To correct hypertrophic tracheostomy scars, the most common procedure is excision of the scar with tensionless closure. Skin closure is performed by simple reapproximation or with local flaps, most commonly a z-plasty. Autologous fat transplantation is a newer, less invasive alternative.

Tracheostomy scar revision is a commonly performed procedure to improve both the appearance and symptoms of tracheocutaneous tethering. A variety of tracheostomy scar revision techniques have been described and will be reviewed in the context of the authors' preferred method.

Jul 11, 2009 · A tracheostomy scar revision has to employ several concepts to be successful. The skin edges (tracheal tug) must be widely released, the lost deep tissue must be filled in and the skin closure must be tension-free and lie horizontally along a natural neck skin fold.

Jun 1, 2008 · Tracheostomy scar revision is a commonly performed procedure to improve both the appearance and symptoms of tracheocutaneous tethering. A variety of tracheostomy scar revision techniques have been described and will be reviewed in the context of the authors' preferred method.

Two components determine the performance and tissue lengthening of Z-plasty-the size of the angle and the length of the centre line of ‘Z’, called as the common diagonal (common limb or common member). While doing Z-plasty, the original scar is used as the common diagonal.

The objectives of surgical revision of a tracheostomy scar are to improve the appearance and symptoms of tracheocutaneous tethering. A variety of standard scar revision techniques

Tracheostomy scar revision is a surgical procedure aimed at improving the appearance and function of scars resulting from tracheostomy. This article provides a comprehensive analysis of tracheostomy scar revision from the perspective of a professional plastic surgeon or the patient.

Jun 1, 2010 · This technique, “double reversing Z-plasty with inferiorly widening stomaplasty”, provides a safe procedure for enlarging the tracheostomal size and easing the excessive tension without disturbing the posterosuperior stomal profile and the tracheoesophageal puncture for phonatory prosthesis.

2.2 Z-Plasty: Z-plasty is a technique that helps reposition the scar and change its direction, making it less noticeable. It is especially useful for scars that cross natural skin lines and result in tension.

Dec 22, 2016 · Tracheostomy scar management is aimed at filling lost deep tissue bulk, the correction of tracheal skin tug, and a tension-free closure that falls more naturally into the neck folds.