If air flows into this false passage, the trachea constricts making further attempts at reestablishing an airway difficult. With further healing, a hard ridge should form along the incision. This ridge will gradually recede with time. If the tracheostomy tube is temporary, the tube will eventually be removed and the wound should heal quickly, leaving a minimal scar. Aside from having to endure the trauma of surgery and having to wait for complete recovery, the biggest problems a patient will have to face are the breathing and vocal changes that will occur as a result of the new airway.
Most patients require about three days to get used to breathing through the tracheostomy tube.
Communicating, however, requires a bigger adjustment. Initially, it may be impossible for a patient to talk or to make any sounds. Through proper training and practice, most patients can learn to speak with a tracheostomy tube. In general, a return to normal daily activities and work is encouraged to take place as soon as possible. Vigorous exercise, however, should be avoided for at least six weeks after surgery.