Complications of ventilation tubes: - Dr. Nassem Talaat

IV. Ludwig’s angina
Def: Suppuration in submandibular space.
Aet: Dental causes in 90%, infection of lower tooth.
extraction of septic tooth.
Incid : More in diabetics.
Symptoms :
- General : Fever , headache , malaise
- Local : Severe pain with dysphagia, muffled voice , difficult respiration
Signs : -General : Fever , tachycardia
-Local: - Massive indurated tender neck swelling
- Swollen floor of mouth with the tongue pushed upwards
Treatment : 1- Parentral antibiotics, antipyretics , analgesics
I Traumatic
2- Secure airway: tracheostomy
3- Drainage: a free incision for decompression
Stomatitis&OropharyngealUlceration
A) Mechanical : Stiff bristles of tooth brush, fish bones , cheek biting , ill fitting
denture, all have serrated edge with soft base
B) Chemical : Corrosives .
C) Physical : Thermal due to hot foods , radio therapy (xero stomia)
ttt : topical anti biotic with cortisone ( oro base )
II. Infective:
A)Bacterial : acute pharyngitis, tonsillitis, diphtheria, vincent’s
B) Viral
Chronic T.B. $
1- Exanthemata:e.g. measles, Kopliks spots in the cheek opposite the molar teeth in
the febrile stage, before rash appear.
2- Herpes simplex : type I Prodroma of fever, headache, malaise followed by severe
vesicular & ulcerative stomatitis, vesicles rupture to form multiple shallow ulcers