Pradeep Puthen Veetil
Department of Endocrine Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India 673004.
Acta Otorhinolaryngol Ital. 2021 Feb;41(1):39-42. doi: 10.14639/0392-100X-N1141.
With the introduction of remote access thyroidectomy questions regarding patient satisfaction after trans-cervical thyroidectomy has been raised in several publications. As far as neck scars are concerned, patient satisfaction in the early post-operative period and long term are different. This study assessed patient satisfaction regarding their neck scar in the early post-operative period and at long term follow-up.
Retrospective study. Patients underwent total thyroidectomy by single surgeon. Scar satisfaction scores assessed at different time intervals (< 6 weeks, 6 months, 2 years and 5 years after procedure). Scores of patients aged < 35 years and > 35 years were compared. Patient and observer scar assessment scales (PSAS, OSAS) and patient satisfaction score (PSS) were used.
595 patients were included (443 females and 152 males, age 19-77 years). Improvement was observed in the PSAS (13.5 ± 2.3 at 6 weeks; to 4.32 ± 1.37 at 5 years; p < 0.05) and OSAS (7.32 ± 1.35 to 4.18 ± 1.51; p < 0.05). PSS improved over time from 1.8 ± 0.8 to 0.92 ± 0.66 (p < 0.05). The satisfaction scores were higher in patients < 35 years (p = 0.003). The scores indicated excellent patient satisfaction and are similar to those published in the literature regarding minimally invasive surgery (MIS).
Proper incision placement and suturing resulted in excellent patient satisfaction regarding scars after conventional thyroidectomy.
随着远程接入甲状腺切除术的引入，经颈部甲状腺切除术后患者满意度的问题在一些出版物中被提出。就颈部疤痕而言，术后早期和长期的患者满意度有所不同。本研究评估了患者术后早期和长期随访时对颈部疤痕的满意度。
回顾性研究。患者由单一外科医生进行全甲状腺切除术。在不同时间间隔（术后<6周、6个月、2年和5年）评估疤痕满意度评分。比较年龄<35岁和>35岁患者的评分。使用患者和观察者疤痕评估量表（PSAS、OSAS）以及患者满意度评分（PSS）。
纳入595例患者（443例女性和152例男性，年龄19 - 77岁）。观察到PSAS有所改善（6周时为13.5±2.3；5年时为4.32±1.37；p<0.05）以及OSAS有所改善（从7.32±1.35至4.18±1.51；p<0.05）。PSS随时间从1.8±0.8改善至0.92±0.66（p<0.05）。<35岁患者的满意度评分更高（p = 0.003）。这些评分表明患者满意度极佳，且与文献中关于微创手术（MIS）的报道相似。
正确的切口位置和缝合导致传统甲状腺切除术后患者对疤痕的满意度极佳。
