[Tracheotomy scars. "Cross-over" platysma muscle flaps in the treatment of subcutaneous adhesions and depressions].
The authors analyse the principal complications of healing of tracheotomy orifices and their causes. Apart from the poor quality of the skin scar, often large and irregular, several other anomalies of the deep layers under the scar may be responsible for various deformities: adherent, depressed scars or scars which move with deglutition. Surgical reconstruction of the various planes and filling of the dead spaces limit the inaesthetic and uncomfortable aspects of these scars. The use of platysma muscle flaps which are mobilised to reconstruct correct subcutaneous planes appears to be an optimal solution combined with other specific procedures of the cutaneous and visceral planes.
Reynaud
J P
JP
CLERCEP, Montpellier.
Bousquet
P
P
Baron
J L
JL
Chehab
N
N
D000293:Adolescent; D000328:Adult; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009334:Neck Muscles / Q000601:surgery; D013524:Surgical Flaps; D014140:Tracheotomy
Les cicatrices de trachéotomie: lambeaux musculaires de platysma "croisés" dans le traitement des adhérences et dépressions sous-cutanées.