Tracheostomy scar revision

Travis Tate Tollefson, Amir Rafii, J. David Kriet

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Tracheostomy tube placement is a common procedure performed in patients with severe maxillofacial trauma. Many patients that do not require emergent intubation will require an elective tracheostomy at the time of maxillomandibular fixation and fracture repair due to oropharyngeal edema. After recovery and decanulation, these patients often have a resulting tracheostomy scar that is hypertrophy and discolored. The scar may be adherent (or tethered) to the underlying trachea which can be uncomfortable during swallowing. 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 are employed to fill the depressed scar and to separate the skin from the tracheal scar with mobilized strap muscles or grafting material, such as cadaveric acellular dermis.

Original languageEnglish (US)
Pages (from-to)128-131
Number of pages4
JournalOperative Techniques in Otolaryngology - Head and Neck Surgery
Volume19
Issue number2
DOIs
StatePublished - Jun 2008

Fingerprint

Tracheostomy
Cicatrix
Jaw Fixation Techniques
Acellular Dermis
Deglutition
Trachea
Reoperation
Intubation
Hypertrophy
Edema
Muscles
Skin
Wounds and Injuries

Keywords

  • Dysphagia sternocleidomastoid
  • Facial fracture
  • Hypertropic scar
  • Scar
  • Strap muscle
  • Tracheocutaneous tethering
  • Tracheostomy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Tracheostomy scar revision. / Tollefson, Travis Tate; Rafii, Amir; Kriet, J. David.

In: Operative Techniques in Otolaryngology - Head and Neck Surgery, Vol. 19, No. 2, 06.2008, p. 128-131.

Research output: Contribution to journalArticle

Tollefson, Travis Tate ; Rafii, Amir ; Kriet, J. David. / Tracheostomy scar revision. In: Operative Techniques in Otolaryngology - Head and Neck Surgery. 2008 ; Vol. 19, No. 2. pp. 128-131.
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