Cosmetic aspects in minimally invasive parathyroidectomy: Is minimally invasive approach superior?
Journal Title: Ege Tıp Dergisi - Year 2018, Vol 57, Issue 2
Abstract
Aim: The aim of this study was to determine whether minimally invasive parathyroid surgery has any positive impact on cosmesis. Materials and Methods: This case control study included 28 parathyroidectomized patients, who had been operated between January 2006 – December 2008. All patients were called back for at least 8 months after surgery. Demographics were recorded. Minimally invasive parathyroidectomy versus conventional parathyroidectomy were compared by means of skin features (using Fitzpatrick’s classification), results of patient and independent observer scar assessment scales and photographic scar analysis by the blinded plastic surgeon. Results: There were no differences in demographics and Fitzpatrick’s classification between both groups. As expected, incision length of the minimal invasive group was significantly shorter (2.6±0.5cm vs. 4.9±1.0 cm, p=0.02). Meanwhile, no significant difference in objective outcomes of patients between groups was recorded. There was also no significant difference in photographic scar analysis between groups, while independent observer scar assessment scale scores were better in the minimal invasive group (p=0.03). Conclusion: Although superior results of an independent observer, assessment of cosmesis by the plastic surgeon and the patient him/herself revealed no superiority of the minimally invasive approach, when compared to conventional parathyroid surgery.
Authors and Affiliations
Özer Makay, Varlık Erol, Gökhan İçöz, Şafak Öztürk, Övünç Akdemir, Mahir Akyıldız
Keywords
Related Articles
- EP ID EP459941
- DOI -
- Views 93
- Downloads 0
Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles
Aim: To evaluate the role of using 18 Gauge (G) and 20G sharp needles in ultrasonography (US)-guided percutaneous liver mass biopsy regarding diagnostic success and efficacy is aimed. Materials and Methods: Sixty patient...
Skin necrosis: An uncommon side effect of warfarin therapy
Warfarin is commonly used in the treatment and prevention of thromboembolic events. However, it is known to undesirably cause hypercoagulable conditions, including warfarin-induced skin necrosis (WISN). This report descr...
İnflamatuar miyozitler: İdiyopatik mi? Çakışma mı? Paraneoplastik mi?
İnflamatuar miyozitler temel olarak kas inflamasyonu ile karakterize, bunun yanında cilt, akciğer, kalp, gastrointestinal sistem gibi ekstramusküler tutulum yapabilen heterojen bir grup hastalıktır. Proksimal kas güçsüzl...
The functional dependency rates of Bornova district residents over age 65
Aim: The elderly populations of societies are increasing proportionately as a result of increased life expectancy. The increase in the elderly population is important in shaping the health and social policies of society....
Amebiasis in families with high socioeconomic level: Two cases
Amebiasis is a parasitic infection caused Entamoeba histolytica. The parasitic infection is endemic in tropical and subtropical regions of the world accounting 10% of people. Although amoebic dysentery is common in child...