TY  - JOUR
AU  - Iheanyi Ihunanya Anokwute
AU  - C. Ozor
AU  - M.C. Odiakosa
AU  - O. Nwachukwu
TI  - Endotracheal intubation in severe post-burn mentosternal contracture:  An anesthetist’s challenge: A case report
JO  - Journal of Scientific Innovations in Anesthesiology
PY  - 2026
VL  - 1
IS  - 3
SP  - 90
EP  - 94
DO  - 10.65929/JSIA.2026.1.3.006
SN  - 3139-3608
AB  - Background: Post-burn mentosternal contracture presents major challenges during airway management due to restricted mouth opening, distorted cervical anatomy, trachael deviation and limited neck mobility in reconstructive surgery.Case Presentation: A 19-year-old male with severe type 3b mentosternal contracture following extensive flame burns, who required reconstructive surgery. A planned strategy involving facemask ventilation, contracture release under sedation and local anesthesia, and subsequent videolaryngoscopic intubation was employed. Following release, neck extension and mouth opening improved, allowing successful bougie-assisted intubation despite significant anatomical distortion. Intra-operative and post-operative periods were uneventful.Conclusion: This highlights the need for individualized airway strategies in severe post-burn neck contractures, supporting contracture release prior to intubation where conventional or fibreoptic techniques may be impractical.
UR  - https://jsiajournal.org/volume/1/issue/3/article/endotracheal-intubation-in-severe-post-burn-mentosternal-contracture-an-anesthetists-challenge-a-case-report
ER  -