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Risk factors for hypertrophic surgical scar development after thyroidectomy

Authors
 Jong Hoon Kim  ;  Jae Yong Sung  ;  Yeon Hee Kim  ;  Yong Sang Lee  ;  Hang-Seok Chang  ;  Cheong Soo Park  ;  Mi Ryung Roh 
Citation
 Wound Repair and Regeneration, Vol.20(3) : 304-310, 2012 
Journal Title
 Wound Repair and Regeneration 
ISSN
 1067-1927 
Issue Date
2012
Abstract
Postoperative neck scarring is a major concern for patients who undergo thyroid surgery; however, the treatments for hypertrophic scars are generally considered by patients to provide unsatisfactory outcomes. Therefore, risk factors should be identified and prevention of these factors is considered to be critical in management. We reviewed the medical records of 96 thyroidectomy patients who were divided into two groups based on scar type: patients with hypertrophic (n = 61) and linear flat scars (n = 35). Multivariable logistic regression model was developed to identify risk factors for developing hypertrophic scar. There was no significant difference between the two groups in terms of age, gender ratio, tumor type, and type of operation. Multivariable analysis showed that hypertrophic scar development was associated with scars located within 1 cm above the sternal notch (odds ratio [OR] = 5.94, p = 0.01), prominent sternocleidomastoid muscles (OR = 12.03, p < 0.01), and a high body mass index (OR = 1.33, p = 0.01). The area under the receiver operating characteristic curve for risk factors was 0.85. Development of hypertrophic scar after thyroidectomy was found to be associated with specific preoperative factors such as incision site near the sternal notch, prominent sternocleidomastoid muscles, and high body mass index.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92042
DOI
10.1111/j.1524-475X.2012.00784.x
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
김종훈(Kim, Jong Hoon) ; 노미령(Roh, Mi Ryung) ; 박정수(Park, Cheong Soo) ; 이용상(Lee, Yong Sang) ; 장항석(Chang, Hang Seok)
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Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1524-475X.2012.00784.x/abstract
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