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    Outcome measures and scar aesthetics in minimally invasive video-assisted parathyroidectomy.

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    Authors
    Casserly, Paula
    Kirby, Rachel
    Timon, Conrad
    Affiliation
    Department of Otolaryngology-Head and Neck Surgery, Royal Victoria Eye and Ear, Hospital, Dublin, Ireland. paulacasserly@hotmail.com
    Issue Date
    2012-02-01T10:39:57Z
    MeSH
    Adult
    Aged
    Aged, 80 and over
    Cicatrix/*pathology
    *Esthetics
    Feasibility Studies
    Female
    Humans
    Male
    Middle Aged
    *Parathyroidectomy
    Patient Satisfaction
    Questionnaires
    Retrospective Studies
    Time Factors
    *Video-Assisted Surgery
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    Citation
    Arch Otolaryngol Head Neck Surg. 2010 Mar;136(3):260-4.
    Journal
    Archives of otolaryngology--head & neck surgery
    URI
    http://hdl.handle.net/10147/207706
    DOI
    10.1001/archoto.2010.19
    PubMed ID
    20231644
    Abstract
    OBJECTIVES: To compare the scar outcome of video-assisted parathyroidectomy (VAP) with traditional bilateral cervical exploration (BCE) using previously validated scar assessment scales, and to examine the feasibility of introducing VAP into a general otolaryngology-head and neck practice. DESIGN: A retrospective review of medical records from a prospectively obtained database of patients and long-term follow-up of scar analysis. PATIENTS: The records of 60 patients undergoing parathyroidectomy were reviewed: 29 patients underwent VAP and 31 patients underwent an open procedure with BCE. The groups were matched for age and sex. A total of 46 patients were followed up to assess scar outcome. MAIN OUTCOME MEASURES: The primary outcome was a comparison of patient and observer scar satisfaction between VAP and traditional BCE using validated scar assessment tools: the Patient Scar Assessment Scale and the Manchester Scar Scale. The secondary outcomes were to retrospectively evaluate our results with VAP and to assess the suitability of introducing this technique into a general otolaryngology-head and neck practice. RESULTS: The average scar length in the VAP group was 1.7 cm, and the average scar length in the BCE group was 4.3 cm. The patients in the BCE group scored higher than the patients in the VAP group on the Manchester Scar Scale (P < .01) and on the Patient and Observer Scar Scales (P = .02), indicating a worse scar outcome. The mean operative time in the VAP group was 41 minutes compared with 115 minutes in the open procedure BCE group. There was no difference between the 2 groups in terms of postoperative complications. CONCLUSIONS: Video-assisted parathyroidectomy is a safe and feasible procedure in the setting of a general otolaryngology-head and neck practice, with outcomes and complication rates that are comparable to those of traditional bilateral neck exploration. Both patient and observer analysis demonstrated that VAP was associated with a more favorable scar outcome when compared with BCE.
    Language
    eng
    ISSN
    1538-361X (Electronic)
    0886-4470 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1001/archoto.2010.19
    Scopus Count
    Collections
    Royal Victoria Eye and Ear Hospital

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