Outcomes in Conservative Versus Surgical Treatments in Ludwig’s Angina Cases: A Comparative Study: Conservative Versus Surgical Outcomes in Ludwig’s Angina

Fatima Imam; Muhammad Shahzad; Zaheer Hussain Chachar; Maya Madhuri; Uzma Bashir; Junaid Naveed Gaju; Salman Shams

doi:10.54393/pjhs.v6i5.2870

Authors

Fatima Imam Department of Oral and Maxillofacial Surgery, Liaquat University Medical and Health Sciences, Jamshoro, Pakistan
Muhammad Shahzad Department of Oral and Maxillofacial Surgery, Liaquat University Medical and Health Sciences, Jamshoro, Pakistan
Zaheer Hussain Chachar Department of Periodontology, Altamash Institute of Dental Medicine, Karachi, Pakistan
Maya Madhuri Department of Oral and Maxillofacial Surgery, Muhammad Dental College Mirpurkhas, Pakistan
Uzma Bashir Department of Prosthodontics, Muhammad Dental College, Mirpurkhas, Pakistan
Junaid Naveed Gaju Department of Oral and Maxillofacial Surgery, Liaquat University Medical and Health Sciences, Jamshoro, Pakistan
Salman Shams Department of Oral Medicine, Liaquat University Medical and Health Sciences, Jamshoro, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i5.2870

Keywords:

Ludwig’s Angina, Conservative Treatment, Surgical Intervention, Airway Compromise

Abstract

Rapid airway impairment brought on by Ludwig's angina may require careful antimicrobial treatment or surgery. Objective: To compare the airway compromise and hospital stay in conservative versus surgical approach in cases with Ludwig's Angina. Methods: This experiment was conducted at Liaquat University using a non-probability consecutive sampling technique to recruit 76 patients, aged 18 to 40, diagnosed with early-stage Ludwig’s angina without airway obstruction. Quasi-experimental study. There were 38 patients in each group, and participants were randomized to either the surgery group or the conservative treatment group. Outcomes such as airway compromise and length of hospital stay were recorded and compared between groups using t-tests and Fisher’s exact tests. Findings: The conservative group's mean age was 30.58 ± 5.52 years, while the surgical group's was 31.34 ± 5.92 years. There were 11 females (28.95%) and 27 males (71.05%) in the conservative group and 8 females (21.05%) and 30 males (78.95%) in the surgical group. There was a statistically significant difference (p < 0.001) in the length of hospital stay between the surgical group (6.97 ± 1.10 days) and the conservative group (5.05 ± 0.89 days). Five patients (13.16%) in the surgical group and three patients (7.89%) in the conservative group experienced airway impairment; however, this difference was not statistically significant (p = 0.706). Conclusion: Conservative treatment, being less invasive, can be effective in mild cases, leading to shorter hospital stays and a reduced risk of airway compromise.

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