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Updated: May 14, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Anesthetic management for a patient with severe mento-sternal contracture: difficult airway and scarce venous access
Chong-Doo Park1, Hye-Kyoung Lee, Ji-Yeon Yim
1Department of Anesthesiology and Pain Medicine, Dongnam Institute of Radiological and Medical Sciences, Busan, Korea.
Abstract:
There are many problems in the anesthetic management of patients with scar contracture. In this case, a 41-year-old male with severe scar contracture on his face, neck, anterior chest, and both shoulders underwent surgery for resurfacing with flaps. We tried to awake fiberoptic orotracheal intubation with GlideScope® Video laryngoscope guide after surgical release of contracture under local anesthesia. We report a successful management of a patient with severe burn contracture achieved by combined effort of surgeons and anesthesiologists.
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