Presentations 2020: Restorative

428 - “To splint or not to splint”: Microstomia secondary to perioral burns

N Porte S Hollisey-McLean J Owens
Presented by: Nia Porte
Morriston Hospital

Introduction It is said that splint therapy for the treatment of microstomia following perioral burns was first introduced in 1975. Prior to this, patients could expect multiple reconstructive surgeries to correct their limited mouth opening. However, since then many have had their take on what splint therapy means, from reverse headgear to the Vancouver orthosis. One of the many problems from facial burns is that of microstomia due to scar contracture. The implications of this are poor aesthetics, difficulty eating and impaired articulation leading to social isolation. Microstomia can be prevented with a timely use of a splint in order to support and stretch the perioral soft tissues. Its use can prevent painful surgeries and allow for safe airway management. Methods A male patient suffering from burns to 62% of his body was referred to the restorative department due to worsening microstomia and difficulty in intubation. Clinical examination confirmed limited opening and an impression was taken for provision of prostheses. Following improvement, the prostheses were added to. Results Comparison of the soft tissues and mouth opening following compliance with the prostheses showed improved perioral constriction and an increased mouth opening which has so far negated the need for any intrusive surgery. Conclusion Although a success, this case highlights the lack of guidance available on the indications, timings and wearing of splints. More studies are required to improve patient outcomes and patient education. Written informed consent for publication of their clinical details and/or clinical images was obtained from the patient. A copy of the consent form is available for review by the meeting organisers or the Editor of this journal.
Consent Statement: Written informed consent for publication of their clinical details and/or clinical images was obtained from the patient/parent/guardian. A copy of the consent form is available for review by the the meeting organisers..

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