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CASE REPORT
Year : 2012  |  Volume : 1  |  Issue : 3  |  Page : 186-189

Post-burn facial contractures in pediatric patients: Challenging aspects of difficult airway management


1 Department of Anesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Tripuri, Patiala, Punjab, India
2 Department of Plastic Surgery, Gian Sagar Medical College and Hospital, Ram Nagar, Tripuri, Patiala, Punjab, India

Correspondence Address:
Sukhminder Jit Singh Bajwa
Department of Anesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, House No-27-A, Ratan Nagar, Tripuri, Patiala, Punjab
India
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Source of Support: Only departmental support, Conflict of Interest: None


DOI: 10.4103/2278-344X.105085

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Pediatric burn injuries are the most challenging to handle especially when they involve the face as the airway compromise invariably occurs due to edema and inflammation of the soft tissues of pharynx and larynx. The healing of the facial burns causes development of contractures and deformities after survival from the initial insults. Such patients when presented for surgery of the affected area or for that matter any surgery under general anesthesia, poses unique challenges to the attending anesthesiologists. Not only there are technical difficulties, but the socio-behavioral aspects related to pediatric age group and the various side-effects of anesthetic drugs are the main concerns for the anesthesiologist during the entire operative intervention. We are presenting a case of an infant who was brought to our institute by his parents for the cosmetic correction of the contractures and deformities of the lower face and the neck and in whom we faced extensive airway challenges because of the nature of the surgery.


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