ArticleBMC pediatrics2026
Custom-made cervical orthosis for pediatric neck scar contracture: a self-controlled case series.
Article in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
backgroundPost-burn cervical scar contracture causes functional and aesthetic impairments, significantly impacting pediatric patients.
methodsThis 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.
resultsAfter 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).
conclusionThese 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.
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