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 journalArticlepeer-review

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 languageEnglish
Pages (from-to)E2188-E2195
JournalLaryngoscope
Volume131
Issue number7
DOIs
Publication statusPublished - 2021 Jul
Externally publishedYes

Keywords

  • Thyroid surgery
  • aesthetic outcomes
  • fractional laser treatment
  • subcuticular suture
  • synthetic glue

ASJC Scopus subject areas

  • Otorhinolaryngology

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