Early intervention in thyroidectomy scars: demographics, symptoms, and prevention.
l 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. l Method: A retrospective ch...
| Publicado en: | Journal of Wound Care Vol. 24; no. 4; pp. 163 - 172 |
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| Autores principales: | , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Apr2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103793117&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103793117 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09690700 H3U jtl: Journal of Wound Care issn: 09690700 maglogo: N pubinfo: dt: Apr2015 vid: 24 iid: 4 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 103793117 102261857 10.12968/jowc.2015.24.4.163 NLM25853473 103793117 ppf: 163 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Early intervention in thyroidectomy scars: demographics, symptoms, and prevention. aug: au: J.U. Shin J.H. Park S.H. Oh J.J. Jeong S. Kang K. Nam W.Y. Chung J.H. Lee affil: Research Assistant Professor, Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea sug: subj: Thyroidectomy Cicatrix, Hypertrophic Prevention and Control Cicatrix, Hypertrophic Risk Factors Risk Assessment Methods Human Retrospective Design Record Review Female Male Cicatrix, Hypertrophic Epidemiology Multivariate Analysis Descriptive Statistics Funding Source Prospective Studies ROC Curve Odds Ratio Confidence Intervals Logistic Regression Data Analysis Software Adult Middle Age Asians Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: l 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. l 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. l 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. l 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. l Declaration of interest: The authors have no proprietary or commercial interest in any materials discussed in this article. The authors have no conflict of interest. This study was supported by a faculty research grant of Yonsei University College of Medicine for 2007 (6-2007-0142). This research was also supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science, and Technology (7-2010-0285, 7-2011-0203). pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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