INTRODUCTION: The reported incidence of difficult intubation is 5.85%, cannot intubate situation is 0.35% and cannot ventilate - cannot intubate situation is 0.02% and these can be major causes of anaesthesia-related morbidity and mortality. Facial and anterior neck burns are challenging because of restricted mouth opening, decreased oropharyngeal space, reduced submandibular space compliance, limits atlanto-occipital joint extension and finally leading to difficult airway.

CASE CAPSULE : we report a case of 11 year old male child with history of Fire burns 9 months back with post burn contracture. He had burns extending from the mandible to the neck, whole anterior thorax and abdomen with fixed flexion deformity of neck and restricted head extension. He was posted for split skin grafting. We planned for tumescent local anaesthetic technique for contracture release and intubation. Intraoperative and postoperative period were uneventful. Details about the procedure will be dealt.

CONCLUSION: Successful anaesthetic management when the airway is inaccessible mandates planned approach for securing airway customised to the needs of individual patients.

METHODS : INTRODUCTION: The reported incidence of difficult intubation is 5.85%, cannot intubate situation is 0.35% and cannot ventilate - cannot intubate situation is 0.02% and these can be major causes of anaesthesia-related morbidity and mortality. Facial and anterior neck burns are challenging because of restricted mouth opening, decreased oropharyngeal space, reduced submandibular space compliance, limits atlanto-occipital joint extension and finally leading to difficult airway.

CASE CAPSULE : we report a case of 11 year old male child with history of Fire burns 9 months back with post burn contracture. He had burns extending from the mandible to the neck, whole anterior thorax and abdomen with fixed flexion deformity of neck and restricted head extension. He was posted for split skin grafting. We planned for tumescent local anaesthetic technique for contracture release and intubation. Intraoperative and postoperative period were uneventful. Details about the procedure will be dealt.

CONCLUSIONS : Successful anaesthetic management when the airway is inaccessible mandates planned approach for securing airway customised to the needs of individual patients.