Subscribe to RSS

DOI: 10.1055/s-0044-1801796
Anterolateral Thigh Flap for the Treatment of Sequelae of Ludwig's Angina: Case Report
Article in several languages: português | EnglishAuthors
Financial Support The authors declare that they did not receive financial support from agencies in the public, private or non-profit sectors to conduct the present study.

Abstract
Ludwig's angina is a polymicrobial infectious process, most often of odontogenic origin, which requires early diagnosis and treatment and is aggravated by systemic diseases. Surgical procedures may be necessary, such as debridement and the creation of flaps for reconstruction. The anterolateral thigh flap is a free flap with numerous advantages, such as a large donor area and minimal functional sequelae. The objective of the present article is to report a severe case of Ludwig's angina in which an anterolateral thigh flap was used to treat the sequelae.
Keywords
biological tissue flaps - Ludwig's angina - microsurgery - plastic surgery - surgical flapsAuthor's Contributions
OLLV: data analysis and/or interpretation, conceptualization, final manuscript approval, investigation, supervision, writing – original draft, and writing – review & editing; DAGS: final manuscript approval, supervision, and writing – review & editing; FML: conceptualization, data curation, final manuscript approval, and writing – original draft; KOS: study conception design, data curation, final manuscript approval, project administration, and visualization; BPP: study conception and design, final manuscript approval, project administration, and supervision; and JMSMJ: study conception and design, final manuscript approval, and investigation.
Ethical Approval
The present work was approved by the Ethics in Research Committee of Instituto Doutor José Frota, Brazil (CAAE: 68574223.7.0000.5047).
Patient Consent
Informed consent was obtained from the patient.
Publication History
Received: 04 March 2024
Accepted: 29 September 2024
Article published online:
27 January 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Olga Lanusa Leite Veloso, Diego Arley Gomes da Silva, Felipe Mazza de Lima, Kariny Oliveira Silva, Breno Bezerra Gomes de Pinho Pessoa, José Maria Sampaio de Menezes Júnior. Retalho anterolateral da coxa para o tratamento de sequelas da angina de Ludwig: Relato de caso. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: s00441801796.
DOI: 10.1055/s-0044-1801796
-
Referências
- 1 Goldberg HM, Topazian RG. Odontogenic infections and deep fascial space infections of dental origin. In: Topazian RG, Goldberg MH, Hupp JR. eds. Oral and Maxillofacial Infections. São Paulo, Brazil: Santos; 1997: 124-136
- 2 Tschiassny K. Ludwig's angina: an anatomic study of the role of the lower molar teeth in its pathogenesis. Arch Otolaryngol 1943; 38 (05) 485-496
- 3 Saifeldeen K, Evans R. Ludwig's angina. Emerg Med J 2004; 21 (02) 242-243
- 4 Barakate MS, Jensen MJ, Hemli JM, Graham AR. Ludwig's angina: report of a case and review of management issues. Ann Otol Rhinol Laryngol 2001; 110 (5 Pt 1): 453-456
- 5 Koshima I, Fukuda H, Yamamoto H, Moriguchi T, Soeda S, Ohta S. Free anterolateral thigh flaps for reconstruction of head and neck defects. Plast Reconstr Surg 1993; 92 (03) 421-428 , discussion 429–430
- 6 Kimata Y, Uchiyama K, Ebihara S, Nakatsuka T, Harii K. Anatomic variations and technical problems of the anterolateral thigh flap: a report of 74 cases. Plast Reconstr Surg 1998; 102 (05) 1517-1523
- 7 Tavares SS, Mendes ML, Vasconcellos WA, Vasconcellos JR. Angina de Ludwig: revisão de literatura e relato de caso. Rev Cir Traumatol Buco-Maxilo-Fac. 2009
- 8 Soares LP, Volpato LE, Ferrari CH. et al. Angina de Ludwig associada à presença de corpo estranho em região sublingual. Rev Fac Odontol UPF 2004; 9 (02) x
- 9 Parker E, Mortimore G. Ludwig's angina: a multidisciplinary concern. Br J Nurs 2019; 28 (09) 547-551
- 10 Fogaça PF, Cardoso CL, Magalhães MH. et al. Angina de Ludwig: uma infecção grave. Rev Port Estomatol Cir Maxilofac 2006; 47 (03) 156-157
- 11 Gulinelli JL, Correa NP, Mendes RM. et al. Angina de Ludwig. ROBRAC 2007
- 12 Miller CR, Von Crowns K, Willoughby V. Fatal Ludwig's angina: cases of lethal spread of odontogenic infection. Acad Forensic Pathol 2018; 8 (01) 150-169
- 13 Schulz JI. Retalho livre anterolateral da coxa para reconstrução de extremidades. Arq Catarin Med 2007; 36 (01) x
- 14 Xiong L, Gazyakan E, Kremer T. et al. Free flaps for reconstruction of soft tissue defects in lower extremity: A meta-analysis on microsurgical outcome and safety. Microsurgery 2016; 36 (06) 511-524