Name of the Procedure:

• Common Name: Cervical Collar with Chin Cup
• Technical Term: Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) (HCPCS code: L0150)

Summary

A cervical collar with a chin cup is a supportive neck brace designed to immobilize the neck and head to help manage pain and prevent further injury. It features a semi-rigid structure with a plastic collar, and adjustable components including a chin cup and sections for the mandibular (lower jaw) and occipital (back of the head) areas.

Purpose

Medical Conditions: Neck injuries, cervical spine instability, post-surgical recovery, whiplash, and certain cervical spine disorders. Goals: To provide neck stability, prevent further injury, support healing, and alleviate pain.

Indications

• Symptoms: Neck pain, stiffness, and mobility issues.
• Conditions: Cervical spine fractures, chronic neck pain, post-operative support, and whiplash injuries.
• Patient Criteria: Individuals needing neck immobilization for medical or post-surgical reasons.

Preparation

• Pre-Procedure: No specific fasting or medication adjustments are typically required.
• Assessments: Physical examination and radiological imaging (e.g., X-rays, MRIs) to confirm the need for the collar.

Procedure Description

1. Assessment: Healthcare provider assesses the fit and necessity for the cervical collar.
2. Fitting: The collar is adjusted to fit snugly around the neck with the chin cup correctly positioned under the chin.
3. Adjustments: The mandibular and occipital pieces are customized for each patient to ensure proper alignment and support.
4. Instructions: Patient receives guidance on how to wear, remove, and care for the collar.

Equipment Used: Semi-rigid plastic collar with adjustable chin cup and support pieces.

Anesthesia/Sedation: Not applicable.

Duration

The fitting procedure typically takes about 20-30 minutes.

Setting

Usually performed in an outpatient clinic, orthopedic office, or emergency department.

Personnel

• Orthopedic specialists or trained healthcare providers.
• Nurses or medical assistants for support and education.

Risks and Complications

• Common Risks: Discomfort, skin irritation, and minor pressure sores.
• Rare Complications: Breathing difficulties if improperly fitted, significant skin breakdown.

Management: Regular adjustments and skin care assessments to prevent and manage complications.

Benefits

• Expected Benefits: Improved neck stability, pain relief, and prevention of further injury.
• Realization Time: Immediate stabilization, with pain relief typically noticeable within a few days to weeks.

Recovery

• Post-Procedure Care: Regular cleaning of the collar, skin care around the contact areas, and scheduled follow-up visits for collar adjustments.
• Recovery Time: Varies depending on the underlying condition, potentially several weeks to months.
• Restrictions: Limited neck movement; patients should avoid activities that could compromise neck stability.

Alternatives

• Other Options: Soft cervical collars, physical therapy, and oral medications for pain management.
• Pros and Cons: Soft collars provide less support; physical therapy and medications may not offer immediate stability but can aid in long-term recovery.

Patient Experience

During Procedure: Minor discomfort during fitting. After Procedure: Wearing the collar may initially feel restrictive; patients typically adapt over time.

Pain Management: Over-the-counter pain relievers if needed and regular reassessment of collar fit to ensure comfort.