4.5 Article

Time Heals Most Wounds- Perceptions of Thyroidectomy Scars in Patients With Thyroid Cancer

Journal

JOURNAL OF SURGICAL RESEARCH
Volume 270, Issue -, Pages 437-443

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.jss.2021.09.041

Keywords

Thyroidectomy; Scar; Papillary thyroid cancer

Categories

Funding

  1. University of Wisconsin Carbone Cancer Center Support Grant [P30 CA014520]
  2. National Cancer Institute (NCI) of the National Institutes of Health (NIH) [R01CA176911]
  3. NCI/NIH Award [K08CA230204]

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Most patients with papillary thyroid cancer have minimal concerns about the appearance of their thyroidectomy scar, with preoperative concerns often stemming from previous surgery experiences or unease with neck incisions. Concerns about scar appearance decrease over time throughout the healing period, with the majority of patients being satisfied with their scar appearance by 6 months after surgery.
Background: Patients understandably have concerns about thyroidectomy scars. This study aimed to characterize patients' perceptions of their thyroidectomy scar before and up to 1-y after surgery. Methods: Patients with papillary thyroid cancer ( n = 83) completed semi-structured interviews before and at 2-wks, 6-Wk, 6-mo, and 1-y post-thyroidectomy. Interviews probed about scar concerns and appearance. Content analysis was used to identify themes. Results: The majority of participants did not express concerns about scar appearance. When expressed, preoperative concerns often stemmed from previous surgery experiences or unease with neck incisions. Postoperatively, concerns about scar appearance decreased over time throughout the healing period with most patients being satisfied with their scar appearance by 6-mo after surgery. Conclusions: Patients with papillary thyroid cancer express few concerns about scar thyroidectomy appearance. Surgeons can reassure patients who have preoperative concerns that most patients are satisfied with their scar appearance by 6-mo after surgery. (c) 2021 Elsevier Inc. All rights reserved.

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