Our Summary

This study aimed to identify the risk factors for developing thick scars, called hypertrophic scarring (HS), after surgery to remove the thyroid gland. The researchers analyzed data from patients who had this surgery between November 2018 and March 2019. They divided the patients into two groups: those who developed HS and those who did not.

They found that 31.4% of the patients developed HS. They discovered significant differences between the two groups in terms of sex, age, whether they had an infection after surgery, their history of abnormal wound healing and scarring, if their family had a history of abnormal scarring, and if they took measures to prevent scarring.

Further analysis showed that being 45 years old or younger, having a personal or family history of abnormal wound healing or scarring, and not taking preventive measures were all independent risk factors for developing HS after thyroid surgery.

The researchers then created a predictive model using these factors that could accurately assess the risk of developing HS. This model could be used to support clinical decisions by helping identify patients at risk of scarring after thyroid surgery, which could help in planning preventive measures.

FAQs

  1. What are the risk factors for developing hypertrophic scarring after thyroid surgery?
  2. How does age and family history relate to the risk of hypertrophic scarring post-surgery?
  3. What is the purpose of the predictive model created by the researchers?

Doctor’s Tip

One helpful tip a doctor might give a patient about thyroidectomy is to discuss their personal and family history of abnormal wound healing or scarring with their healthcare provider before the surgery. By identifying potential risk factors, patients and their healthcare team can develop a plan to prevent or minimize the risk of developing thick scars after the surgery. Additionally, following post-operative care instructions, such as keeping the incision site clean and avoiding activities that could put strain on the area, can also help promote optimal healing and reduce the risk of scarring.

Suitable For

Patients who are 45 years old or younger, have a personal or family history of abnormal wound healing or scarring, and do not take preventive measures are typically recommended thyroidectomy. These patients are at a higher risk for developing thick scars, called hypertrophic scarring, after surgery to remove the thyroid gland. By identifying these risk factors, healthcare providers can better assess the risk of scarring and plan preventive measures accordingly.

Timeline

Before thyroidectomy:

  • Patient undergoes pre-operative evaluation and testing
  • Patient meets with surgeon to discuss procedure and potential risks
  • Patient may need to stop certain medications before surgery
  • Patient undergoes thyroidectomy procedure

After thyroidectomy:

  • Patient is monitored closely in the recovery room for any complications
  • Patient may experience pain, swelling, and difficulty swallowing
  • Patient is discharged from the hospital and given post-operative care instructions
  • Patient may need to take thyroid hormone replacement medication for the rest of their life
  • Patient follows up with surgeon for post-operative appointments and monitoring
  • Patient may experience scarring and complications such as hypertrophic scarring in some cases

Overall, the timeline for a patient before and after thyroidectomy involves pre-operative preparation, the surgical procedure itself, and post-operative care and monitoring to ensure a successful recovery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about thyroidectomy include:

  1. What are the potential risks and complications of thyroidectomy, including the risk of developing thick scars like hypertrophic scarring?
  2. Are there any specific factors about my medical history or family history that may increase my risk of developing thick scars after thyroid surgery?
  3. Are there any preventive measures I can take to reduce the risk of developing thick scars after thyroidectomy?
  4. How will my doctor monitor and manage any scarring that may occur after surgery?
  5. What is the likelihood of developing thick scars after thyroid surgery, and how can I assess my individual risk?

Reference

Authors: Xie H, Xiang Y, Yang E, Zhang H. Journal: Adv Skin Wound Care. 2021 Oct 1;34(10):1-6. doi: 10.1097/01.ASW.0000775924.92065.78. PMID: 34546207