Choi Woo Kyoung, Shin Hui Young, Park Yu Jeong, Lee Seung Ho, Lee Ai-Young, Hong Jong Soo
Department of Dermatology, Dongguk University Ilsan Hospital, College of Medicine, Dongguk University, Goyang, South Korea.
Heliyon. 2024 Apr 16;10(9):e29301. doi: 10.1016/j.heliyon.2024.e29301. eCollection 2024 May 15.
The incidence of thyroid cancer has increased over the decades, and patients prefer short thin scars after thyroidectomy due to their cosmetic visibility. Several scar assessment methods have been used to determine the most cosmetically optimal surgical method, but a widely accepted measurement tool is still lacking. This study investigates the usage status in the thyroid scar scale according to time, region, and study method.
The authors searched for articles on thyroid scars published between January 2000 and September 2022 in the PubMed database. The study included clinical studies that mentioned thyroid scar and scar scale, excluding articles that did not evaluate neck scars. Statistical analysis was performed using IBM SPSS Statistics 29.
A total of 35 studies were included. Among them, 17 used the Vancouver Scar Scale (VSS), 17 used the Patient and Observer Scar Assessment Scale (POSAS), four used the Manchester Scar Scale (MSS), and four used the Stony Brook Scar Evaluation Scale (SBSES). VSS and POSAS were the most commonly used scar evaluation methods. VSS tended to be used frequently in Asia, while POSAS was used frequently in Europe and in randomized controlled trials.
VSS and POSAS are popular thyroid scar assessment methods, with regional variations. Standardization is needed for meaningful comparisons. Patient's subjective evaluations should be considered, given the cosmetic importance of thyroid scars.
几十年来甲状腺癌的发病率有所上升，由于美观性，甲状腺切除术后患者更喜欢短而细的疤痕。已经使用了几种疤痕评估方法来确定最具美容效果的手术方法，但仍缺乏一种被广泛接受的测量工具。本研究根据时间、地区和研究方法调查了甲状腺疤痕量表的使用情况。
作者在PubMed数据库中检索了2000年1月至2022年9月期间发表的关于甲状腺疤痕的文章。该研究包括提及甲状腺疤痕和疤痕量表的临床研究，排除未评估颈部疤痕的文章。使用IBM SPSS Statistics 29进行统计分析。
共纳入35项研究。其中，17项使用温哥华疤痕量表（VSS），17项使用患者和观察者疤痕评估量表（POSAS），4项使用曼彻斯特疤痕量表（MSS），4项使用石溪疤痕评估量表（SBSES）。VSS和POSAS是最常用的疤痕评估方法。VSS在亚洲使用频率较高，而POSAS在欧洲和随机对照试验中使用频率较高。
VSS和POSAS是常用的甲状腺疤痕评估方法，存在地区差异。为了进行有意义的比较，需要标准化。考虑到甲状腺疤痕的美容重要性，应考虑患者的主观评价。
