotracheal tube is carefully advanced through the incision in the submental space using a hemostat and secured at the submental level with sutures. After the patient is extubated, the submental incision is sutured.
View Article and Find Full Text PDFNatl J Maxillofac Surg
April 2025
Department of Oral Maxillofacial Surgery, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.
Sub-mental intubation is used as an alternative technique for managing airway in cases of panfacial trauma to avoid tracheostomy and make surgical procedures easier. A 33 year male patient with multiple facial fractures was taken for surgery by sub-mental intubation. A modified extubation technique was used, making the procedure the same and easy.
View Article and Find Full Text PDFCraniomaxillofac Trauma Reconstr
March 2025
Division of Maxillofacial Surgery, Department of Neurological Sciences, Marche University Hospitals-Umberto I, 60126 Ancona, Italy; (E.B.); (P.B.).
Airway management in maxillofacial trauma is a critical and complex challenge, requiring both secure ventilation and optimal surgical access while minimizing risks to vital structures. This study evaluated the efficacy of submental intubation (SMI) as a minimally invasive alternative to tracheostomy in patients with complex maxillofacial fractures. A retrospective analysis of 52 patients treated between 2015 and 2023 was conducted by comparing clinical outcomes between those who underwent SMI (n = 26) and those who underwent tracheostomy (n = 26).
View Article and Find Full Text PDFCase Rep Dent
December 2024
Department of Maxillofacial Surgery, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Bergamo, Italy.
The authors present two cases of mouth floor hemorrhage consequences of implant placement within the atrophic anterior mandible. In one patient, the implant placement was associated with the guided bone regeneration (GBR) technique. This serious complication has been widely described in the literature, especially in the anterior mandible area.
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