What is the primary concern of treatment in patients with Ludwig's angina?

The primary concern in treating patients with Ludwig's angina is the maintenance of the patient's airway. Ludwig's angina is a serious, potentially life-threatening condition characterized by bilateral swelling of the submandibular and sublingual areas due to an infection, often stemming from dental issues. The rapid progression of swelling in the neck and floor of the mouth can lead to airway obstruction, making it critical for healthcare providers to assess and prioritize the patient's ability to breathe.

Ensuring that the airway remains open is vital because if it becomes compromised, it can lead to respiratory failure and other severe complications. Early intervention may include securing the airway through various methods, depending on the severity of the situation. While the evaluation and management of the originating infection and appropriate antibiotic therapy are also important components of treatment, they take secondary precedence to the immediate concern of preserving the patient's airway.