Two case reports are presented of respiratory tract damage in a burn (RTDB) and the management of the cases is noted. It is suggested that the scarcity of reports in the British literature may in part be due to a lack of awareness of the problem and not entirely due to the rarity of the condition. Patients with burns of the face, especially if sustained in an enclosed space, should be observed for development of respiratory distress. If distress develops the patient should be treated in an area of respiratory intensive care. The literature on the subject has been reviewed as to the clinical and pathological features of RTDB and the recommended treatments. A scheme of management has been suggested.