Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale

BMC Cancer

Research Article

Qi-jun Xia¹  Guojun Li²  Tian-xiao Wang³  Xiao Ma⁴  Qin Li⁵ 

[1] Department of General Surgery, PLA Rocket General Hospital, 16 Xinjiekouwai Street, Xicheng District, Beijing, China;Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, USA;Department of Epidemiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, USA;Department of Head and Neck, Perking University Cancer Hospital and Institute, 52 Fucheng Road, Haidian District, Beijing, China;Department of Head and Neck, Perking University Cancer Hospital and Institute, 52 Fucheng Road, Haidian District, Beijing, China;Key Laboratory of Carcinogenesis and Translational Research, Department of Head and Neck, Perking University Cancer Hospital and Institute, 100142, Beijing, China;Department of Oncology, Beijing Friendship Hospital, Capital Medical University, 95 Yongan Raod, Xicheng District, 100050, Beijing, China;

关键词: Thyroid surgery;    Thyroidectomy;    Minimally invasive access;    Aesthetic principle;    POSAS;   

DOI  :  10.1186/s12885-017-3645-2

 received in 2016-12-27, accepted in 2017-09-13,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThyroid carcinoma (TC) is more likely to occur in young women. The aim of this study was to compare the aesthetic effect of different thyroidectomies.MethodsOne 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.ResultsThe 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.ConclusionThese 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 registrationThis clinical trial was retrospectively registered on ClinicalTrials.gov PRS on August 1st,2017 (NCT03239769).

【 授权许可】

CC BY   
© The Author(s). 2017