갑상선 절제술 후 흉터 관리

Abstract

The cosmetic outcomes following thyroid surgery are a priority for patients as the surgical scar is in a visible area of the anterior neck. This concern has sparked widespread interest among surgeons in minimizing scarring or various remote access surgeries. Hypertrophic scars and keloids, primarily forming in the dermis, are benign hyperproliferative conditions influenced by numerous factors, including TGF-ß1, PDGF, MMPs, genetic factors (more prevalent in colored races), age, and the tension state of the skin and scar. Anti-scar methods including skin tension-bearing methods and devices, topical anti-scar agents, local injections, and laser or phototherapies, that target these scar formation factors have been developed. The currently adopted early postoperative strategies for thyroidectomy scar reduction will be reviewed.