Quality of Scar after Total Thyroidectomy: A Single Blinded Randomized Trial Comparing Octyl-Cyanoacrylate and Subcuticular Absorbable Suture

Consorti, Fabrizio; Mancuso, Rosaria; Piccolo, Annalisa; Pretore, Eugenio; Antonaci, A

doi:10.1155/2013/270953

Cited by 23 publications

(49 citation statements)

References 32 publications

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“…The observed difference between the OSAS and the PSAS score is in agreement with some recurrent findings of the literature, which tend to undervalue the influence of the subject's satisfaction, compared to trained evaluator assessment [15]. This is due to the fact that the individuals assessed their striae in a highly subjective, various, and difficult to capture way, resulting in a weak intersubjective comparability of judgments.…”

Section: Discussionsupporting

confidence: 88%

Carbocysteine: A New Way for Stretch Marks Treatment

Scarci¹,

Mailland²

2015

JCDSA

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Background/Purpose: Although stretch marks (or striae) do not represent a medical problem, they are considered as the cause of psychological distress for women of any age that need to be treated. There are many cosmetic products or procedures claiming to improve the appearance of striae, but most of them are able to affect only striae appearance rather than physical characteristics or, even worse, they are provided with untoward effects. Our aim was to find a more efficacious and safe alternative to the existing tools. Methods: A randomized, blind observer study was conducted on 33 women to test the efficacy and safety of P-3059, a new product containing carboxymethylcysteine, Vitamin E and sweet almond oil. P-3059 was applied twice daily for 8 weeks and it was tested intra-subject in a split-body design versus an untreated area (negative control), comparing two symmetric areas with striae selected on the body/legs of each subject. The main study endpoint was the visual evaluation of striae, by means of the validated POSAS scale (consisting of two parts, OSAS and PSAS), at the end of treatment in comparison with baseline. Results: The comparison of the individual parameters of OSAS, showed significantly improved mean values for striae thickness, relief and pliability at the end of treatment (p < 0.05). The PSAS evaluation showed a statistically significant benefit in the improvement in thickness of the striae towards that of normal skin (p < 0.044). Conclusion: The new product based on carboxymethylcysteine leads to an improvement in the appearance and in the physical characteristics of striae, reducing their thickness and improving relief and pliability, as well as subjects satisfaction.

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Section: Discussionsupporting

confidence: 88%

Carbocysteine: A New Way for Stretch Marks Treatment

Scarci¹,

Mailland²

2015

JCDSA

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“…One paper by Guarino et al was a retrospective cohort study. Three studies compared staples vs glue; three papers compared sutures vs staples; two papers compared suture vs steri‐strips; and two papers compared sutures vs glue . A total of 742 patients were included in this review.…”

Section: Resultsmentioning

confidence: 99%

“…With regards to surgical procedure, all but one, Vinay et al, included a description of the procedure performed, although to varying detail. Five papers described platysma closure, and four papers described subcutaneous closure prior to skin/epidermal closure. Pronio et al reported the use of ceftriaxone as prophylactic antibiotics.…”

Section: Resultsmentioning

confidence: 99%

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Optimal wound closure techniques for thyroid and parathyroid surgery: A systematic review of cosmetic outcomes

Lee

Ward

Oremule

et al. 2019

Clinical Otolaryngology

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Objectives Cosmesis after surgical wound closure is an important outcome. This is relevant after thyroid and parathyroid surgery as anterior neck scars are visible and often of concern to patients. We aimed to investigate whether wound closure method influences cosmetic outcome in thyroid and parathyroid surgery, in particular using sutures, staples, steri‐strips and glue. Design We performed a systematic review of MEDLINE, PubMed, EMBASE, CINAHL and Cochrane focusing on wound cosmesis following thyroid and parathyroid surgery. Searches were conducted using combinations of the search terms: thyroid/parathyroid surgery, wound/skin closure and suture, staples, clips, glue and steri‐strips, using appropriate MESH terms and Boolean operators. Main outcome measures Primary outcome was wound cosmesis. Secondary measures were also extracted. Results Initial search found 304 papers and after systematic review, a total of 10 studies compared different closure methods and cosmetic outcomes. There were nine randomised controlled trials and one cohort study, with a total of 712 patients. Three studies compared staples vs glue; three compared sutures vs clips; two compared suture vs steri‐strips and two studies for suture vs glue. In general, short‐term cosmesis was better with subcuticular sutures compared to glue or clips, long‐term cosmetic outcomes were not influenced by closure method. Conclusions We found closure with subcuticular suture or steri‐strips produced superior short‐term cosmetic outcomes. Although long‐term cosmetic outcome is not influenced by closure method, given the superior cosmetic outcome and advantage of not needing removal, we recommend subcuticular sutures should be performed for wound closure in thyroid and parathyroid surgery.

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“…Observer-based ratings have been used elsewhere to evaluate thyroidectomy scar aesthetics without making a comparison to other approaches and to compare alternative methods of skin closure. [26][27][28] Another potential source of error in prior studies is having raters assess scars with no frame of reference. Without a frame of reference, a rater may judge a scar to be favourable or unfavourable that they would judge differently if they were aware that other potential scars were possible.…”

Section: Discussionmentioning

confidence: 99%

A paired comparison analysis of third-party rater thyroidectomy scar preference

et al. 2016

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Objective: To determine the length and position of a thyroidectomy scar that is cosmetically most appealing to naïve raters.Methods: Images of thyroidectomy scars were reproduced on male and female necks using digital imaging software. Surgical variables studied were scar position and length. Fifteen raters were presented with 56 scar pairings and asked to identify which was preferred cosmetically. Twenty duplicate pairings were included to assess rater reliability. Analysis of variance was used to determine preference.Results: Raters preferred low, short scars, followed by high, short scars, with long scars in either position being less desirable ( p < 0.05). Twelve of 15 raters had acceptable intra-rater and inter-rater reliability.Conclusion: Naïve raters preferred low, short scars over the alternatives. High, short scars were the next most favourably rated. If other factors influencing incision choice are considered equal, surgeons should consider these preferences in scar position and length when planning their thyroidectomy approach.

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Quality of Scar after Total Thyroidectomy: A Single Blinded Randomized Trial Comparing Octyl-Cyanoacrylate and Subcuticular Absorbable Suture

Cited by 23 publications

References 32 publications

Carbocysteine: A New Way for Stretch Marks Treatment

Carbocysteine: A New Way for Stretch Marks Treatment

Optimal wound closure techniques for thyroid and parathyroid surgery: A systematic review of cosmetic outcomes

A paired comparison analysis of third-party rater thyroidectomy scar preference

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