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Some Ancillary Procedures for Correction of Depressed Adherent Tracheostomy Scars and Associated Tracheocutaneous Fistulae

1987; Lippincott Williams & Wilkins; Volume: 27; Issue: 6 Linguagem: Inglês

10.1097/00005373-198706000-00009

1529-8809

Victor L. Lewis, Paul N. Manson, Michael C. Stalnecker,

Esophageal and GI Pathology

A procedure for the surgical correction of depressed tracheostomy scars and tracheocutaneous fistulae is described which involves reapproximation of the strap muscles and the selective application of a subcutaneous Z-plasty. The results are predictable, satisfactory, and the procedure is quite simply accomplished. Utilization of the Z-plasty improves contour in patients with atrophic tissue and assists the distribution of tension forces in subcutaneous and muscular layers.