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Upper Aerodigestive Tract Burn: A Case Report of Firework Injury

VIRACHAI KEREKHANJANARONG, M.D.*, PAKPOOM SUPIYAPHUN, M.D.*, SUPINDA SAENGPANICH, M.D.*

Affiliation : *Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.

Abstract
The case of a 46 year-old German man with upper aerodigestive burn by firework was reported. He presented with the symptoms and signs of upper airway obstruction. Tracheostomy was done and direct laryngoscopy with microscopic examination revealed swelling and denudation of the mucosa of the oral cavity and supraglottic area. Intravenous steroids and antibiotics were administrated for treatment. It is suggested that proper management needs an understanding of the mechanism and effect of the corrosive agent. Careful airway management resulted in a good outcome in this patient.

Keywords : Burn, Firework, Potassium Nitrate (KNO3 )


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