Current Protocol for Aesthetic Scar Management in Thyroid Surgery

Jae Ho Chung; Da Som Kim; Jeong Hyun Cheon; Jeong Min Yoon; Seung Kuk Baek; Kwang Yoon Jung; Eul Sik Yoon; Seung Ha Park

doi:10.1002/lary.29441

Current Protocol for Aesthetic Scar Management in Thyroid Surgery

Jae Ho Chung, Da Som Kim, Jeong Hyun Cheon, Jeong Min Yoon, Seung Kuk Baek, Kwang Yoon Jung, Eul Sik Yoon, Seung Ha Park

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

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, 131:E2188–E2195, 2021.

Original language	English
Pages (from-to)	E2188-E2195
Journal	Laryngoscope
Volume	131
Issue number	7
DOIs	https://doi.org/10.1002/lary.29441
Publication status	Published - 2021 Jul
Externally published	Yes

Keywords

Thyroid surgery
aesthetic outcomes
fractional laser treatment
subcuticular suture
synthetic glue

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/lary.29441

Cite this

@article{1ee34d5ec9004c328ed7d38bfa24b4ba,

title = "Current Protocol for Aesthetic Scar Management in Thyroid Surgery",

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, 131:E2188–E2195, 2021.",

keywords = "Thyroid surgery, aesthetic outcomes, fractional laser treatment, subcuticular suture, synthetic glue",

author = "Chung, {Jae Ho} and Kim, {Da Som} and Cheon, {Jeong Hyun} and Yoon, {Jeong Min} and Baek, {Seung Kuk} and Jung, {Kwang Yoon} and Yoon, {Eul Sik} and Park, {Seung Ha}",

note = "Publisher Copyright: {\textcopyright} 2021 The American Laryngological, Rhinological and Otological Society, Inc.",

year = "2021",

month = jul,

doi = "10.1002/lary.29441",

language = "English",

volume = "131",

pages = "E2188--E2195",

journal = "Laryngoscope",

issn = "0023-852X",

publisher = "John Wiley and Sons Inc.",

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T1 - Current Protocol for Aesthetic Scar Management in Thyroid Surgery

AU - Chung, Jae Ho

AU - Kim, Da Som

AU - Cheon, Jeong Hyun

AU - Yoon, Jeong Min

AU - Baek, Seung Kuk

AU - Jung, Kwang Yoon

AU - Yoon, Eul Sik

AU - Park, Seung Ha

PY - 2021/7

Y1 - 2021/7

N2 - 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.

AB - 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.

KW - Thyroid surgery

KW - aesthetic outcomes

KW - fractional laser treatment

KW - subcuticular suture

KW - synthetic glue

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U2 - 10.1002/lary.29441

DO - 10.1002/lary.29441

M3 - Article

C2 - 33567135

AN - SCOPUS:85107769664

SN - 0023-852X

VL - 131

SP - E2188-E2195

JO - Laryngoscope

JF - Laryngoscope

IS - 7

ER -

Current Protocol for Aesthetic Scar Management in Thyroid Surgery

Abstract

Keywords

ASJC Scopus subject areas

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