Transcervical Submandibular Approach: A Patient and Observer Scar Objective Score appraisal

Abstract

OBJECTIVE:The purpose of this study was to assess the functional and aesthetical performance of transcervical submandibular incision for various procedures in the submandibular area. MATERIALS AND METHODS:The study is a prospective case series for the introduction of the patient and observer scar assessment scale in the postoperative assessment of linear surgical scars in the neck region. Primary outcome variable was the functional and aesthetical outcome performance of transcervical submandibular incision. Statistical significance was set at the 5% level. RESULTS: Twenty-one patients with various procedures in the submandibular area were enrolled in this study. Only three patients reported a transient mild dysfunction in the first week, which dissipated in the subsequent follow up period. The patient side of the scar assessment scale ranged from 7 to 19, with a mean record of 10.2 ± 3.45 and a total satisfaction rate of 85.7% was reported by the patients. The observer side of the scar assessment scale ranged from 19 to 25, with a mean record of 21.9 ± 1.42. Furthermore, an extreme degree of reliability was reported when evaluating the outcomes of both different observers (P<0.001). CONCLUSION:The transcervical approach granted the patients a safer approach, regarding the safety of the marginal mandibular nerve, and a more aesthetically pleasing outcome with superb patient satisfaction. Furthermore, the utilization of the Patient and Observer Scar Assessment Scale in linear facial scars assessment offers a reliable and consistent tool with easy to implement tool.