Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Head Neck. 2019 Aug;41(8):2671-2675. doi: 10.1002/hed.25745. Epub 2019 Mar 21.
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.
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).
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.
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.
凹陷的气管造口瘢痕可能影响美观。我们描述了一种使用颈阔肌移位和脱细胞真皮替代物来管理气管造口瘢痕的新技术。
我们确定了 17 例需要瘢痕管理的凹陷性气管造口瘢痕患者。气管造口管拔出与瘢痕管理之间的时间间隔为 29 个月。在手术前后，使用温哥华瘢痕量表（VSS）对瘢痕进行评分。
手术后，所有患者的气管牵拉均得到消除，且瘢痕外观得到显著改善。VSS 总评分从 8.265 分改善至 2.324 分（P<0.0001）。随访时间为 33.3 个月。
通过颈阔肌移位和应用脱细胞真皮替代物来管理气管造口瘢痕是一种简单有效的方法。该技术恢复了丢失的深部组织容量，纠正了气管皮肤牵拉，并实现了无张力的皮肤闭合，从而恢复了颈部的正常轮廓。
