Comparison of cosmetic outcomes between remote‐access and conventional thyroidectomy: A review of the current literature
Abstract Objective The pursuit of an esthetically pleasing scar following open thyroid surgery has led to the development of endoscopic thyroidectomy through remote incisions placed in several locations outside the neck. The objective of this study is to review the recent literature and compare the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-03-01
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| Series: | World Journal of Otorhinolaryngology-Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/wjo2.65 |
| _version_ | 1797857796595646464 |
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| author | Anna Kasouli Eleftherios Spartalis Alexios Giannakodimos Gerasimos Tsourouflis Dimitrios Dimitroulis Nikolaos I. Nikiteas |
| author_facet | Anna Kasouli Eleftherios Spartalis Alexios Giannakodimos Gerasimos Tsourouflis Dimitrios Dimitroulis Nikolaos I. Nikiteas |
| author_sort | Anna Kasouli |
| collection | DOAJ |
| description | Abstract Objective The pursuit of an esthetically pleasing scar following open thyroid surgery has led to the development of endoscopic thyroidectomy through remote incisions placed in several locations outside the neck. The objective of this study is to review the recent literature and compare the incision site appearance and patient satisfaction with the cosmetic outcome after extracervical and conventional thyroidectomy. Methods The English literature published since 2010 was searched through the PubMed/Medline database for studies comparing the cosmetic outcomes between remote‐access endoscopic and conventional thyroidectomy using a form of scar assessment scale. Results A total of 9 relevant papers fulfilled the eligibility criteria including 1486 patients. Among them, 595 patients underwent endoscopic thyroidectomy through several remote‐access approaches and 891 patients were assigned to the conventional group. Only one randomized‐controlled trial was identified, whereas among the rest, four were prospective and four were retrospective nonrandomized cohorts. Regarding the extracervical modifications performed in the endoscopic groups, the axillary approach was performed in three studies and the breast approach in four studies, while the retroauricular facelift technique and the transoral vestibular method were applied in one study, respectively. Conclusions Evaluation of the wound appearance and patient satisfaction with the cosmetic outcome at various time points during the follow‐up highlighted the superiority of the extracervical approaches over the conventional cervicotomy. Considering these findings, remote‐access techniques could possibly be the ideal surgical method for patients with high esthetic requirements, providing an excellent appearance of the thoroughly exposed neck. |
| first_indexed | 2024-04-09T21:02:37Z |
| format | Article |
| id | doaj.art-11f136fd94ca4c8080567802504a61db |
| institution | Directory Open Access Journal |
| issn | 2095-8811 2589-1081 |
| language | English |
| last_indexed | 2024-04-09T21:02:37Z |
| publishDate | 2023-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | World Journal of Otorhinolaryngology-Head and Neck Surgery |
| spelling | doaj.art-11f136fd94ca4c8080567802504a61db2023-03-29T06:44:45ZengWileyWorld Journal of Otorhinolaryngology-Head and Neck Surgery2095-88112589-10812023-03-01911810.1002/wjo2.65Comparison of cosmetic outcomes between remote‐access and conventional thyroidectomy: A review of the current literatureAnna Kasouli0Eleftherios Spartalis1Alexios Giannakodimos2Gerasimos Tsourouflis3Dimitrios Dimitroulis4Nikolaos I. Nikiteas5Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Medical School Athens National and Kapodistrian University of Athens Athens GreeceHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Medical School Athens National and Kapodistrian University of Athens Athens GreeceHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Medical School Athens National and Kapodistrian University of Athens Athens GreeceHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Medical School Athens National and Kapodistrian University of Athens Athens GreeceHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Medical School Athens National and Kapodistrian University of Athens Athens GreeceHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Medical School Athens National and Kapodistrian University of Athens Athens GreeceAbstract Objective The pursuit of an esthetically pleasing scar following open thyroid surgery has led to the development of endoscopic thyroidectomy through remote incisions placed in several locations outside the neck. The objective of this study is to review the recent literature and compare the incision site appearance and patient satisfaction with the cosmetic outcome after extracervical and conventional thyroidectomy. Methods The English literature published since 2010 was searched through the PubMed/Medline database for studies comparing the cosmetic outcomes between remote‐access endoscopic and conventional thyroidectomy using a form of scar assessment scale. Results A total of 9 relevant papers fulfilled the eligibility criteria including 1486 patients. Among them, 595 patients underwent endoscopic thyroidectomy through several remote‐access approaches and 891 patients were assigned to the conventional group. Only one randomized‐controlled trial was identified, whereas among the rest, four were prospective and four were retrospective nonrandomized cohorts. Regarding the extracervical modifications performed in the endoscopic groups, the axillary approach was performed in three studies and the breast approach in four studies, while the retroauricular facelift technique and the transoral vestibular method were applied in one study, respectively. Conclusions Evaluation of the wound appearance and patient satisfaction with the cosmetic outcome at various time points during the follow‐up highlighted the superiority of the extracervical approaches over the conventional cervicotomy. Considering these findings, remote‐access techniques could possibly be the ideal surgical method for patients with high esthetic requirements, providing an excellent appearance of the thoroughly exposed neck.https://doi.org/10.1002/wjo2.65estheticcosmesiscosmeticcosmetic resultsincisionscar |
| spellingShingle | Anna Kasouli Eleftherios Spartalis Alexios Giannakodimos Gerasimos Tsourouflis Dimitrios Dimitroulis Nikolaos I. Nikiteas Comparison of cosmetic outcomes between remote‐access and conventional thyroidectomy: A review of the current literature World Journal of Otorhinolaryngology-Head and Neck Surgery esthetic cosmesis cosmetic cosmetic results incision scar |
| title | Comparison of cosmetic outcomes between remote‐access and conventional thyroidectomy: A review of the current literature |
| title_full | Comparison of cosmetic outcomes between remote‐access and conventional thyroidectomy: A review of the current literature |
| title_fullStr | Comparison of cosmetic outcomes between remote‐access and conventional thyroidectomy: A review of the current literature |
| title_full_unstemmed | Comparison of cosmetic outcomes between remote‐access and conventional thyroidectomy: A review of the current literature |
| title_short | Comparison of cosmetic outcomes between remote‐access and conventional thyroidectomy: A review of the current literature |
| title_sort | comparison of cosmetic outcomes between remote access and conventional thyroidectomy a review of the current literature |
| topic | esthetic cosmesis cosmetic cosmetic results incision scar |
| url | https://doi.org/10.1002/wjo2.65 |
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