Acute inflammation of the submaxillary gland may progress to an uneventful recovery, Ludwig's angina may develop or it may result in a low grade, chronic infective process confined largely to the gland itself. Such infections, except mumps, are usually secondary to oral or dental infections. Salivary calculi are a predisposing factor in many cases. Bailey1 reported two cases of acute inflammation of the gland, both due probably to the presence of calculi, in each of which there promptly developed a typical form of Ludwig's angina. Many authors have emphasized the importance of free and early drainage of the submaxillary space in cases of Ludwig's angina. Some have expressed the belief that relief can best be obtained by early and complete excision of the submaxillary gland. Thus Ramsdell,2 in a paper covering the anatomy and technic of removal of the gland, reported six cases of Ludwig's angina with
SMITH HB, COON EH. RESECTION OF THE SUBMAXILLARY GLAND: With Report of a Case of Extravasation of Saliva Into the Sublingual Space. Arch Otolaryngol. 1935;21(6):717–719. doi:10.1001/archotol.1935.00640020732010
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