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Analysis of Risk Factors to Predict Occurrence and Prognosis of Postsurgical Hypertrophic Scar Development: A Review of 4238 Cases

Authors
 Mi Yeon Cho  ;  Sang Gyun Lee  ;  Jee Eun Kim  ;  Yong Sang Lee  ;  Hang-Seok Chang  ;  Mi Ryung Roh 
Citation
 YONSEI MEDICAL JOURNAL, Vol.64(11) : 687-691, 2023-11 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2023-11
MeSH
Body Mass Index ; Cicatrix, Hypertrophic* / epidemiology ; Cicatrix, Hypertrophic* / etiology ; Cicatrix, Hypertrophic* / pathology ; Female ; Humans ; Keloid* / complications ; Keloid* / pathology ; Male ; Prognosis ; Risk Factors
Keywords
Hypertrophic scars ; keloid ; logistic models ; prognosis ; risk factors ; thyroidectomy
Abstract
Purpose: This study aimed to identify the risk factors associated with the occurrence and prognosis of hypertrophic scarring following thyroidectomy.

Materials and methods: A total of 4238 patients who underwent thyroidectomy were included in this study. A multivariable logistic regression model was developed to identify the risk factors for hypertrophic scar development and its prognosis.

Results: Our analysis revealed that hypertrophic scar development was associated with younger age [odds ratio (OR)=0.949, p<0.0001], male sex (OR=0.562, p<0.0001), higher body mass index (OR=1.137, p<0.0001), prominent sternocleidomastoid muscles (OR=2.522, p<0.0001), scarring located within 1 cm of the sternal notch (OR=4.345, p<0.0001), and a history of keloid development (OR=2.789, p=0.0031). Additionally, scar location within 1 cm of the sternal notch (beta=4.326, p=0.0429) and a history of keloid development (beta=23.082, p<0.0001) were found to be associated with the prognosis of hypertrophic scarring.

Conclusion: The findings of this study provide valuable insights into the risk factors associated with hypertrophic scarring following thyroidectomy. Clinicians can use this information to predict the occurrence of hypertrophic scarring and its prognosis, and take preventative measures accordingly.
Files in This Item:
T202306503.pdf Download
DOI
10.3349/ymj.2023.0003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Roh, Mi Ryung(노미령) ORCID logo https://orcid.org/0000-0002-6285-2490
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Cho, Mi Yeon(조미연) ORCID logo https://orcid.org/0000-0001-9676-6681
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197668
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