Influencia del resultado cosmético de la cicatriz de tiroidectomía en la calidad de vida de los pacientes

IF 1.3 4区医学 Q3 SURGERY

Cirugia Espanola Pub Date : 2025-04-01 DOI:10.1016/j.ciresp.2024.12.011

Fátima María Sánchez-Cabezudo Noguera , Jose Luis Muñoz de Nova , Mariana Garcia Virosta , Álvaro Valdés de Anca , Maria Antonia Vaquero Pérez , Elena Martin Perez , Antonio Luis Picardo Nieto

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Abstract

Introduction

This study in a Spanish population evaluates patient concerns about an anterior cervicotomy scar due to thyroid surgery, both before and after surgery.

Methods

This prospective, observational study included consecutive patients proposed for thyroidectomy who completed, prior to surgery, an adapted Dermatology Life Quality Index (DLQI) questionnaire regarding the expected results in relation to their scar. Six months after surgery, they completed the questionnaire again, with an additional evaluation of the scar using the Vancouver Scar Scale (VSS). Changes in the score were analyzed, as well as the possible influence of demographic and surgical factors on the results obtained.

Results

90 patients were included (78.9% women). Preoperative concern was generally low (DLQI 4.68), although the score for moderate preoperative concern was 16.7%. Female sex was associated with greater preoperative concern regarding the future outcome of the scar, and age had an inverse correlation with the DLQI score. After surgery, no patient had a significant impact. Age was inversely related to the impact of the scar on quality of life 6 months after surgery.

Conclusions

Patients who are scheduled to undergo conventional thyroid surgery show limited concern about the aesthetic result of their scar. The most concerned patients are young women. The aesthetic distress due to scars in Asian populations does not seem to transfer to our environment.

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甲状腺切除术疤痕的美容效果对患者生活质量的影响

本研究在西班牙人群中评估了患者术前和术后对甲状腺手术引起的颈前切开术疤痕的担忧。方法：这项前瞻性观察性研究纳入了拟行甲状腺切除术的连续患者，这些患者在手术前完成了一份关于疤痕预期结果的皮肤病学生活质量指数（DLQI）问卷。手术后6个月，他们再次完成问卷调查，并使用温哥华疤痕量表（VSS）对疤痕进行额外评估。分析评分的变化，以及人口统计学和手术因素对结果的可能影响。结果共纳入90例患者，其中78.9%为女性。术前担忧总体较低（DLQI为4.68），中度担忧评分为16.7%。女性患者术前对疤痕未来结局的担忧程度更高，年龄与DLQI评分呈负相关。手术后，没有患者有明显的影响。年龄与术后6个月疤痕对生活质量的影响呈负相关。结论拟行常规甲状腺手术的患者对瘢痕的美观效果关注有限。最受关注的病人是年轻女性。亚洲人因伤疤而产生的审美困扰似乎并没有转移到我们的环境中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.