Current Protocol for Aesthetic Scar Management in Thyroid Surgery
| Autor: | Jeong Min Yoon, Jae-Ho Chung, Da Som Kim, Eul Sik Yoon, Seung Kuk Baek, Kwang Yoon Jung, J. Cheon, Seung Ha Park |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Esthetics Scar assessment medicine.medical_treatment Fractional laser Thyroid Gland Injections Intralesional Single Center Triamcinolone Group B 030207 dermatology & venereal diseases 03 medical and health sciences Cicatrix 0302 clinical medicine Clinical Protocols medicine Humans Prospective Studies 030223 otorhinolaryngology Sutures business.industry Wound Closure Techniques Significant difference Thyroid Thyroidectomy Middle Aged Combined Modality Therapy Surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Barbed suture Female Tissue Adhesives Laser Therapy business |
| Zdroj: | The LaryngoscopeReferences. 131(7) |
| ISSN: | 1531-4995 |
| Popis: | OBJECTIVES/HYPOTHESIS We compared the scar quality when different protocols were applied, and eventually aim to find the optimal scar management protocol. STUDY DESIGN We conducted a prospective, randomized, and blinded comparison of different scar management protocols in a single center. METHODS We allocated 126 patients who underwent thyroidectomy via collar neck incision randomly into three groups. Patients in group A were treated with tissue adhesive only. Patients in group B were treated by means of subcuticular suturing and early scar management with a non-ablative fractional laser (NAFL) and intralesional triamcinolone injection (ILI). Patients in group C had skin closure with tissue adhesive and early scar management. At 6 months after the operation, the Patient and Observer Scar Assessment Scale (POSAS) and the width of the final scar were compared. RESULTS Comparing the sum of PSAS, groups B and C showed significant higher satisfaction than did group A (22.81 ± 11.66 in group A, 10.9 ± 5.14 in group B, and 15.19 ± 9.98 in group C). In the sum of OSAS, group B also showed a significant difference than did groups A and C (17.74 ± 6.75 in group A, 10.26 ± 3.60 in group B, and 14.52 ± 6.48 in group C). Also, group B showed a narrower scar width than did groups A and C. CONCLUSIONS Our finding suggests that subcuticular suturing using barbed suture material and early treatment with a combination therapy using NAFL and ILI showed a favorable aesthetic outcome for both patients and operators. Based on our algorithmic approach for thyroidectomy scar, we anticipate an optimal aesthetic outcome. LEVEL OF EVIDENCE II Laryngoscope, 131:E2188-E2195, 2021. |
| Databáze: | OpenAIRE |
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