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Surgical Endoscopy
Published in: Surgical Endoscopy 8/2020

01-08-2020 | Face Lift

Comparison of postoperative cosmesis in transaxillary, postauricular facelift, and conventional transcervical thyroidectomy

Authors: Dong Won Lee, Seok Hwa Ko, Chang Myeon Song, Yong Bae Ji, Jeong Kyu Kim, Kyung Tae

Published in: Surgical Endoscopy | Issue 8/2020

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Abstract

Background

The most important advantage of remote-access robotic and endoscopic thyroidectomies is believed to be the excellent postoperative cosmesis. The purpose of this study was to compare directly the postoperative cosmetic outcomes of robotic/endoscopic thyroidectomy via gasless transaxillary and postauricular facelift approaches with those of conventional thyroidectomy.

Methods

We prospectively studied 100 patients who underwent robotic/endoscopic thyroidectomy using a gasless unilateral axillary (GUA) approach (50 patients) or a postauricular facelift approach (50 patients), and 50 who underwent conventional transcervical thyroidectomy. Postoperative cosmetic satisfaction scores and scar consciousness scores were evaluated at 3 months and 1 year after surgery using questionnaires developed by us. Vancouver scar scales were evaluated at the same time. The cosmetic satisfaction score was defined as the sum of the two cosmetic satisfaction questions with a rating scale of 1–5 each. The scar consciousness score was defined as the sum of the four scar consciousness questions with a rating scale of 0–3 each.

Results

The cosmetic satisfaction and scar consciousness scores were significantly lower (corresponding to greater satisfaction) in the transaxillary and postauricular facelift groups than the conventional group at 3 months and 1 year postoperatively. They did not differ between the transaxillary and postauricular facelift groups. However, the Vancouver scar scale score of the conventional group was significantly lower than those of the transaxillary and postauricular facelift groups (P < 0.001 in both).

Conclusion

Robotic/endoscopic thyroidectomy via transaxillary or postauricular facelift approaches results in better cosmesis than the conventional approach. However, scar healing itself is worse in the transaxillary and facelift approaches than the conventional approach.
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Metadata
Title
Comparison of postoperative cosmesis in transaxillary, postauricular facelift, and conventional transcervical thyroidectomy
Authors
Dong Won Lee
Seok Hwa Ko
Chang Myeon Song
Yong Bae Ji
Jeong Kyu Kim
Kyung Tae
Publication date
01-08-2020
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 8/2020
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-019-07113-1

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