Kiểm soát đường thở ở bệnh nhân sẹo bỏng co kéo mức độ nặng vùng cằm cổ bằng nội soi khí phế quản để phẫu thuật chuyển vạt vi phẫu

Abstract

Introduction: Difficult airways can usually be found in patients with a contractible burn scar in the neck area. There are many approaches to the difficult airway, one of which is fiberoptic intubation. On January, 5^th, 2022, we successfully managed the airway of a patient with severe mentocervical burn scar contracture with fiberoptic bronchoscopy.
Case presentation: Tran Thi H., 43 years old, suffered from a flame burn 33 years ago, with sequelae of contractible scar in the neck area. On the second of December, 2021, she was admitted to the Centre for Reconstructive, Cosmetic and Plastic Surgery at the National Burn Hospital in the condition of consciousness, respiratory and hemodynamic stability, soft abdomen, and normal urination, no concomitant diseases, no allergies. The wound: Severe mentocervical burn scar contracture. Preoperative lab test results were normal. At 8h00, 5^th, January 2022, she was transferred to the operating room with the diagnosis of mentocervical contractible burn scar and underwent microsurgical free flap surgery under endotracheal anesthesia after the airway was managed with fiberoptic bronchoscopy. Surgical and anesthesia procedures were safe.
Conclusion: Fiberoptic intubation proved to be an effective and safe approach to the difficult airway in a patient with mentocervical burn scar contracture.