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

Published online by Cambridge University Press:  05 December 2016

C Rajakumar ,
P C Doyle ,
M G Brandt ,
C C Moore ,
A Nichols ,
J H Franklin ,
J Yoo  and
K Fung
C Rajakumar
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
P C Doyle
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada Rehabilitation Sciences, Western University, London, Ontario, Canada
M G Brandt
Affiliation:
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology – Head and Neck Surgery, University of Toronto, Ontario, Canada
C C Moore
Affiliation:
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology – Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
A Nichols
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
J H Franklin
Affiliation:
Department of Otolaryngology, Queen's University School of Medicine, Kingston, Ontario, Canada
J Yoo
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
K Fung*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
*
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
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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.

Keywords

ThyroidectomyThyroid GlandCicatrixMinimally Invasive Surgical ProceduresOtolaryngologyEndocrine Surgical ProceduresAesthetics
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 1 , January 2017 , pp. 13 - 18
Copyright
Copyright © JLO (1984) Limited 2016 

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Footnotes

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

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