Impact on Postoperative Scar Aesthetics of Incision Length in Thyroidectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Huiyuan , CAI Wei , LI Fei , LUO Bin

Department of General Surgery， Xuanwu Hospital of Capital Medical University， Beijing 100053， China;

Corresponding author：

Keywords：

Thyroidectomy; Scar; Patient’ satisfaction

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To evaluate if performing thyroidectomy through small incision has any notable aesthetic impact on patients compared with larger incision.
Methods 　Thirty consecutive patients underwent thyroidectomy were enrolled from March 2008 to June 2008 in this prospective randomized pilot study. The incision length was 6 cm in the small incision group and 9 cm in the larger incision group. After 3 years follow-up，the scar aesthetics were evaluated by patients and surgeons using the Patient and Observer Scar Assessment Scale （POSAS），Vancouver Scar Scale （VSS），respectively. Digital photographs about scars were taken and assessed by non-research related viewers.
Results 　There were 13 cases who received scar aesthetic assessment in both groups. The demographic characteristics of both groups were comparative. The overall patients’ satisfactions for the small incision group and the larger incision group were （2.5±1.9） scores and （2.2±1.5）scores， respectively （P=0.55）. There were no significant differences in scar assessment scale score as for other scar assessment scales （including VSS score，PSAS score，and OSAS score） between the two groups. The evaluation of digital photographs about scars by non-research related viewers was no significant difference （P＞0.05）.
Conclusion 　Larger cervical scar in thyroidectomy does not decrease patients’ satisfaction with their scar results.

Citation： WANG Huiyuan,CAI Wei,LI Fei,LUO Bin. Impact on Postoperative Scar Aesthetics of Incision Length in Thyroidectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(9): 975-979. doi: Copy

1.	郭晋，雷福明，王鹏，等. 低领小弧形切口术式在甲状腺近全切除术中的应用[J]. 中华医学杂志， 2010， 90(30)：2107-2110.
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4.	Sahm M， Schwarz B， Schmidt S， et al. Long-term cosmetic results after minimally invasive video-assisted thyroidectomy[J]. Surg Endosc， 2011， 25(10)：3202-3208.
5.	陈光，刘嘉，孟宪瑛，等. 腔镜辅助颈部小切口甲状腺手术512例[J]. 中华普通外科杂志， 2010， 25(7)：591-592.
6.	任立军，杨延芳，张成雷，等. 甲状腺乳头状癌淋巴结转移规律的临床研究[J]. 中国普外基础与临床杂志， 2011， 18(4)：419-422.
7.	Tyack Z， Simons M， Spinks A， et al. A systematic review of the quality of burn scar rating scales for clinical and research use[J]. Burns， 2012， 38(1)：6-18.
8.	Verhaegen PD， van der Wal MB， Middelkoop E， et al. Objective scar assessment tools：a clinimetric appraisal[J]. Plast Reconstr Surg， 2011， 127(4)：1561-1570.
9.	Alvarado R， McMullen T， Sidhu SB， et al. Minimally invasive thyroid surgery for single nodules：an evidence-based review of the lateral mini-incision technique[J]. World J Surg， 2008， 32(7)：1341-1348.
10.	Bignell M， Hindmarsh A， Nageswaran H， et al. Assessment of cosmetic outcome after laparoscopic cholecystectomy among women 4 years after laparoscopic cholecystectomy：is there a problem?[J]. Surg Endosc， 2011， 25(8)：2574-2577.
11.	O’Connell DA， Diamond C， Seikaly H， et al. Objective and subjective scar aesthetics in minimal access vs. conventionalaccess parathyroidectomy and thyroidectomy surgical procedures：a paired cohort study[J]. Arch Otolaryngol Head Neck Surg， 2008， 134(1)：85-93.
12.	Toll EC， Loizou P， Davis CR， et al. Scars and satisfaction：do smaller scars improve patient-reported outcome?[J]. Eur Arch Otorhinolaryngol， 2012， 269(1)：309-313.
13.	Mow CS， Woolson ST， Ngarmukos SG， et al. Comparison of scars from total hip replacements done with a standard or a mini-incision[J]. Clin Orthop Relat Res， 2005， 441：80-85.
14.	Huang SM， Lee CH， Chien LY， et al. Postoperative quality of life among patients with thyroid cancer[J]. J J Adv Nurs， 2004， 47(5)：492-499.

1. 郭晋，雷福明，王鹏，等. 低领小弧形切口术式在甲状腺近全切除术中的应用[J]. 中华医学杂志， 2010， 90(30)：2107-2110.
2. 王枕，林旭明，崔勇，等. 超声刀在开放性小切口甲状腺全切术中的应用(附89例报道)[J]. 中国普外基础与临床杂志， 2008， 15(12)：727-728.
3. Dobrinja C， Trevisan G， Makovac P， et al. Minimally invasive video-assisted thyroidectomy compared with conventional thyroidectomy in a general surgery department[J]. Surg Endosc， 2009， 23(10)：2263-2267.
4. Sahm M， Schwarz B， Schmidt S， et al. Long-term cosmetic results after minimally invasive video-assisted thyroidectomy[J]. Surg Endosc， 2011， 25(10)：3202-3208.
5. 陈光，刘嘉，孟宪瑛，等. 腔镜辅助颈部小切口甲状腺手术512例[J]. 中华普通外科杂志， 2010， 25(7)：591-592.
6. 任立军，杨延芳，张成雷，等. 甲状腺乳头状癌淋巴结转移规律的临床研究[J]. 中国普外基础与临床杂志， 2011， 18(4)：419-422.
7. Tyack Z， Simons M， Spinks A， et al. A systematic review of the quality of burn scar rating scales for clinical and research use[J]. Burns， 2012， 38(1)：6-18.
8. Verhaegen PD， van der Wal MB， Middelkoop E， et al. Objective scar assessment tools：a clinimetric appraisal[J]. Plast Reconstr Surg， 2011， 127(4)：1561-1570.
9. Alvarado R， McMullen T， Sidhu SB， et al. Minimally invasive thyroid surgery for single nodules：an evidence-based review of the lateral mini-incision technique[J]. World J Surg， 2008， 32(7)：1341-1348.
10. Bignell M， Hindmarsh A， Nageswaran H， et al. Assessment of cosmetic outcome after laparoscopic cholecystectomy among women 4 years after laparoscopic cholecystectomy：is there a problem?[J]. Surg Endosc， 2011， 25(8)：2574-2577.
11. O’Connell DA， Diamond C， Seikaly H， et al. Objective and subjective scar aesthetics in minimal access vs. conventionalaccess parathyroidectomy and thyroidectomy surgical procedures：a paired cohort study[J]. Arch Otolaryngol Head Neck Surg， 2008， 134(1)：85-93.
12. Toll EC， Loizou P， Davis CR， et al. Scars and satisfaction：do smaller scars improve patient-reported outcome?[J]. Eur Arch Otorhinolaryngol， 2012， 269(1)：309-313.
13. Mow CS， Woolson ST， Ngarmukos SG， et al. Comparison of scars from total hip replacements done with a standard or a mini-incision[J]. Clin Orthop Relat Res， 2005， 441：80-85.
14. Huang SM， Lee CH， Chien LY， et al. Postoperative quality of life among patients with thyroid cancer[J]. J J Adv Nurs， 2004， 47(5)：492-499.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Impact on Postoperative Scar Aesthetics of Incision Length in Thyroidectomy

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