BACKGROUND

Purulent-inflammatory diseases of the maxillofacial area are highly common and often lead to serious consequences, including death. The spread of the infectious process is due to numerous communication routes through which anatomical formations pass, such as the ducts of the salivary glands, blood vessels, nerves and others. Ludwig’s tonsillitis is a life-threatening, rapidly spreading infection that affects the floor of the mouth. In addition to the classic course of this pathology, rare forms can be found that require a special approach to diagnosis and treatment.

OBJECTIVE

The purpose of this study is to increase the effectiveness of treatment and prevention of phlegmon of the floor of the mouth and deep cellular spaces of the neck, using an integrated clinical and anatomical approach.

MATERIAL AND METHODS

We describe a clinical case of managing a patient with diffuse odontogenic phlegmon of the floor of the mouth, spreading to the deep cellular spaces of the neck on the right, complicated by sepsis. Results. The presented clinical case describes the features of diagnosis, treatment and dynamics of the pathology described above. Particular attention is paid to a detailed description of the course of the operation and postoperative management of the patient. Sanitation of foci of odontogenic infection, the need for regular medical examination and preventive dental measures are key aspects in preserving not only dental health, but also the life of the population.

CONCLUSION

The presented experience will help practicing physicians in understanding the clinical and anatomical picture of the course of the disease, the features of managing such patients, considering the severity of the complication, as well as researchers in the development of new methods of treatment and prevention of this pathology.