Tracheostomy scar management by repositioning platysma muscle and applying an acellular dermal substitute

Jeong Hyun Ha, Sang Wha Kim

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: A depressed tracheostomy scar can be esthetically unacceptable. We describe a new technique for managing tracheostomy scars using platysma muscle repositioning and the application of an acellular dermal substitute. Methods: Seventeen patients with depressed tracheostomy scars were identified for scar management. The time between tracheostomy tube removal and scar management was 29 months. Before and after the surgery, the scar was rated using the Vancouver Scar Scale (VSS). Results: After surgery, tracheal tug was eliminated in all patients and the appearance of the scar was much improved. The mean total VSS score improved from 8.265 to 2.324 (P < 0.0001). The follow-up period was 33.3 months. Conclusions: The management of tracheostomy scars by repositioning platysma muscle and applying an acellular dermal substitute is simple and efficient. The technique recovers the lost deep tissue volume, corrects tracheal skin tug, and enables tension-free skin closure to restore the normal contour of the neck.

Original languageEnglish
Pages (from-to)2671-2675
Number of pages5
JournalHead and Neck
Volume41
Issue number8
DOIs
StatePublished - Aug 2019

Keywords

  • acellular dermis
  • neck
  • platysma
  • scar
  • tracheostomy

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