title: Some ancillary procedures for correction of depressed adherent tracheostomy scars and associated tracheocutaneous fistulae.
abstract: 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.
mesh_terms: D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D012871:Skin Diseases / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D014133:Tracheal Diseases / Q000209:etiology / Q000601:surgery*; D014140:Tracheotomy / Q000009:adverse effects*