ePlasty: Vol. 16
Revision of a Hypertrophic Tracheostomy Scar
Nikki Castel, MD, Laurel Karian, MD, and Ramazi Datiashvili, MD

Division of Plastic Surgery, Department of Surgery, Rutgers/New Jersey Medical School, Newark


Correspondence: datiasro@njms.rutgers.edu
Keywords: tracheostomy, scar, wound healing, neck muscles, contracture
Figure 1. Preoperative photograph of the patient with tracheostomy scar.
Figure 2. Postoperative photograph after scar revision using strap muscle coverage and z-plasty closure.

DESCRIPTION

A 43-year-old man presented with a depressed anterior neck scar from prolonged tracheostomy after crush injury. The scar caused pain and limited the range of motion of the neck. The patient underwent scar revision using a combination of strap muscle coverage and z-plasty closure.

QUESTIONS

1. Describe the pathogenesis of tracheostomy scars.

2. What is tracheal tug?

3. What are surgical options for hypertrophic scars?

4. What are surgical options for depressed scars?