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.


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.


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?