Contracture related airway obstruction (CRAO) treated successfully with incisional release.
作者信息
Rose Austin S, Gore Mitchell R, Hultman C Scott, Cairns Bruce A
机构信息
Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7070, USA.
出版信息
Int J Pediatr Otorhinolaryngol. 2011 Feb;75(2):286-8. doi: 10.1016/j.ijporl.2010.10.034. Epub 2010 Dec 15.
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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