[논문]Correlation between dermal thickness and scar formation in female patients after thyroidectomy

Kim, Hong Il; Kwak, Chan Yee; Kim, Hyo Young; Yi, Hyung Suk; Park, Eun Ju; Kim, Jeong Hoon; Park, Jin Hyung

doi:10.7181/acfs.2018.01907

Correlation between dermal thickness and scar formation in female patients after thyroidectomy 원문보기

Archives of craniofacial surgery : ACFS, v.19 no.2, 2018년, pp.120 - 126

Kim, Hong Il (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine) , Kwak, Chan Yee (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine) , Kim, Hyo Young (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine) , Yi, Hyung Suk (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine) , Park, Eun Ju (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine) , Kim, Jeong Hoon (Department of Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine) , Park, Jin Hyung (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine)

Abstract ▼ AI-Helper

Background: Minimizing scarring has long been a challenge in plastic surgery. Factors affecting scar formation are well known, but the effect of some patient-specific factors such as dermal thickness remains unverified. Management of factors predictive of scarring can improve postoperative patient satisfaction and scar treatment. Methods: For 3 years, we used ultrasonography to measure dermal thickness in female patients who had undergone thyroidectomy for cancer at our hospital. We confirmed the influence of dermal thickness on hypertrophic scar formation and the Patient and Observer Scar Assessment Scale scar score 6 months after surgery. Results: There was a positive correlation between dermal thickness and scar score (p<0.05), and dermal thickness appears to be a cause of hypertrophic scar formation (p<0.05). Conclusion: Thick dermis was found to cause poor scar formation and hypertrophic scarring. Prediction of factors that can influence scar formation can be used to educate patients before surgery and can help in scar management and improvement in patient satisfaction.

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문제 정의

Our hypothesis that thicker dermis may be a risk factor for poor scar development and hypertrophic scarring was supported by the results of this study. Dermal thickness was a risk factor for poorer aesthetic results.
In this study, dermal thickness in patients who underwent thyroidectomy through a transverse anterior cervical incision was investigated. The aim of this study was to determine the relationship between dermal thickness and scar formation through measurement of dermal thickness with preoperative ultrasonography. We hypothesized that thicker dermis may be a risk factor for hypertrophic scarring and poor scar formation.

가설 설정

The aim of this study was to determine the relationship between dermal thickness and scar formation through measurement of dermal thickness with preoperative ultrasonography. We hypothesized that thicker dermis may be a risk factor for hypertrophic scarring and poor scar formation.

제안 방법

Male patients, and those with a history of thyroid cancer surgery at the same site, radiation therapy, local steroid injections, obesity (body mass index > 25 kg/m²), diabetes history, chronic kidney diseases history and an extended surgical procedure were excluded. After surgery, all patients were taken intravenous antibiotics (empirical 3rd generation cephalosporin) and stitches out were performed in postoperative 5 days. After stitched out, to reinforced skin closure, Histoacryl (B.
2) [6,7]. Assessment items were vascularity, pigmentation, thickness, relief, pliability, surface area. Each of the six items is scored numerically (range, 6 to 60).
In this study, dermal thickness in patients who underwent thyroidectomy through a transverse anterior cervical incision was investigated. The aim of this study was to determine the relationship between dermal thickness and scar formation through measurement of dermal thickness with preoperative ultrasonography.
P) at 6 months postoperatively. Two plastic surgeons performed scar evaluations using the Patient and Observer Scar Assessment Scale (POSAS) at 6 months postoperatively (Fig. 2) [6,7]. Assessment items were vascularity, pigmentation, thickness, relief, pliability, surface area.

대상 데이터

The study included 290 female patients with a mean age of 38.43±7.69 years (range, 19 to 55 years).
This study included 290 female patients aged 19 to 55 years who underwent thyroidectomy through a transverse cervical incision, performed by the same surgeon (J.H.K) between December 2015 and August 2017. After thyroidectomy, platysma muscle suture and skin closure was done by one experienced plastic surgeon (J.

데이터처리

03 mm (Table 1). Dermal thickness values were compared with POSAS scores using Pearson correlation analysis. Dermal thickness and scar scores were significantly correlated and the partial correlation coefficient between score and thickness was 0.
, Chicago, IL, USA). The associations between dermal thickness and scar scores were analyzed using Pearson correlation analysis. Dermal thickness and hypertrophic scars were analyzed using logistic regression analysis.

후속연구

Microscopic evaluation of collagen architecture in patients with thick dermis might help in accurate prediction of scar formation. Further studies are needed to confirm this finding.

참고문헌 (22)

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Correlation between dermal thickness and scar formation in female patients after thyroidectomy 원문보기

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Correlation between dermal thickness and scar formation in female patients after thyroidectomy 원문보기

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