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Background <p>Post-burn cervical scar contracture causes functional and aesthetic impairments, significantly impacting pediatric patients.</p> Methods <p>This study was designed as a self-controlled case series without a parallel control group, including 11 pediatric patients with cervical scar contractures who received treatment with a Custom-Made Cervical Orthosis. Pre- and post-treatment data were collected for the cervicomental angle (CMA), cervical range of motion (ROM), and other clinical symptoms, and paired analysis was conducted. Additionally, treatment satisfaction and long-term scar quality were assessed.</p> Results <p>After an average of 13 ± 5 months of treatment, the CMA significantly decreased from a median of 140°(interquartile range [IQR]: 130°–155°) before treatment to 120° (IQR: 115°–120°) after treatment (<i>p</i> &lt; 0.001), representing a 16.6% reduction. Significant improvements in cervical ROM were observed in all five directions (<i>p</i> &lt; 0.001). Clinical symptoms, such as inability to close the mouth and facial organ displacement, showed significant improvement (<i>p</i> &lt; 0.05). At the final follow-up, the median POSAS score for long-term scar quality was 19 (IQR: 14–21).</p> Conclusion <p>These findings from a small case series provide preliminary evidence that custom-made cervical orthoses provide significant anatomical and functional benefits by effectively repositioning cervicomental structures. By facilitating stable, long-term tissue remodeling, this non-surgical approach holds the potential to spare the majority of children with cervical contractures from undergoing further reconstructive procedures.</p>

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Custom-made cervical orthosis for pediatric neck scar contracture: a self-controlled case series

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月16日

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  • Yiran Wang,
  • Shulei Mao,
  • Junmei Wu,
  • Shiyun Yang,
  • Rongjuan Wang,
  • Yuanhai Zhang,
  • Xingang Wang,
  • Jianfen Zhang

摘要

Background

Post-burn cervical scar contracture causes functional and aesthetic impairments, significantly impacting pediatric patients.

Methods

This study was designed as a self-controlled case series without a parallel control group, including 11 pediatric patients with cervical scar contractures who received treatment with a Custom-Made Cervical Orthosis. Pre- and post-treatment data were collected for the cervicomental angle (CMA), cervical range of motion (ROM), and other clinical symptoms, and paired analysis was conducted. Additionally, treatment satisfaction and long-term scar quality were assessed.

Results

After an average of 13 ± 5 months of treatment, the CMA significantly decreased from a median of 140°(interquartile range [IQR]: 130°–155°) before treatment to 120° (IQR: 115°–120°) after treatment (p < 0.001), representing a 16.6% reduction. Significant improvements in cervical ROM were observed in all five directions (p < 0.001). Clinical symptoms, such as inability to close the mouth and facial organ displacement, showed significant improvement (p < 0.05). At the final follow-up, the median POSAS score for long-term scar quality was 19 (IQR: 14–21).

Conclusion

These findings from a small case series provide preliminary evidence that custom-made cervical orthoses provide significant anatomical and functional benefits by effectively repositioning cervicomental structures. By facilitating stable, long-term tissue remodeling, this non-surgical approach holds the potential to spare the majority of children with cervical contractures from undergoing further reconstructive procedures.