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Early intervention in thyroidectomy scars: demographics, symptoms, and prevention

Authors
 J.U. Shin  ;  J.H. Park  ;  S.H. Oh  ;  J.J. Jeong  ;  S. Kang  ;  K. Nam  ;  W.Y. Chung  ;  J.H. Lee 
Citation
 Journal of Wound Care, Vol.24(4) : 163-171, 2015 
Journal Title
 Journal of Wound Care 
ISSN
 0969-0700 
Issue Date
2015
Abstract
OBJECTIVE: Although hypertrophic scars are cosmetically problematic for patients following thyroidectomy, the associated risk factors are not well defined. Our objective was to determine the factors associated with hypertrophic scar development following thyroidectomy. METHOD: A retrospective chart review was performed collecting data on sex, age, body mass index (BMI), operation site, skin characteristics (pigmentation, erythema, elasticity, and hydration), and clinical scar characteristics (itching, tightening, induration, adhesion, and oedema). It was also noted if the patient had early scar intervention with intralesional steroid injection or non-ablative fractional laser irradiation, and preventive topical treatment agents. The effects of these factors were analysed using univariate and multivariate analyses. RESULTS: Data from 1141 patients showed the incidence of hypertrophic scars was 13.9%. Significant variables in univariate analysis were combined for multivariate analysis. Young age, high BMI, itching, tightening, induration, and adhesion were associated with hypertrophic scar formation. Early scar intervention, as well as the use of preventive topical agents, were associated with decreased hypertrophic scar formation. CONCLUSION: Based on our results, we suggest that dermatologists consider using non-ablative fractional laser, intralesional steroid injection, and topical preventive agents to lower the incidence of hypertrophic scars, especially in young patients or those with high BMI and/or clinical symptoms such as itching, tightening, induration, and adhesion.
Full Text
http://www.magonlinelibrary.com/doi/10.12968/jowc.2015.24.4.163
DOI
10.12968/jowc
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
강상욱(Kang, Sang Wook) ORCID logo https://orcid.org/0000-0001-5355-833X
남기현(Nam, Kee Hyun) ORCID logo https://orcid.org/0000-0002-6852-1190
신정우(Shin, Jung U) ORCID logo https://orcid.org/0000-0001-5259-6879
오상호(Oh, Sang Ho) ORCID logo https://orcid.org/0000-0002-4477-1400
이주희(Lee, Ju Hee) ORCID logo https://orcid.org/0000-0002-1739-5956
정웅윤(Chung, Woung Youn)
정종주(Jeong, Jong Ju) ORCID logo https://orcid.org/0000-0002-4155-6035
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139931
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