Airway management in patient with retractable scar in neck: a case report

Abstract

44-year-old male patient hospitalized 4 months ago for presenting a 25% body surface burn in thoracic limbs and face; as well as airway. Developing a retractable scar in the anterior neck which progressed, so it was scheduled by plastic surgery service for scar release plus the application of anterolateral free thigh flap. Anesthetic management was given with general anesthetic with intubation in an awake patient with flexible fibroscopy, based on fentanyl and intravenous propanidid, once vocal cords are crossed with the fibroscope endotracheal tube is introduced and balanced general anesthesia is provided. Surgical anterolateral free thigh flap procedure ends, endotracheal tube is removed, without complications. In the late postoperative period, the patient presents favorable evolution with adequate flexion and cervical extension with the use of the flap.