Abstract
Thermal burns of the larynx are uncommon complications of ingesting overheated food and can lead to life-threatening upper airway obstruction due to edema. Here, we report the case of a 10-year-old boy who developed throat pain shortly after taking a microwave-heated rice ball. The following day, he presented to an emergency medical facility because his symptoms persisted and worsened. Although his vital signs and respiratory status were stable with minimal oral findings, flexible laryngoscopy demonstrated marked supraglottic edema consistent with thermal burn injury. Due to the risk of delayed airway obstruction, endotracheal intubation was performed under multidisciplinary support, and he was admitted to the intensive care unit. Intravenous corticosteroids and antibiotics were administered, resulting in a gradual reduction in laryngeal edema. He was successfully extubated on hospital day 4 and discharged without any complications. This case highlights that microwave-heated food can cause laryngeal thermal injury and emphasizes the importance of early endoscopic evaluation and proactive airway management when upper airway involvement is suspected.