Innovative cervical splint: overcoming an obstacle

Abstract

Cervical splints are used to maintain the neck position in burn patients with involvement of neck, which provides pain relief and prevent hypertrophic scarring and contracture. Due to the technical difficulty, cervical splinting often deferred in patients with tracheostomy. To overcome the difficulty the authors have described a simple modification of hard cervical collar, which provided adequate immobilization and adequate space for tracheostomy care. Innovative modification of hard cervical collar proposed in this case report can be a solution to overcome the difficulty posed by tracheostomy in patients sustained with neck burns.

Keywords

Modified cervical splint / neck burns / tracheostomy / cervical collar

References

[1] Jaiswal AK,Solanki P,Mathur RK.Epidemiological and socio-cultural study of burn patients in MY Hospital, Indore, India..Indian J Plast Surg2007;40:158-63

[2] Serghiou MA,Whitehead C,McEntire S.Herndon DN.Comprehensive rehabilitation of the burn patient..Total burn care.2012;EdinburghElsevier517-49

[3] Sharp PA,Kagan RJ.The effect of positioning devices and pressure therapy on outcome after full-thickness burns of the neck..J Burn Care Research2007;28:451-9

[4] Cronin TD.The use of a molded splint to prevent contracture after split skin grafting of the neck..Probl Sovrem Neirokhirurgii1961;27:7-18

[5] Richard R,Miller SF.A compendium of customized burn splint designs..J Burn Care Rehabil2003;24:S143

[6] Daugherty MB.Richard RL.Splinting techniques for the burn patient..Burn care and rehabilitation: principles and practice.1994;PhiladelphiaFA Davis250-3

[7] Jordan RB,Wasil K.Splints and scar management for acute and reconstructive burn care..Clin Plast Surg2000;27:71-85

[8] Hurlin Foley K,Paradise P,Palmieri T.Use of an improved watusi collar to manage pediatric neck burn contractures..J Burn Care Rehabil2002;23:221-6

[9] Woodson LC,Traber DL.Herndon DN.Diagnosis and treatment of inhalation injury..Total burn care.2012;EdinburghElsevier232-36