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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
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Patient's Scar Satisfaction after Conventional Thyroidectomy for Differentiated Thyroid Cancer
Massimo Campagnoli1, Valeria Dell'Era1, Maria Silvia Rosa1
1ENT Department Maggiore della Carità Hospital, 28100 Novara, Italy.
Journal of Personalized Medicine
|July 29, 2023
Summary
Patients undergoing thyroid cancer surgery reported improved scar satisfaction within 3 months. Different suture types did not significantly impact outcomes, and quality of life remained largely unaffected by differentiated thyroid carcinoma (DTC).
Area of Science:
- Endocrinology
- Surgical Oncology
- Quality of Life Research
Background:
- Differentiated thyroid carcinoma (DTC) is the most common endocrine malignancy.
- Surgical treatment for DTC significantly impacts patient quality of life (QoL) and aesthetics.
- Scarring is a key concern for patients post-thyroidectomy.
Purpose of the Study:
- To evaluate scar satisfaction in DTC patients after thyroidectomy.
- To compare scar satisfaction across different subcuticular suture techniques.
- To assess the impact of DTC and surgery on patient QoL.
Main Methods:
- Observational study with 74 DTC patients undergoing thyroidectomy.
- Utilized validated questionnaires: POSAS, PSAQ, ThyPRO, and EORTC QLQ-C30.
- 3-month follow-up to assess scar appearance and QoL.
Main Results:
- Overall scar satisfaction improved significantly by 3 months post-surgery.
- Subcuticular suture type did not influence scar satisfaction.
- Male patients reported higher scar satisfaction; age was not a significant factor.
- No statistically significant difference in QoL scores (ThyPRO, EORTC QLQ-C30) pre- and post-surgery.
Conclusions:
- DTC surgery leads to improved scar satisfaction over time.
- Suture technique has minimal impact on aesthetic outcomes.
- Differentiated thyroid carcinoma has a limited long-term impact on patient QoL.

