ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM NHIỄM VÙNG SÀN MIỆNG DO RĂNG

Abstract

Objective: To describe the clinical and subclinical characteristics of patients with tooth-caused Ludwig’s angina at some certain hospitals in Hanoi during the period from 2022 - 2023 and treatment results of patients in the study group. Research subjects and methods: 30 patients were case series described with a confirmed diagnosis of tooth-related oral floor infection treated at Hanoi Medical University Hospital, Viet Duc University Hospital from July 2022 to July 2023. Results: Patients aged 45 years and older accounted for the majority with 86.7%. The main cause was third molar toothache with 16 patients, accounting for 53.3%. There were 19 patients, accounting for 63.3%, with comorbidity diseases. The most common symptom is painful swallowing with rates of 90%. The most compartment involved is the submandibular cavity (83.3%). Most patients have complications spreading to the surrounding area, made up 70%. All patients received surgical drainage of pus, systemic antibiotics and local wound care. Treatment results were good at 36.7% of patients, 56.67% moderate and 6.67% poor, no patient died. Conclusion: Ludwig’s angina is a dangerous complication of oral disease, mainly due to infection of the third molar tooth. Patients usually arrive when symptoms spread to the surrounding area, with 70%. The main treatment is surgical drainage of pus, with good results accounting for 36.7%, which is still low.