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Combination of Surgical Subcision and Intralesional Corticosteroid Injection As a Cost-Effective and Minimally Invasive Treatment for Postoperative Adhesive Thyroidectomy Scars

Authors
 Ji Hye Lee  ;  Tae Hyung Kim  ;  Yong Sang Lee  ;  Hang-Seok Chang  ;  Cheong Soo Park  ;  Mi Ryung Roh 
Citation
 DERMATOLOGIC SURGERY, Vol.39(12) : 1822-1826, 2013 
Journal Title
 DERMATOLOGIC SURGERY 
ISSN
 1076-0512 
Issue Date
2013
MeSH
Adrenal Cortex Hormones/administration & dosage* ; Adult ; Cicatrix/therapy* ; Combined Modality Therapy ; Female ; Humans ; Injections, Intralesional ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures* ; Postoperative Complications/therapy* ; Retrospective Studies ; Thyroid Neoplasms/surgery ; Thyroidectomy* ; Tissue Adhesions/therapy* ; Treatment Outcome
Keywords
Adrenal Cortex Hormones/administration & dosage* ; Adult ; Cicatrix/therapy* ; Combined Modality Therapy ; Female ; Humans ; Injections, Intralesional ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures* ; Postoperative Complications/therapy* ; Retrospective Studies ; Thyroid Neoplasms/surgery ; Thyroidectomy* ; Tissue Adhesions/therapy* ; Treatment Outcome
Abstract
BACKGROUND: Postoperative adhesive symptoms (swallowing difficulty or pulling sensation during neck extension) are one of the major complications of thyroidectomy. Moreover, adhesive scars are often visible and cause cosmetic concerns. OBJECTIVE: To evaluate the efficacy and safety of combined treatment with surgical subcision and intralesional corticosteroid injection for postoperative adhesive thyroidectomy scars. METHODS: A retrospective analysis was performed of 16 Korean patients with postoperative adhesive thyroidectomy scars treated with three sessions of surgical subcision and intralesional corticosteroid injection. RESULTS: The Vancouver Scar Scale score decreased significantly after treatment (P < .001). Follow-up revealed that six of the 16 patients (37.5%) had clinical improvement of 51% to 75%, six (37.5%) had moderate clinical improvement of 26% to 50%, and three (18.8%) had improvement of 76% to 100%; one patient (6.3%) demonstrated minimal to no improvement. After three sessions of treatment, the mean clinical improvement grade was 2.68, which means moderate to marked improvement compared to before treatment. Post-treatment erythema was observed in most patients, and notable bruising after treatment observed in five patients resolved spontaneously within 7 days. CONCLUSION: Combined treatment with surgical subcision and intralesional corticosteroid injection is a cost-effective and minimally invasive treatment for postoperative adhesive thyroidectomy scars.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/dsu.12361/abstract
DOI
10.1111/dsu.12361
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
Park, Cheong Soo(박정수)
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
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88885
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