Objective. The main indications for tracheal intubation and respiratory support in patients with burns are inhalation injury, extensive burns and limited area burns of the face and neck. The duration of tracheal intubation in these patients may be as long as 20–30 days or more, which significantly increases the risk of developing post-intubation complications. The imposition of a tracheostomy can reduce the incidence of life-threatening complications. However, an objective obstacle to the implementation of this intervention is burn of the front surface of the neck. The solution is early fascial excision of the area of a deep burn with simultaneous skin grafting on the front surface of the neck and chest.
Methods. The retrospective study included 24 patients treated in the burn ICU. All patients underwent early necrectomy with simultaneous autodermoplasty on the front surface of the neck. The average age of the patients was 43.4 ± 17.1 years, the burn area was from 20% to 87% of TBSA.
Results. The above operation was performed on the 1stday of the injury in 2 patients, on the 2ndday - in 4, on the 3rdday - in 7, on the 4thday - in 11 patients. Complete engraftment was found in 18 patients, partial engraftment in 6 cases. Subsequently, a tracheostomy was performed in 21 of 24 (88%) patients through the restored skin in 10.6 ± 1.5 days after injury.
Conclusion. Early fascial excision with simultaneous skin grafting on the front surface of the neck makes it possible to safely perform a tracheostomy 9-11 days after severe burn. This operation is a technically simple and safe method for treating patients with severe burns.

7 - Our experience of preparation patient with neck burn to tracheostomy