Post-burn scar contractures of the head and neck region can lead to failed intubation and airway emergency. For post-burn scar reconstruction, the focus should be on extra-oral scar contracture. Vis a vis the acute burn injury phase, particular attention must be paid to extra- as well as intra-oral soft tissue changes. Each stage involves different airway issues, carries different risks, and requires different evaluation methods and approach strategies. We may classify airway issues in burns into two distinctive recovery stages: acute burn injury and chronic post-burn scar reconstruction. As mortality and morbidity are directly related to the ability to deliver oxygen to the patient, the airway must be managed with particular care in these patients. In these patients, anatomical variation may be profound and difficult intubation should be expected. Secure airway management is crucial in reconstructive surgeries involving patients with major burns.
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