Four-layer technique for tracheostomy scar treatment.

Area of Science:

• Plastic Surgery
• Otolaryngology
• Regenerative Medicine

Background:

• Depressed scars after tracheostomy are a common complication, causing aesthetic and functional concerns.
• Existing treatments for tracheostomy scars include autologous or allogenic materials and muscle flaps.
• Tracheal skin tug is a significant functional issue associated with these scars.

Purpose of the Study:

• To introduce and evaluate a novel four-layer surgical technique for correcting depressed tracheostomy scars.
• To assess the efficacy of this method in restoring soft tissue volume and eliminating tracheal skin tug.
• To determine patient satisfaction with the cosmetic and functional outcomes.

Main Methods:

• A four-layer surgical closure technique involving the scar, strap muscles, platysma muscle, and skin was developed.
• The procedure was applied to two patients who had undergone prolonged tracheostomy placement.
• Outcomes were evaluated based on the elimination of tracheal tug and the quality of the resulting cutaneous scar.

Main Results:

• The surgical technique successfully eliminated tracheal skin tug in both treated patients.
• An imperceptible cutaneous scar was achieved post-procedure.
• Complete patient satisfaction was reported in both cases.

Conclusions:

• The described four-layer surgical method is a simple and effective treatment for depressed tracheostomy scars.
• This technique addresses both the aesthetic and functional deficits associated with post-tracheostomy scarring.
• The procedure offers a promising solution for improving patient outcomes and satisfaction.