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An 18-month-old girl was transferred from a hospital in China to the Shriners Hospital for Children in Boston for management of a life-threatening neck contracture.
The child had been well until 12 months of age, when she sustained a burn to the face and upper body from boiling cooking oil. She was transferred from her rural village to the burn unit of a regional hospital, where a tracheotomy was performed to protect the airway; the wounds eventually healed with topical care. The tracheotomy tube was removed, and the child was discharged from the hospital.
In the ensuing 4 months, contractures
Discussion of Management
Anatomical Diagnosis
Source Information
From the Departments of Burn Surgery (R.L.S.), Pediatric Surgery (D.P.R.), Anesthesia (G.F., J.A.J.M.), and Radiology (K.N.), Massachusetts General Hospital; the Departments of Surgery (R.L.S.) and Anesthesia (G.F., J.A.J.M.), Shriners Hospital for Children; and the Departments of Surgery (R.L.S., D.P.R.), Anesthesia (G.F., J.A.J.M.), and Radiology (K.N.), Harvard Medical School — all in Boston.
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