A Classification System for Postburn Mentosternal Contractures

Onah, Ifeanyichukwu Igwilo

doi:10.1001/archsurg.140.7.671

Cited by 32 publications

(19 citation statements)

References 2 publications

(1 reference statement)

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“…56,62 Ortiz et al 62 referred to two neck contracture classification systems described by Achauer 63 and Onah. 64 Tsai et al 56 presented a classification system specifically for anterior neck contractures and outlined predictable limitations in neck ROM based on burn location and described a functional neck extension deficit grading system.…”

Section: Burn Literature Review Resultsmentioning

confidence: 99%

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Methods and Tools Used for the Measurement of Burn Scar Contracture

Parry¹,

Walker²,

Niszczak³

et al. 2010

Journal of Burn Care & Research

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After burn injury, scar contracture can cause significant impairment and functional deficit. Many studies have investigated the treatment and prevention of burn scar contracture, but few studies have focused on the methods for measuring contracture. The purpose of this study was to determine whether consistent and objective methods of measurement are used to quantify scar contracture in the clinical evaluation of burn patients and in burn research. A survey was administered to 407 burn therapists to determine the methods and tools used clinically to measure scar contracture, while a review of recent burn literature was conducted to determine the methods and tools used in burn research. The results of the survey indicate that there is a lack of consensus in the methods and tools used for the measurement of scar contracture, both clinically and in research. Instead, a variety of measurement methods was reported, each with varying degrees of objectivity. Clinically, the methods are rarely checked for reliability or performance competency. In burn research, the methods and tools vary, and contracture data obtained are often reported in an inconsistent manner. If the measurement of scar contracture is not done objectively and consistently, then it is difficult to determine reliability, validity, and responsiveness of the measurement methods. Development of standard protocols with reliable measures of scar contracture would improve the quality of burn care and research.

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Section: Burn Literature Review Resultsmentioning

confidence: 99%

“…56,64,110,112,113 Each severity and classification scale has its own description and grading system based on a variety of contracture attributes. Sometimes, researchers will determine their own classification systems for contracture severity.…”

Section: Severity Scalesmentioning

confidence: 99%

Methods and Tools Used for the Measurement of Burn Scar Contracture

Parry¹,

Walker²,

Niszczak³

et al. 2010

Journal of Burn Care & Research

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“…Onah [6] suggested a classification system with four major numeric categories, which is based on the extent of flexion or extension by the contracted neck and the anatomical position of the neck. Difficulty with intubation can be expected in type 2 and 3; especially in type 3, the distance between the chin and the thyroid prominence distance is shortened.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management for a patient with severe mento-sternal contracture: difficult airway and scarce venous access -A case report-

Park

Lee

Yim

et al. 2013

Korean J Anesthesiol

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There are many problems in the anesthetic management of patients with scar contracture. In this case, a 41-year-old male with severe scar contracture on his face, neck, anterior chest, and both shoulders underwent surgery for resurfacing with flaps. We tried to awake fiberoptic orotracheal intubation with GlideScope® Video laryngoscope guide after surgical release of contracture under local anesthesia. We report a successful management of a patient with severe burn contracture achieved by combined effort of surgeons and anesthesiologists.

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“…A clinical photograph of the contracture was then taken. Several classifications exist in the literature for contractures involving certain sites of the body such as the axilla, 11 neck, 17 or hand. 18 There is also the international classification of impairments, disabilities, and handicaps by the WHO.…”

Section: Methodsmentioning

confidence: 99%

Management of contractures: A five-year experience at Komfo Anokye Teaching Hospital in Kumasi

Adu¹

2011

Ghana Medical Journal

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A Classification System for Postburn Mentosternal Contractures

Cited by 32 publications

References 2 publications

Methods and Tools Used for the Measurement of Burn Scar Contracture

Methods and Tools Used for the Measurement of Burn Scar Contracture

Anesthetic management for a patient with severe mento-sternal contracture: difficult airway and scarce venous access -A case report-

Management of contractures: A five-year experience at Komfo Anokye Teaching Hospital in Kumasi

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