ArticleBMC cancer2017
Aesthetic principles access thyroidectomy produces the best cosmetic outcomes as assessed using the patient and observer scar assessment scale.
Article in BMC cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03239769 (A Study to Evaluate and Compare the Surgical Outcomes, Aesthetic Effects and Incision Length of Different Access Procedures in Patients With DTC), which is not on this map. Cited by 13 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Study to Evaluate and Compare the Surgical Outcomes, Aesthetic Effects and Incision Length of Different Access Procedures in Patients With DTC
Who cites it
13 citing papers in PubMed, 24 citations in OpenAlex.
- Decoding patient preferences: key drivers in selecting thyroid cancer surgery- a discrete choice experiment.Frontiers in endocrinology · 2026Trial
- Article
- A comparative study on the bilateral areolar endoscopic approach versus the conventional open thyroidectomy.Frontiers in surgery · 2026Article
- Single-incision versus conventional multiport laparoscopic-assisted surgery for Meckel's diverticulum in children: a single-center propensity score analysis.BMC pediatrics · 2025Article
- Postoperative quality of life in patients treated for thyroid cancer with transoral endoscopic and open surgery.Scientific reports · 2025Article
- Review
- Comparative Efficacy of Fractional COHealthcare (Basel, Switzerland) · 2024Article
- Article
- Satisfaction With Head and Neck Scar Appearance in Latin American Patients: A Cross-Sectional Study.Eplasty · 2023Article
- Thyroidectomy Using the Lateral Cervical Small Incision Approach for Early Thyroid Cancer.Clinical, cosmetic and investigational dermatology · 2022Article
- An easier option for "invisible scar" thyroidectomy: hybrid-transoral endoscopic thyroidectomy submental access (H-TOETSA)-experience on twenty-two consecutive patients.Surgical endoscopy · 2021Article
- Scar satisfaction assessment after conventional thyroidectomy: follow-up results.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2021Article
- Keystone-design perforator island flaps for the management of complicated epidermoid cysts on the back.Scientific reports · 2019Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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 ).
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