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Related Experiment Video

Updated: Feb 28, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Aesthetics in Thyroid Surgery: The Patient Perspective.

Katrina Chaung1, William S Duke1, Sun Jung Oh1

  • 11 Department of Otolaryngology-Head and Neck Surgery, Augusta University, Augusta, Georgia, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|June 14, 2017
PubMed
Summary

Patients prefer shorter, thinner thyroidectomy scars. Scar length and width significantly impact cosmetic perception, with ethnic differences noted. Surgeons should aim for minimal incision length for better cosmetic outcomes.

Keywords:
cosmeticminimally invasivescarthyroid surgerythyroidectomy

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Area of Science:

  • Endocrine Surgery
  • Plastic Surgery
  • Patient-Reported Outcomes

Background:

  • Thyroidectomy is a common procedure with significant implications for patient cosmesis.
  • Patient perception of scar appearance is a crucial factor in overall satisfaction.
  • Understanding factors influencing scar cosmesis can guide surgical practice and improve patient experience.

Purpose of the Study:

  • To identify key characteristics influencing patient perceptions of thyroidectomy scar cosmesis.
  • To evaluate the impact of scar length and width on perceived scar quality.
  • To explore demographic differences in scar perception.

Main Methods:

  • Prospective cohort study involving 136 patients undergoing thyroid or sinus surgery.
  • Evaluation of standardized photographs with computer-generated scars of varying lengths (2-6 cm) and widths (1-2 mm).
  • Assessment of scar perception using the Observer Scar Assessment Scale (OSAS) domains.

Main Results:

  • Longer scars were perceived as worse than shorter scars, controlling for width (P < .01).
  • Thicker scars were perceived as worse than thinner scars, controlling for length (P < .01).
  • Nonwhite patients tended to perceive scars as worse than white patients (P < .01).

Conclusions:

  • Shorter and thinner thyroidectomy scars are preferred across demographics.
  • Scar length and width are significant determinants of cosmetic outcome.
  • Ethnic variations in scar perception warrant further investigation, and surgeons should prioritize minimal incision length for optimal cosmesis.