Skip to main content Accessibility help
×
Home

A paired comparison analysis of third-party rater thyroidectomy scar preference

  • C Rajakumar (a1), P C Doyle (a1) (a2), M G Brandt (a3), C C Moore (a4), A Nichols (a1), J H Franklin (a5), J Yoo (a1) and K Fung (a1)...

Abstract

Objective:

To determine the length and position of a thyroidectomy scar that is cosmetically most appealing to naïve raters.

Methods:

Images of thyroidectomy scars were reproduced on male and female necks using digital imaging software. Surgical variables studied were scar position and length. Fifteen raters were presented with 56 scar pairings and asked to identify which was preferred cosmetically. Twenty duplicate pairings were included to assess rater reliability. Analysis of variance was used to determine preference.

Results:

Raters preferred low, short scars, followed by high, short scars, with long scars in either position being less desirable (p < 0.05). Twelve of 15 raters had acceptable intra-rater and inter-rater reliability.

Conclusion:

Naïve raters preferred low, short scars over the alternatives. High, short scars were the next most favourably rated. If other factors influencing incision choice are considered equal, surgeons should consider these preferences in scar position and length when planning their thyroidectomy approach.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      A paired comparison analysis of third-party rater thyroidectomy scar preference
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      A paired comparison analysis of third-party rater thyroidectomy scar preference
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      A paired comparison analysis of third-party rater thyroidectomy scar preference
      Available formats
      ×

Copyright

Corresponding author

Address for correspondence: Dr Kevin Fung, Department of Otolaryngology – Head and Neck Surgery, Room B3-427, Victoria Hospital, 800 Commissioners Road East, London, Ontario, Canada N6A 5W9 Fax: +1 519 685 8567 E-mail: kevin.fung@lhsc.on.ca

Footnotes

Hide All

Presented as a poster at the Triological Society Annual Meeting, 20–21 April 2012, San Diego, California, USA.

Footnotes

References

Hide All
1 Miccoli, P, Berti, P, Raffaelli, M, Materazzi, G, Baldacci, S, Rossi, G. Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study. Surgery 2001;130:1039–43
2 Bellantone, R, Lombardi, CP, Bossola, M, Boscherini, M, De Crea, C, Alesina, PF et al. Video-assisted vs conventional thyroid lobectomy: a randomized trial. Arch Surg 2002;137:301–5
3 Ikeda, Y, Takami, H, Sasaki, Y, Takayama, J, Niimi, M, Kan, S. Clinical benefits in endoscopic thyroidectomy by the axillary approach. J Am Coll Surg 2003;196:189–95
4 Perigli, G, Cortesini, C, Qirici, E, Boni, D, Cianchi, F. Clinical benefits of minimally invasive techniques in thyroid surgery. World J Surg 2008;32:4550
5 Sgourakis, G, Sotiropoulos, GC, Neuhauser, M, Musholt, TJ, Karaliotas, C, Lang, H. Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: is there any evidence-based information? Thyroid 2008;18:721–7
6 Chen, XD, Peng, B, Gong, RX, Wang, L, Liao, B, Li, CL. Endoscopic thyroidectomy: an evidence-based research on feasibility, safety and clinical effectiveness. Chin Med J (Engl) 2008;121:2088–94
7 Radford, PD, Ferguson, MS, Magill, JC, Karthikesalingham, AP, Alusi, G. Meta-analysis of minimally invasive video-assisted thyroidectomy. Laryngoscope 2011;121:1675–81
8 Liu, J, Song, T, Xu, M. Minimally invasive video-assisted versus conventional open thyroidectomy: a systematic review of available data. Surg Today 2012;42:848–56
9 Pisanu, A, Podda, M, Reccia, I, Porceddu, G, Uccheddu, A. Systematic review with meta-analysis of prospective randomized trials comparing minimally invasive video-assisted thyroidectomy (MIVAT) and conventional thyroidectomy (CT). Langenbecks Arch Surg 2013;398:1057–68
10 Park, CS, Chung, WY, Chang, HS. Minimally invasive open thyroidectomy. Surg Today 2001;31:665–9
11 Rafferty, M, Miller, I, Timon, C. Minimal incision for open thyroidectomy. Otolaryngol Head Neck Surg 2006;135:295–8
12 Henry, JF. Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision. Langenbecks Arch Surg 2008;393:621–6
13 Kandil, E, Hammad, AY, Walvekar, RR, Hu, T, Masoodi, H, Mohamed, SE et al. Robotic thyroidectomy versus nonrobotic approaches: a meta-analysis examining surgical outcomes. Surg Innov 2016;23:317–25
14 O'Connell, DA, Diamond, C, Seikaly, H, Harris, JR. Objective and subjective scar aesthetics in minimal access vs conventional access parathyroidectomy and thyroidectomy surgical procedures: a paired cohort study. Arch Otolaryngol Head Neck Surg 2008;134:8593
15 Bartko, JG. The intraclass correlation coefficient as a measure of reliability. Psychol Rep 1966;19:311
16 Gwet, KL. Intrarater reliability. In: D'Agostino, RB, Sullivan, L, Massaro, J, eds. Wiley Encyclopedia of Clinical Trials. Hoboken, NJ: John Wiley and Sons, 2008;473–85
17 Landis, JR, Koch, GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159–74
18 Shrout, PE, Fleiss, JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull 1979;86:420–8
19 Jancewicz, S, Sidhu, S, Jalaludin, B, Campbell, P. Optimal position for a cervical collar incision: a prospective study. ANZ J Surg 2002;72:1517
20 Casserly, P, Kirby, R, Timon, C. Outcome measures and scar aesthetics in minimally invasive video-assisted parathyroidectomy. Arch Otolaryngol Head Neck Surg 2010;136:260–4
21 Brandt, MG, Moore, CC, Micomonaco, D, Fung, K, Franklin, JH, Yoo, J et al. A prospective randomized evaluation of scar assessment measures. Laryngoscope 2009;119:841–5
22 Toll, EC, Loizou, P, Davis, CR, Porter, GC, Pothier, DD. Scars and satisfaction: do smaller scars improve patient-reported outcome? Eur Arch Otorhinolaryngol 2012;269:309–13
23 Linos, D, Economopoulos, KP, Kiriakopoulos, A, Linos, E, Petralias, A. Scar perceptions after thyroid and parathyroid surgery: comparison of minimal and conventional approaches. Surgery 2013;153:400–7
24 Kim, SM, Chun, KW, Chang, HJ, Kim, BW, Lee, YS, Chang, HS et al. Reducing neck incision length during thyroid surgery does not improve satisfaction in patients. Eur Arch Otorhinolaryngol 2015;272:2433–8
25 Economopoulos, KP, Petralias, A, Linos, E, Linos, D. Psychometric evaluation of patient scar assessment questionnaire following thyroid and parathyroid surgery. Thyroid 2012;22:145–50
26 Sahm, M, Schwarz, B, Schmidt, S, Pross, M, Lippert, H. Long-term cosmetic results after minimally invasive video-assisted thyroidectomy. Surg Endosc 2011;25:3202–8
27 Ridgway, DM, Mahmood, F, Moore, L, Bramley, D, Moore, PJ. A blinded, randomised, controlled trial of stapled versus tissue glue closure of neck surgery incisions. Ann R Coll Surg Engl 2007;89:242–6
28 Consorti, F, Mancuso, R, Piccolo, A, Pretore, E, Antonaci, A. Quality of scar after total thyroidectomy: a single blinded randomized trial comparing octyl-cyanoacrylate and subcuticular absorbable suture. ISRN Surg 2013;2013:270953
29 Brandt, MG, Franklin, JH, Osborn, HA, Fung, K, Yoo, J, Doyle, PC. The Western Surgical Concern Inventory-Thyroid: development and initial validation. Otolaryngol Head Neck Surg 2012;147:227–32

Keywords

A paired comparison analysis of third-party rater thyroidectomy scar preference

  • C Rajakumar (a1), P C Doyle (a1) (a2), M G Brandt (a3), C C Moore (a4), A Nichols (a1), J H Franklin (a5), J Yoo (a1) and K Fung (a1)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed