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Published on: April 19, 2024
Contracture related airway obstruction (CRAO) treated successfully with incisional release
Austin S Rose1, Mitchell R Gore, C Scott Hultman
1Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7070, USA. austin_rose@med.unc.edu
Objective:
To describe the delayed airway obstruction that can result from anterior cervical burns and report a case of successful decannulation following incisional release and full-thickness skin grafting (FTSG).
Methods:
Case report from a tertiary care academic children's hospital.
Results:
Direct laryngoscopy demonstrates a significant improvement in the upper airway immediately following an anterior cervical incisional release. The patient was then able to be decannulated on postoperative day 10.
Conclusions:
Cervical contracture is an important consideration in children with airway obstruction following burns to the upper chest, anterior neck and face, and may be treated successfully with incisional release and FTSG.
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