Cosmetic outcomes following transoral versus transcervical thyroidectomy

Lena W. Chen; Christopher R. Razavi; Hanna Hong; Akeweh Fondong; Rohit Ranganath; Surya Khatri; Wojciech K. Mydlarz; Aarti Mathur; Masaru Ishii; Jason Nellis; Mohammad Shaear; Ralph P. Tufano; Jonathon O. Russell

doi:10.1002/hed.26383

Cosmetic outcomes following transoral versus transcervical thyroidectomy

Lena W. Chen, Christopher R. Razavi, Hanna Hong, Akeweh Fondong, Rohit Ranganath, Surya Khatri, Wojciech K. Mydlarz, Aarti Mathur, Masaru Ishii, Jason Nellis, Mohammad Shaear, Ralph P. Tufano, Jonathon O. Russell

School of Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Background: Central neck scars following thyroidectomy can negatively impact patient quality of life. Transoral endoscopic thyroidectomy can reduce postoperative cosmetic burden. Methods: Prospective cohort study of patients seen between June 2018 and January 2019. Scar cosmesis was determined using the validated Scar Cosmesis Assessment and Rating (SCAR) scale and a Visual Analog Scale (VAS) measuring color, contour, and irregularity. Results: Eighty-one patients (80% female, mean age 43.7 years) were analyzed, with 60% and 40% receiving transcervical and transoral thyroidectomy. Median time from surgery was 3.4 (range: 1-37.1) weeks. Mean SCAR score was greater for transcervical recipients (4.69 vs transoral 0.99, P <.001), indicating worse cosmesis. Mean surgeon-rated total VAS score was similarly increased for transcervical recipients (72.84 vs transoral 16.73, P <.001). Interrater reliability for both SCAR and total VAS scores was excellent (intraclass correlation 0.93; 95% CI: 0.90-0.95 for both). Conclusion: Transoral thyroidectomy provides significantly enhanced early cosmesis over the transcervical approach.

Original language	English (US)
Pages (from-to)	3336-3344
Number of pages	9
Journal	Head and Neck
Volume	42
Issue number	11
DOIs	https://doi.org/10.1002/hed.26383
State	Published - Nov 1 2020

Keywords

scar cosmesis
scarless
thyroidectomy
transcervical
transoral

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.26383

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title = "Cosmetic outcomes following transoral versus transcervical thyroidectomy",

abstract = "Background: Central neck scars following thyroidectomy can negatively impact patient quality of life. Transoral endoscopic thyroidectomy can reduce postoperative cosmetic burden. Methods: Prospective cohort study of patients seen between June 2018 and January 2019. Scar cosmesis was determined using the validated Scar Cosmesis Assessment and Rating (SCAR) scale and a Visual Analog Scale (VAS) measuring color, contour, and irregularity. Results: Eighty-one patients (80% female, mean age 43.7 years) were analyzed, with 60% and 40% receiving transcervical and transoral thyroidectomy. Median time from surgery was 3.4 (range: 1-37.1) weeks. Mean SCAR score was greater for transcervical recipients (4.69 vs transoral 0.99, P <.001), indicating worse cosmesis. Mean surgeon-rated total VAS score was similarly increased for transcervical recipients (72.84 vs transoral 16.73, P <.001). Interrater reliability for both SCAR and total VAS scores was excellent (intraclass correlation 0.93; 95% CI: 0.90-0.95 for both). Conclusion: Transoral thyroidectomy provides significantly enhanced early cosmesis over the transcervical approach.",

keywords = "scar cosmesis, scarless, thyroidectomy, transcervical, transoral",

author = "Chen, {Lena W.} and Razavi, {Christopher R.} and Hanna Hong and Akeweh Fondong and Rohit Ranganath and Surya Khatri and Mydlarz, {Wojciech K.} and Aarti Mathur and Masaru Ishii and Jason Nellis and Mohammad Shaear and Tufano, {Ralph P.} and Russell, {Jonathon O.}",

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year = "2020",

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doi = "10.1002/hed.26383",

language = "English (US)",

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T1 - Cosmetic outcomes following transoral versus transcervical thyroidectomy

AU - Chen, Lena W.

AU - Razavi, Christopher R.

AU - Hong, Hanna

AU - Fondong, Akeweh

AU - Ranganath, Rohit

AU - Khatri, Surya

AU - Mydlarz, Wojciech K.

AU - Mathur, Aarti

AU - Ishii, Masaru

AU - Nellis, Jason

AU - Shaear, Mohammad

AU - Tufano, Ralph P.

AU - Russell, Jonathon O.

PY - 2020/11/1

Y1 - 2020/11/1

N2 - Background: Central neck scars following thyroidectomy can negatively impact patient quality of life. Transoral endoscopic thyroidectomy can reduce postoperative cosmetic burden. Methods: Prospective cohort study of patients seen between June 2018 and January 2019. Scar cosmesis was determined using the validated Scar Cosmesis Assessment and Rating (SCAR) scale and a Visual Analog Scale (VAS) measuring color, contour, and irregularity. Results: Eighty-one patients (80% female, mean age 43.7 years) were analyzed, with 60% and 40% receiving transcervical and transoral thyroidectomy. Median time from surgery was 3.4 (range: 1-37.1) weeks. Mean SCAR score was greater for transcervical recipients (4.69 vs transoral 0.99, P <.001), indicating worse cosmesis. Mean surgeon-rated total VAS score was similarly increased for transcervical recipients (72.84 vs transoral 16.73, P <.001). Interrater reliability for both SCAR and total VAS scores was excellent (intraclass correlation 0.93; 95% CI: 0.90-0.95 for both). Conclusion: Transoral thyroidectomy provides significantly enhanced early cosmesis over the transcervical approach.

AB - Background: Central neck scars following thyroidectomy can negatively impact patient quality of life. Transoral endoscopic thyroidectomy can reduce postoperative cosmetic burden. Methods: Prospective cohort study of patients seen between June 2018 and January 2019. Scar cosmesis was determined using the validated Scar Cosmesis Assessment and Rating (SCAR) scale and a Visual Analog Scale (VAS) measuring color, contour, and irregularity. Results: Eighty-one patients (80% female, mean age 43.7 years) were analyzed, with 60% and 40% receiving transcervical and transoral thyroidectomy. Median time from surgery was 3.4 (range: 1-37.1) weeks. Mean SCAR score was greater for transcervical recipients (4.69 vs transoral 0.99, P <.001), indicating worse cosmesis. Mean surgeon-rated total VAS score was similarly increased for transcervical recipients (72.84 vs transoral 16.73, P <.001). Interrater reliability for both SCAR and total VAS scores was excellent (intraclass correlation 0.93; 95% CI: 0.90-0.95 for both). Conclusion: Transoral thyroidectomy provides significantly enhanced early cosmesis over the transcervical approach.

KW - scar cosmesis

KW - scarless

KW - thyroidectomy

KW - transcervical

KW - transoral

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Cosmetic outcomes following transoral versus transcervical thyroidectomy

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