Skip to main content

27.04.2024 | Head and Neck

A prospective study to assess cervical scar satisfaction following conventional open thyroidectomy for thyroid cancer

verfasst von: Shivakumar Thiagarajan, Abhishek Menon, Hrutika Panmand, Pooja Bamane, Akash Pawar

Erschienen in: European Archives of Oto-Rhino-Laryngology

Einloggen, um Zugang zu erhalten

Abstract

Background

Conventional open thyroidectomy (COT) remains a common method of thyroidectomy in many parts of the world for various reasons.

Methods

In this prospective (cross-sectional) study, we evaluated the scar satisfaction among patients and surgeons following COT using the Patient and Observer Scar Assessment Scale (POSAS) and the Patient Scar Assessment Questionnaire (PSAQ).

Results

A total of 116 patients were included. The median age of the patients was 44 years and the majority were women. The median scar length overall was 12.2 cm. On POSAS, the median score for surgeon 1 was 1 (range 1–5), for surgeon 2, it was 2 (range 1–6), and for the patient, it was 1 (range 1–6) suggesting good scar satisfaction. The patient's response in the PSAQ was also echoing similar outcomes with scar satisfaction.

Conclusions

Overall, both the patients and the surgeons seem to be satisfied with the overall scar appearance following COT despite the scar length.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Vaccarella S, Franceschi S, Bray F et al (2016) Worldwide thyroid-cancer epidemic? The increasing impact of overdiagnosis. N Engl J Med 375(7):614–617CrossRefPubMed Vaccarella S, Franceschi S, Bray F et al (2016) Worldwide thyroid-cancer epidemic? The increasing impact of overdiagnosis. N Engl J Med 375(7):614–617CrossRefPubMed
2.
Zurück zum Zitat Panato C, Vaccarella S, Dal Maso L et al (2020) Thyroid cancer incidence in India between 2006 and 2014 and impact of overdiagnosis. J Clin Endocrinol Metab 105(8):2507–2514CrossRefPubMedPubMedCentral Panato C, Vaccarella S, Dal Maso L et al (2020) Thyroid cancer incidence in India between 2006 and 2014 and impact of overdiagnosis. J Clin Endocrinol Metab 105(8):2507–2514CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Sathishkumar K, Chaturvedi M, Das P, Stephen S, Mathur P (2022) Cancer incidence estimates for 2022 & projection for 2025: Result from National Cancer Registry Programme. India. Indian J Med Res. 156(4&5):598–607PubMed Sathishkumar K, Chaturvedi M, Das P, Stephen S, Mathur P (2022) Cancer incidence estimates for 2022 & projection for 2025: Result from National Cancer Registry Programme. India. Indian J Med Res. 156(4&5):598–607PubMed
4.
Zurück zum Zitat Terris DJ, Seybt MW, Siupsinskiene N, Gourin CG, Chin E (2006) Thyroid surgery: changing patterns of practice. Laryngoscope 116(6):911–915CrossRefPubMed Terris DJ, Seybt MW, Siupsinskiene N, Gourin CG, Chin E (2006) Thyroid surgery: changing patterns of practice. Laryngoscope 116(6):911–915CrossRefPubMed
5.
Zurück zum Zitat Economopoulos KP, Petralias A, Linos E, Linos D (2012) Psychometric evaluation of patient scar assessment questionnaire following thyroid and parathyroid surgery. Thyroid 22:145–150CrossRefPubMed Economopoulos KP, Petralias A, Linos E, Linos D (2012) Psychometric evaluation of patient scar assessment questionnaire following thyroid and parathyroid surgery. Thyroid 22:145–150CrossRefPubMed
6.
7.
Zurück zum Zitat Rossi L, Materazzi G, Bakkar S, Miccoli P (2021) Recent trends in surgical approach to thyroid cancer. Front Endocrinol (Lausanne) 2(12):699805CrossRef Rossi L, Materazzi G, Bakkar S, Miccoli P (2021) Recent trends in surgical approach to thyroid cancer. Front Endocrinol (Lausanne) 2(12):699805CrossRef
8.
Zurück zum Zitat Choi Y, Lee JH, Kim YH, Lee YS, Chang HS, Park CS, Roh MR (2014) Impact of post thyroidectomy scar on the quality of life of thyroid cancer patients. Ann Dermatol 26(6):693–699CrossRefPubMedPubMedCentral Choi Y, Lee JH, Kim YH, Lee YS, Chang HS, Park CS, Roh MR (2014) Impact of post thyroidectomy scar on the quality of life of thyroid cancer patients. Ann Dermatol 26(6):693–699CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Gyan C, Prathyusha G, Madhu K, Nitish KG (2023) Initial Experience of Endoscopic and Robotic Thyroid Surgery in India. J Endocrinol 7(1):000182 Gyan C, Prathyusha G, Madhu K, Nitish KG (2023) Initial Experience of Endoscopic and Robotic Thyroid Surgery in India. J Endocrinol 7(1):000182
10.
Zurück zum Zitat Davey MG, Browne F, Davey MS, Walsh SR, Kerin MJ, Lowery AJ (2023) Optimal primary wound closure methods after thyroid and parathyroid surgery: network meta-analysis of randomized clinical trials. BJS Open. 7(1):zrac170CrossRefPubMedPubMedCentral Davey MG, Browne F, Davey MS, Walsh SR, Kerin MJ, Lowery AJ (2023) Optimal primary wound closure methods after thyroid and parathyroid surgery: network meta-analysis of randomized clinical trials. BJS Open. 7(1):zrac170CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Draaijers LJ, Tempelman FR, Botman YA, Tuinebreijer WE, Middelkoop E, Kreis RW, van Zuijlen PP (2004) The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation. Plast Reconstr Surg 113(7):1960–1965CrossRefPubMed Draaijers LJ, Tempelman FR, Botman YA, Tuinebreijer WE, Middelkoop E, Kreis RW, van Zuijlen PP (2004) The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation. Plast Reconstr Surg 113(7):1960–1965CrossRefPubMed
12.
Zurück zum Zitat Durani P, McGrouther DA, Ferguson MW (2009) The Patient Scar Assessment Questionnaire: a reliable and valid patient-reported outcomes measure for linear scars. Plast Reconstr Surg 123(5):1481–1489CrossRefPubMed Durani P, McGrouther DA, Ferguson MW (2009) The Patient Scar Assessment Questionnaire: a reliable and valid patient-reported outcomes measure for linear scars. Plast Reconstr Surg 123(5):1481–1489CrossRefPubMed
13.
Zurück zum Zitat Kuliś D, Bottomley A, Velikova G, Greimel E, Koller M. EORTC quality of life group translation procedure (2017) 4th edition Kuliś D, Bottomley A, Velikova G, Greimel E, Koller M. EORTC quality of life group translation procedure (2017) 4th edition
14.
15.
Zurück zum Zitat Kurumety SK, Helenowski IB, Goswami S et al (2019) Post-thyroidectomy neck appearance and impact on quality of life in thyroid cancer survivors. Surgery 165(6):1217–1221CrossRefPubMed Kurumety SK, Helenowski IB, Goswami S et al (2019) Post-thyroidectomy neck appearance and impact on quality of life in thyroid cancer survivors. Surgery 165(6):1217–1221CrossRefPubMed
16.
Zurück zum Zitat Lu Q, Zhu X, Wang P, Xue S, Chen G (2023) Comparisons of different approaches and incisions of thyroid surgery and selection strategy. Front Endocrinol (Lausanne) 17(14):1166820CrossRef Lu Q, Zhu X, Wang P, Xue S, Chen G (2023) Comparisons of different approaches and incisions of thyroid surgery and selection strategy. Front Endocrinol (Lausanne) 17(14):1166820CrossRef
17.
Zurück zum Zitat de Vries LH, Aykan D, Lodewijk L, Damen JAA, BorelRinkes IHM, Vriens MR (2021) Outcomes of minimally invasive thyroid surgery—a systematic review and meta-analysis. Front Endocrinol (Lausanne) 12(12):719397CrossRefPubMed de Vries LH, Aykan D, Lodewijk L, Damen JAA, BorelRinkes IHM, Vriens MR (2021) Outcomes of minimally invasive thyroid surgery—a systematic review and meta-analysis. Front Endocrinol (Lausanne) 12(12):719397CrossRefPubMed
18.
Zurück zum Zitat Razavi CR, Tanavde VA, Kim AS, Shaear M, Tufano RP, Russell JO (2021) The variable direct cost and cost drivers of transoral endoscopic thyroidectomy vestibular approach. Gland Surg 10(2):521–528CrossRefPubMedPubMedCentral Razavi CR, Tanavde VA, Kim AS, Shaear M, Tufano RP, Russell JO (2021) The variable direct cost and cost drivers of transoral endoscopic thyroidectomy vestibular approach. Gland Surg 10(2):521–528CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Cabot JC, Lee CR, Brunaud L, Kleiman DA, Chung WY, Fahey TJ 3rd, Zarnegar R (2012) Robotic and endoscopic transaxillary thyroidectomies may be cost prohibitive when compared to standard cervical thyroidectomy: a cost analysis. Surgery 152(6):1016–1024CrossRefPubMed Cabot JC, Lee CR, Brunaud L, Kleiman DA, Chung WY, Fahey TJ 3rd, Zarnegar R (2012) Robotic and endoscopic transaxillary thyroidectomies may be cost prohibitive when compared to standard cervical thyroidectomy: a cost analysis. Surgery 152(6):1016–1024CrossRefPubMed
20.
Zurück zum Zitat Broome JT, Pomeroy S, Solorzano CC (2012) Expense of robotic thyroidectomy: a cost analysis at a single institution. Arch Surg 147(12):1102–1106CrossRefPubMed Broome JT, Pomeroy S, Solorzano CC (2012) Expense of robotic thyroidectomy: a cost analysis at a single institution. Arch Surg 147(12):1102–1106CrossRefPubMed
21.
Zurück zum Zitat Kudpaje A, Subash A, Subramaniam N, Palme CE, Us VR, Arakeri G (2022) Remote access thyroid surgery: a review of literature. Indian J Surg Oncol 13(1):191–198CrossRefPubMed Kudpaje A, Subash A, Subramaniam N, Palme CE, Us VR, Arakeri G (2022) Remote access thyroid surgery: a review of literature. Indian J Surg Oncol 13(1):191–198CrossRefPubMed
22.
Zurück zum Zitat Huang SM, Lee CH, Chien LY, Liu HE, Tai CJ (2004) Postoperative quality of life among patients with thyroid cancer. J Adv Nurs 47(5):492–499CrossRefPubMed Huang SM, Lee CH, Chien LY, Liu HE, Tai CJ (2004) Postoperative quality of life among patients with thyroid cancer. J Adv Nurs 47(5):492–499CrossRefPubMed
23.
Zurück zum Zitat Bach K, Prince S, Pitt SC, Robbins S, Connor NP, Macdonald C, Sippel RS, Long KL (2022) Time heals most wounds—perceptions of thyroidectomy scars in patients with thyroid cancer. J Surg Res 270:437–443CrossRefPubMed Bach K, Prince S, Pitt SC, Robbins S, Connor NP, Macdonald C, Sippel RS, Long KL (2022) Time heals most wounds—perceptions of thyroidectomy scars in patients with thyroid cancer. J Surg Res 270:437–443CrossRefPubMed
25.
Zurück zum Zitat Böhm B, Minner S, Engelhardt T, Rödiger H (2005) Long-term cosmetic results following thyroid resection [in German]. Chirurg 76(1):54–57CrossRefPubMed Böhm B, Minner S, Engelhardt T, Rödiger H (2005) Long-term cosmetic results following thyroid resection [in German]. Chirurg 76(1):54–57CrossRefPubMed
26.
Zurück zum Zitat Arora A, Swords C, Garas G et al (2016) The perception of scar cosmesis following thyroid and parathyroid surgery: a prospective cohort study. Int J Surg 25:38–43CrossRefPubMed Arora A, Swords C, Garas G et al (2016) The perception of scar cosmesis following thyroid and parathyroid surgery: a prospective cohort study. Int J Surg 25:38–43CrossRefPubMed
27.
Zurück zum Zitat Toll EC, Loizou P, Davis CR, Porter GC, Pothier DD (2012) Scars and satisfaction: do smaller scars improve patient-reported outcomes? Eur Arch Otorhinolaryngol 269(1):309–313CrossRefPubMed Toll EC, Loizou P, Davis CR, Porter GC, Pothier DD (2012) Scars and satisfaction: do smaller scars improve patient-reported outcomes? Eur Arch Otorhinolaryngol 269(1):309–313CrossRefPubMed
28.
Zurück zum Zitat Linos D, Economopoulos KP, Kiriakopoulos A, Linos E, Petralias A (2013) Scar perceptions after thyroid and parathyroid surgery: comparison of minimal and conventional approaches. Surgery 153(3):400–407CrossRefPubMed Linos D, Economopoulos KP, Kiriakopoulos A, Linos E, Petralias A (2013) Scar perceptions after thyroid and parathyroid surgery: comparison of minimal and conventional approaches. Surgery 153(3):400–407CrossRefPubMed
29.
Zurück zum Zitat Kim SM, Chun KW, Chang HJ, Kim BW, Lee YS, Chang HS, Park CS (2015) Reducing neck incision length during thyroid surgery does not improve satisfaction in patients. Eur Arch Otorhinolaryngol 272(9):2433–2438CrossRefPubMed Kim SM, Chun KW, Chang HJ, Kim BW, Lee YS, Chang HS, Park CS (2015) Reducing neck incision length during thyroid surgery does not improve satisfaction in patients. Eur Arch Otorhinolaryngol 272(9):2433–2438CrossRefPubMed
30.
Zurück zum Zitat Best AR, Shipchandler TZ, Cordes SR (2017) Midcervical scar satisfaction in thyroidectomy patients. Laryngoscope 127(5):1247–1252CrossRefPubMed Best AR, Shipchandler TZ, Cordes SR (2017) Midcervical scar satisfaction in thyroidectomy patients. Laryngoscope 127(5):1247–1252CrossRefPubMed
31.
Zurück zum Zitat Sethukumar P, Ly D, Awad Z, Tolley NS (2018) Scar satisfaction and body image in thyroidectomy patients: a prospective study in a tertiary referral centre. J Laryngol Otol 132(1):60–67CrossRefPubMed Sethukumar P, Ly D, Awad Z, Tolley NS (2018) Scar satisfaction and body image in thyroidectomy patients: a prospective study in a tertiary referral centre. J Laryngol Otol 132(1):60–67CrossRefPubMed
32.
Zurück zum Zitat Kurumety SK, Helenowski IB, Goswami S, Peipert BJ, Yount SE, Sturgeon C (2019) Post-thyroidectomy neck appearance and impact on quality of life in thyroid cancer survivors. Surgery 165(6):1217–1221CrossRefPubMed Kurumety SK, Helenowski IB, Goswami S, Peipert BJ, Yount SE, Sturgeon C (2019) Post-thyroidectomy neck appearance and impact on quality of life in thyroid cancer survivors. Surgery 165(6):1217–1221CrossRefPubMed
33.
Zurück zum Zitat Boog GHP, Kasmirski JA, Hojaij FC (2021) Conventional thyroidectomy: what is the impact of the scar on the lives of operated patients? Arch Endocrinol Metab 65(3):265–268CrossRefPubMedPubMedCentral Boog GHP, Kasmirski JA, Hojaij FC (2021) Conventional thyroidectomy: what is the impact of the scar on the lives of operated patients? Arch Endocrinol Metab 65(3):265–268CrossRefPubMedPubMedCentral
34.
35.
Zurück zum Zitat Cekic E, Barcan Y, Gürbüz G, ikalın ARM (2022) Long-term scar satisfaction of thyroidectomy patients with classical mid-cervical incision. Bent 18(4):248–253 Cekic E, Barcan Y, Gürbüz G, ikalın ARM (2022) Long-term scar satisfaction of thyroidectomy patients with classical mid-cervical incision. Bent 18(4):248–253
36.
Zurück zum Zitat Campagnolo M, Dell’Era V, Rosa MS, Negri F, Malgrati E, Garzaro M, Valletti PA (2023) Patient’s scar satisfaction after conventional thyroidectomy for differentiated thyroid cancer. J Pers Med 13:1066CrossRef Campagnolo M, Dell’Era V, Rosa MS, Negri F, Malgrati E, Garzaro M, Valletti PA (2023) Patient’s scar satisfaction after conventional thyroidectomy for differentiated thyroid cancer. J Pers Med 13:1066CrossRef
Metadaten
Titel
A prospective study to assess cervical scar satisfaction following conventional open thyroidectomy for thyroid cancer
verfasst von
Shivakumar Thiagarajan
Abhishek Menon
Hrutika Panmand
Pooja Bamane
Akash Pawar
Publikationsdatum
27.04.2024
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-024-08668-z

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Eingreifen von Umstehenden rettet vor Erstickungstod

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Real-World-Daten sprechen eher für Dupilumab als für Op.

14.05.2024 Rhinosinusitis Nachrichten

Zur Behandlung schwerer Formen der chronischen Rhinosinusitis mit Nasenpolypen (CRSwNP) stehen seit Kurzem verschiedene Behandlungsmethoden zur Verfügung, darunter Biologika, wie Dupilumab, und die endoskopische Sinuschirurgie (ESS). Beim Vergleich der beiden Therapieoptionen war Dupilumab leicht im Vorteil.

Schwindelursache: Massagepistole lässt Otholiten tanzen

14.05.2024 Benigner Lagerungsschwindel Nachrichten

Wenn jüngere Menschen über ständig rezidivierenden Lagerungsschwindel klagen, könnte eine Massagepistole der Auslöser sein. In JAMA Otolaryngology warnt ein Team vor der Anwendung hochpotenter Geräte im Bereich des Nackens.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.