Current Protocol for Aesthetic Scar Management in Thyroid Surgery
- Authors
- Chung, Jae-Ho; Kim, Da-Som; Cheon, Jeong-Hyun; Yoon, Jeong-Min; Baek, Seung-Kuk; Jung, Kwang-Yoon; Yoon, Eul-Sik; Park, Seung-Ha
- Issue Date
- 7월-2021
- Publisher
- WILEY
- Keywords
- Thyroid surgery; aesthetic outcomes; fractional laser treatment; subcuticular suture; synthetic glue
- Citation
- LARYNGOSCOPE, v.131, no.7, pp.E2188 - E2195
- Indexed
- SCIE
SCOPUS
- Journal Title
- LARYNGOSCOPE
- Volume
- 131
- Number
- 7
- Start Page
- E2188
- End Page
- E2195
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/137167
- DOI
- 10.1002/lary.29441
- ISSN
- 0023-852X
- Abstract
- 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, 2021
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- Appears in
Collections - Graduate School > Department of Biomedical Sciences > 1. Journal Articles
- College of Medicine > Department of Medical Science > 1. Journal Articles
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