PMID- 35851368
OWN - NLM
STAT- MEDLINE
DCOM- 20220720
LR  - 20220720
IS  - 2078-5151 (Electronic)
IS  - 0038-2361 (Linking)
VI  - 60
IP  - 2
DP  - 2022 Jun
TI  - The impact of non-closure of the platysma muscle layer on the cosmesis of 
      thyroidectomy scar - a randomised double-blind controlled trial.
PG  - 128-133
AB  - BACKGROUND: The relevance of closing the platysma muscle layer after open 
      thyroidectomy has received little interest in terms of research. The objective 
      was to determine whether non-closure of the platysma muscle layer after open 
      thyroidectomy impacts significantly on the cosmetic outcome of the resulting 
      collar scar. METHODS: In this prospective randomised controlled clinical trial, 
      patients were assigned randomly to have the platysma muscle layer closed or not 
      closed. The primary endpoint was the cosmesis of the collar scar six weeks after 
      surgery assessed using the patient and observer scar assessment scale (POSAS). 
      Additional endpoints included operation time and early postoperative wound 
      complications. RESULTS: Ninety-two patients were recruited, with 46 randomised to 
      each group. The patient scar assessment subscale(PSAS) of the POSAS showed no 
      significant difference in the scar cosmesis between the two groups six weeks 
      after surgery (median PSAS: 16.5 vs 17.5; p = 0.514). The observer scar 
      assessment subscale (OSAS) showed that the platysma muscle layer closure group 
      had marginally better scars (median OSAS: 15 vs 17; p = 0.045). The size of the 
      goitre did not make any significant difference in the scar cosmesis. There was no 
      significant difference in the incidence of early postoperative wound 
      complications as well as the median operation time. CONCLUSION: Not closing the 
      platysma muscle layer had no significant impact on the scar cosmesis six weeks 
      after open thyroidectomy, with no significant difference in the incidence of 
      early postoperative wound complications and the operation time.
CI  - Copyright(c) Authors.
FAU - Ayandipo, O O
AU  - Ayandipo OO
AD  - Department of Surgery, College of Medicine, University of Ibadan and University 
      College Hospital, Nigeria.
FAU - Afolabi, A O
AU  - Afolabi AO
AD  - Department of Surgery, College of Medicine, University of Ibadan and University 
      College Hospital, Nigeria.
FAU - Onwudinjor, C J
AU  - Onwudinjor CJ
AD  - Department of Surgery, University College Hospital, Nigeria.
FAU - Ezeme, C
AU  - Ezeme C
AD  - Department of Surgery, University College Hospital, Nigeria.
FAU - Adigun, T A
AU  - Adigun TA
AD  - Department of Anaesthesia, College of Medicine, University of Ibadan and 
      University College Hospital, Nigeria.
FAU - Bello, S
AU  - Bello S
AD  - Department of Epidemiology and Medical Statistics, College of Medicine, 
      University of Ibadan, Nigeria.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - South Africa
TA  - S Afr J Surg
JT  - South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie
JID - 2984854R
SB  - IM
MH  - Cicatrix/etiology/pathology/prevention & control
MH  - Humans
MH  - Postoperative Complications/etiology
MH  - *Sleep Apnea, Obstructive/complications
MH  - *Superficial Musculoaponeurotic System
MH  - Suture Techniques
MH  - Thyroidectomy/adverse effects/methods
EDAT- 2022/07/20 06:00
MHDA- 2022/07/22 06:00
CRDT- 2022/07/19 08:17
PHST- 2022/07/19 08:17 [entrez]
PHST- 2022/07/20 06:00 [pubmed]
PHST- 2022/07/22 06:00 [medline]
PST - ppublish
SO  - S Afr J Surg. 2022 Jun;60(2):128-133.