Cosmetic outcomes following transoral versus transcervical thyroidectomy

Chen, Lena; Razavi, Christopher R.; Hong, Hanna; Fondong, Akeweh; Ranganath, Rohit; Khatri, Surya; Mydlarz, Wojciech K.; Mathur, Aarti; Ishii, Masaru; Nellis, Jason C.; Shaear, Mohammad; Tufano, Ralph P.; Russell, Jonathon O.

doi:10.1002/hed.26383

Cited by 14 publications

(25 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The scale used four subdomain scores to describe the scar. The VAS is a subjective scar evaluation tool with scores ranging from 0 (worst possible) to 10 (best possible) 32,33 . According to Kim's research, the VAS score appears to be more appropriate for the assessment of simple facial wounds because it is ready and easy to use and sensitive, and its results are reproducible 34 .…”

Section: Discussionmentioning

confidence: 99%

“…The VAS is a subjective scar evaluation tool with scores ranging from 0 (worst possible) to 10 (best possible). 32,33 According to Kim's research, the VAS score appears to be more appropriate for the assessment of simple facial wounds because it is ready and easy to use and sensitive, and its results are reproducible. 34 Our study supports that BTXA can significantly improve the appearance of CL/P scars on the VAS score and reduce the width of scars, although the results showed no significant differences between an experimental group and a control group assessed by the VSS.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Botulinum toxin type A for preventing and treating cleft lip scarring—A systematic review and meta‐analysis

Tang

et al. 2022

J of Cosmetic Dermatology

View full text Add to dashboard Cite

Background Cleft lip and/or palate (CL/P) are congenital cleft facial deformities that are abnormal developments caused by errors in the fusion process of the embryo's face. Surgery is an important treatment, but postoperative scars will still cause psychological shadows to patients. This study aimed to systematically evaluate the efficacy of Botulinum toxin type A (BTXA) in preventing and treating postoperative CL/P scars and improving scar quality. Methods A systematic review was performed by searching PubMed, EMBASE, the Cochrane Library, and Web of Science for relevant trials. All relevant trials were performed before June 30, 2021. The data were entered into Revman 5.3 software, and a meta‐analysis was conducted by using the random‐effects model or fixed‐effects model. Results Four randomized controlled trials involving 161 cases were included. Through quantitative analysis, BTXA showed significant differences in preventing and treating postoperative CL/P scars in terms of scar width (MD: −0.20; [95% CI, −0.30, –0.10], p < 0.0001) and the Visual Analog Scale (VAS) (MD: 1.30; [95% CI, 1.06, 1.55], p < 0.0001), although no significant difference was noted on the Vancouver Scar Scale (VSS) (MD: −0.75; [95% CI, −1.68, 0.19], p = 0.12) between the two groups. Conclusion In preventing and treating postoperative CL/P scar hypertrophy, we found that BTXA injection can show better results. There was no statistically significant difference between the results after omitting Navarro's study or Chang's study because of the time of injection—before/during surgery or adult CL/P scars.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Botulinum toxin type A for preventing and treating cleft lip scarring—A systematic review and meta‐analysis

Tang

et al. 2022

J of Cosmetic Dermatology

View full text Add to dashboard Cite

show abstract

“…The transoral approach avoids external skin incisions and resultant potential complications such as granulomas, fistulas, and bleeding [ 20 , 35 ]. Further, the transoral approach offers a superior cosmetic outcome with no exterior scar that is becoming increasingly popularized, as seen in thyroidectomies, when comparing new transoral approaches with conventional trans-cervical ones [ 36 ]. Secondarily, TOTS ties the two ends of the suspension string together without the need of a screw.…”

Section: Discussionmentioning

confidence: 99%

Transoral Tongue Suspension for Obstructive Sleep Apnea—A Preliminary Study

Hsin

Lee

Lin

et al. 2022

JCM

View full text Add to dashboard Cite

Objectives: To evaluate the safety and efficacy of a novel technique for transoral tongue suspension (TOTS) in obstructive sleep apnea (OSA) patients. Material and Methods: The retrospective study enrolled 24 consecutive OSA patients (21 males; average age, 43 years; average apnea–hypopnea index (AHI), 42.2 event/h; average body mass index (BMI), 25.7 kg/m2) with tongue obstruction confirmed by drug-induced sleep endoscopy. All patients received TOTS as the main procedure in conjunction with uvulopalatopharyngoplasty (UPPP). Key procedures of TOTS included a transoral sublabial approach, drilling two holes on the mandible, passing the polypropylene through the hole to the tongue base using a suture passer and returning the polypropylene through loop traction, and tying the polypropylene to the mandible. Lingual tonsil ablation (n = 8) was also implemented in hypertrophic lingual tonsils (grades III and IV). Results: The operation time for TOTS was around 30 min. No wound bleeding or airway compromise occurred throughout the postoperative period. Minor complications were temporary and included swelling of the tongue, numbness of the lower incisor, and sublabial wound dehiscence (n = 2). The quality of life improved significantly in the patients’ subjective daytime sleepiness according to the Epworth Sleepiness Scale (11.4 ± 3.2 vs. 5.7 ± 1.6, p < 0.001). The objective parameters of OSA also improved significantly in the apnea/hypopnea index (42.2 ± 21.8 vs. 19.5 ± 16.2, p < 0.001), minimal oxygen saturation (77.1 ± 12.2 vs. 81.7 ± 8.1, p = 0.026), and snoring index (207 ± 141 vs. 101 ± 91, p = 0.03). Conclusions: The demonstrated TOTS showed its advantage in low morbidity with a scarless exterior and easy performance with free availability in treating adult OSA patients with tongue obstruction. TOTS combined with UPPP significantly improved AHI and daytime sleepiness. TOTS can be implemented with lingual tonsillectomy to achieve both stabilization of the tongue and widening of hypopharyngeal airway.

show abstract

“…Endoscopic thyroidectomy has excellent cosmetic effects in patients with thyroid cancer who desire to avoid visible scars on the anterior neck 1 . However, due to the learning curve, the rate of complications may be increased during the initial period of learning endoscopic thyroidectomy 2,3 .…”

Section: Introductionmentioning

confidence: 99%

“…Endoscopic thyroidectomy has excellent cosmetic effects in patients with thyroid cancer who desire to avoid visible scars on the anterior neck. 1 However, due to the learning curve, the rate of complications may be increased during the initial period of learning endoscopic thyroidectomy. 2,3 Hypoparathyroidism is one of the most common complications after total thyroidectomy, with an incidence rate of 30%-60% reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

Development of Artificial Intelligence for Parathyroid Recognition During Endoscopic Thyroid Surgery

Wang

Zheng

et al. 2022

The Laryngoscope

View full text Add to dashboard Cite

Objective: We aimed to establish an artificial intelligence (AI) model to identify parathyroid glands during endoscopic approaches and compare it with senior and junior surgeons' visual estimation.Methods: A total of 1,700 images of parathyroid glands from 166 endoscopic thyroidectomy videos were labeled. Data from 20 additional full-length videos were used as an independent external cohort. The YOLO V3, Faster R-CNN, and Cascade algorithms were used for deep learning, and the optimal algorithm was selected for independent external cohort analysis. Finally, the identification rate, initial recognition time, and tracking periods of PTAIR (Artificial Intelligence model for Parathyroid gland Recognition), junior surgeons, and senior surgeons were compared.Results: The Faster R-CNN algorithm showed the best balance after optimizing the hyperparameters of each algorithm and was updated as PTAIR. The precision, recall rate, and F1 score of the PTAIR were 88.7%, 92.3%, and 90.5%, respectively. In the independent external cohort, the parathyroid identification rates of PTAIR, senior surgeons, and junior surgeons were 96.9%, 87.5%, and 71.9%, respectively. In addition, PTAIR recognized parathyroid glands 3.83 s ahead of the senior surgeons (p = 0.008), with a tracking period 62.82 s longer than the senior surgeons (p = 0.006).Conclusions: PTAIR can achieve earlier identification and full-time tracing under a particular training strategy. The identification rate of PTAIR is higher than that of junior surgeons and similar to that of senior surgeons. Such systems may have utility in improving surgical outcomes and also in accelerating the education of junior surgeons.

show abstract

Cosmetic outcomes following transoral versus transcervical thyroidectomy

Cited by 14 publications

References 48 publications

Botulinum toxin type A for preventing and treating cleft lip scarring—A systematic review and meta‐analysis

Botulinum toxin type A for preventing and treating cleft lip scarring—A systematic review and meta‐analysis

Transoral Tongue Suspension for Obstructive Sleep Apnea—A Preliminary Study

Development of Artificial Intelligence for Parathyroid Recognition During Endoscopic Thyroid Surgery

Contact Info

Product

Resources

About