#MCQ 9 - Treatment of Ludwig's Angina due to pericoronitis with respect to lower third molar?

#MCQ 9 - Treatment of Ludwig's Angina due to pericoronitis with respect to lower third molar :
A. Incision and Drainage, antibiotics and removal of third molar
B. Intubation prior to surgery
C. Incision and drainage, removal of third molar, antibiotics
D. Tracheostomy should be done before any treatment

Answer: D.  Tracheostomy should be done before any treatment

The dramatic reduction in the mortality of Ludwig's angina from 54% to 10% in only 3 years, afforded by Williams and Guralnick, was made possible by their changed surgical policy of immediate establishment of airway security by early intubation or tracheostomy, followed by aggressive and early surgical intervention. This dramatic reduction in mortality from 54 to 10 percent was not due to the first use of penicillin in the treatment of these infections.

Reference: Peterson's Principles of Oral and Maxillofacial Surgery, 3rd Edition, Page 841

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