Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale
Abstract Background Thyroid carcinoma (TC) is more likely to occur in young women. The aim of this study was to compare the aesthetic effect of different thyroidectomies. Methods One hundred twenty female patients who underwent thyroidectomy were evenly distributed into three groups: conventional ac...
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| Format: | Article |
| Language: | English |
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BMC
2017-09-01
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| Series: | BMC Cancer |
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| Online Access: | http://link.springer.com/article/10.1186/s12885-017-3645-2 |
| _version_ | 1819073482488545280 |
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| author | Xiao Ma Qi-jun Xia Guojun Li Tian-xiao Wang Qin Li |
| author_facet | Xiao Ma Qi-jun Xia Guojun Li Tian-xiao Wang Qin Li |
| author_sort | Xiao Ma |
| collection | DOAJ |
| description | Abstract Background Thyroid carcinoma (TC) is more likely to occur in young women. The aim of this study was to compare the aesthetic effect of different thyroidectomies. Methods One hundred twenty female patients who underwent thyroidectomy were evenly distributed into three groups: conventional access (CA), aesthetic principles access (APA) and minimally invasive access (MIA). The Patient and Observer Scar Assessment Scale (POSAS) was used as the assessment tool for the linear scar. Results The patients in the MIA group showed significantly less intraoperative blood loss, less drainage, a shorter scar length and a shorter duration of drainage than those in the CA group and the APA group. However, the operation time of 129.0 min in the MIA group was significantly longer than the 79.6 min in the CA group and the 77.0 min in the APA group. The best aesthetic score, as assessed by the Observer Scar Assessment Scale (OSAS), was obtained in the APA group. The Patient Scar Assessment Scale (PSAS) scores were significantly lower in the APA group and CA group than in the MIA group. Significantly lower objective scar ratings were found in the APA group than in the other two groups. Conclusion These results show that APA produced the best surgical outcomes in TC patients, indicating that conventional thyroidectomy can produce an ideal aesthetic result using the principles of aesthetic surgery. Thyroid surgery need not be performed through excessively short incisions for the sake of patient satisfaction with the scar’s appearance. Trial registration This clinical trial was retrospectively registered on ClinicalTrials.gov PRS on August 1st,2017 ( NCT03239769 ). |
| first_indexed | 2024-12-21T17:54:19Z |
| format | Article |
| id | doaj.art-e6870c98d93d4a39b9261b9d61185d55 |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-12-21T17:54:19Z |
| publishDate | 2017-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-e6870c98d93d4a39b9261b9d61185d552022-12-21T18:55:15ZengBMCBMC Cancer1471-24072017-09-011711810.1186/s12885-017-3645-2Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scaleXiao Ma0Qi-jun Xia1Guojun Li2Tian-xiao Wang3Qin Li4Department of Head and Neck, Perking University Cancer Hospital and InstituteDepartment of General Surgery, PLA Rocket General HospitalDepartment of Head and Neck Surgery, The University of Texas MD Anderson Cancer CenterDepartment of Head and Neck, Perking University Cancer Hospital and InstituteDepartment of Oncology, Beijing Friendship Hospital, Capital Medical UniversityAbstract Background Thyroid carcinoma (TC) is more likely to occur in young women. The aim of this study was to compare the aesthetic effect of different thyroidectomies. Methods One hundred twenty female patients who underwent thyroidectomy were evenly distributed into three groups: conventional access (CA), aesthetic principles access (APA) and minimally invasive access (MIA). The Patient and Observer Scar Assessment Scale (POSAS) was used as the assessment tool for the linear scar. Results The patients in the MIA group showed significantly less intraoperative blood loss, less drainage, a shorter scar length and a shorter duration of drainage than those in the CA group and the APA group. However, the operation time of 129.0 min in the MIA group was significantly longer than the 79.6 min in the CA group and the 77.0 min in the APA group. The best aesthetic score, as assessed by the Observer Scar Assessment Scale (OSAS), was obtained in the APA group. The Patient Scar Assessment Scale (PSAS) scores were significantly lower in the APA group and CA group than in the MIA group. Significantly lower objective scar ratings were found in the APA group than in the other two groups. Conclusion These results show that APA produced the best surgical outcomes in TC patients, indicating that conventional thyroidectomy can produce an ideal aesthetic result using the principles of aesthetic surgery. Thyroid surgery need not be performed through excessively short incisions for the sake of patient satisfaction with the scar’s appearance. Trial registration This clinical trial was retrospectively registered on ClinicalTrials.gov PRS on August 1st,2017 ( NCT03239769 ).http://link.springer.com/article/10.1186/s12885-017-3645-2Thyroid surgeryThyroidectomyMinimally invasive accessAesthetic principlePOSAS |
| spellingShingle | Xiao Ma Qi-jun Xia Guojun Li Tian-xiao Wang Qin Li Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale BMC Cancer Thyroid surgery Thyroidectomy Minimally invasive access Aesthetic principle POSAS |
| title | Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale |
| title_full | Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale |
| title_fullStr | Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale |
| title_full_unstemmed | Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale |
| title_short | Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale |
| title_sort | aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale |
| topic | Thyroid surgery Thyroidectomy Minimally invasive access Aesthetic principle POSAS |
| url | http://link.springer.com/article/10.1186/s12885-017-3645-2 |
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