PHLEGMON

Pembimbing: AKBP., drg. Henry Setiawan,

M.Kes, Sp.BM

Anggota Kelompok:
Aam Purnama, S.KG
Alfin Firmansyah, S.KG
Atita Soenaring, S.KG
 PHLEGMON

Angina ludvici Wilheim Frederick von Ludwig (1836)

Rapidly spreading cellulitis that may produce upper

airway obstruction
Oedem on whole submandibula, with no abses and
limfadenopati, harden surface
 PHLEGMON

Infection of connective tissue (celulitis) under tongue and jaw

Causa ----- from teeth infection (odontogen)

Have a spesific characteristic, bilateral and base of mouth

Around the infection tooth, then extending

Odontogenic infection extending become phlegmon

Can be extend to other vital organs (heart, kidney, lungs)

ANATOMY
 ETIOLOGY

90% from tooth infection

Often interference the respiratory system, causing death

Common case third molar infection or pericoronitis

Second molar near m.mylohyoid, after tooth treatment

Common bactery on phlegmon is streptpcoccus viridians

and staphylococcus areas
PATHOGENESIS
 CLINICAL SYMPTOM

1. General health
- hard to breath
- pain when swallow
- trismus
2. Extra oral
- rubor skin
- sweling at neck and mandibula bilateral
3. Intra oral
- oedema
- necrose teeth, infection impacted teeth
- hipersalivasi
 DIAGNOSIS
ANAMNESA

CLINICAL EXAMINATION

- Tongue lifted airway obstruction

- swelling and rubor on base of the mouth

- high fever
SUPPORT EXAMINATION

- Lab blood test and culture

- Roentgen Thorax
MANAGEMENT OF PHLEGMON
Tracheostomy
Cricothyroidotomy
 COMPLICATION

Sepsis (the bacteria still inside the other tissue)

Mediastinitis

Trombosis sinus kavernosus

Abses subhrenik

empisema
 PROGNOSIS

Depends on the protecting the airway

with the early diagnosis, early protect the airway,

give an adequate antibiotic intravena ,

ICU, the recovery is well

THANK YOU