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http://dx.doi.org/10.7181/acfs.2018.01907

Correlation between dermal thickness and scar formation in female patients after thyroidectomy  

Kim, Hong Il (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine)
Kwak, Chan Yee (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine)
Kim, Hyo Young (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine)
Yi, Hyung Suk (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine)
Park, Eun Ju (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine)
Kim, Jeong Hoon (Department of Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine)
Park, Jin Hyung (Department of Plastic and Reconstructive Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine)
Publication Information
Archives of Craniofacial Surgery / v.19, no.2, 2018 , pp. 120-126 More about this Journal
Abstract
Background: Minimizing scarring has long been a challenge in plastic surgery. Factors affecting scar formation are well known, but the effect of some patient-specific factors such as dermal thickness remains unverified. Management of factors predictive of scarring can improve postoperative patient satisfaction and scar treatment. Methods: For 3 years, we used ultrasonography to measure dermal thickness in female patients who had undergone thyroidectomy for cancer at our hospital. We confirmed the influence of dermal thickness on hypertrophic scar formation and the Patient and Observer Scar Assessment Scale scar score 6 months after surgery. Results: There was a positive correlation between dermal thickness and scar score (p<0.05), and dermal thickness appears to be a cause of hypertrophic scar formation (p<0.05). Conclusion: Thick dermis was found to cause poor scar formation and hypertrophic scarring. Prediction of factors that can influence scar formation can be used to educate patients before surgery and can help in scar management and improvement in patient satisfaction.
Keywords
Skinfold thickness; Hypertrophic cicatrix;
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1 Henderson DL, Cromwell TA, Mes LG. Argon and carbon dioxide laser treatment of hypertrophic and keloid scars. Lasers Surg Med 1984;3:271-7.   DOI
2 Kim HY, Kim JW, Park JH, Kim JH, Han YS. Personal factors that affect the satisfaction of female patients undergoing esthetic suture after typical thyroidectomy. Arch Plast Surg 2013;40:414-24.   DOI
3 Lorenz P, Bari AS. Scar prevention, treatment, and revision. In: Neligan PC, editor. Plastic surgery. 3rd ed. London: Elsevier Saunders; 2012. p. 297-318.
4 Broughton G 2nd, Janis JE, Attinger CE. Wound healing: an overview. Plast Reconstr Surg 2006;117(7 Suppl):1e-S-32e-S.
5 Ince B, Dadaci M, Oltulu P, Altuntas Z, Bilgen F. Effect of dermal thickness on scars in women with type III-IV fitzpatrick skin. Aesthetic Plast Surg 2015;39:318-24.   DOI
6 Verim A, Duymus R, Calim OF, Karaca CT, Ozkul MH, Yasar H, et al. Effect of nose skin on the columellar incision scar in a Turkish population. Otolaryngol Head Neck Surg 2013;149:438-44.   DOI
7 Draaijers LJ, Tempelman FR, Botman YA, Tuinebreijer WE, Middelkoop E, Kreis RW, et al. The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation. Plast Reconstr Surg 2004;113:1960-5.   DOI
8 van de Kar AL, Corion LU, Smeulders MJ, Draaijers LJ, van der Horst CM, van Zuijlen PP. Reliable and feasible evaluation of linear scars by the Patient and Observer Scar Assessment Scale. Plast Reconstr Surg 2005;116:514-22.   DOI
9 Wolfram D, Tzankov A, Pulzl P, Piza-Katzer H. Hypertrophic scars and keloids: a review of their pathophysiology, risk factors, and therapeutic management. Dermatol Surg 2009;35:171-81.   DOI
10 Perry DM, McGrouther DA, Bayat A. Current tools for noninvasive objective assessment of skin scars. Plast Reconstr Surg 2010;126:912-23.   DOI
11 Kim JH, Sung JY, Kim YH, Lee YS, Chang HS, Park CS, et al. Risk factors for hypertrophic surgical scar development after thyroidectomy. Wound Repair Regen 2012;20:304-10.   DOI
12 Gosain A, DiPietro LA. Aging and wound healing. World J Surg 2004;28:321-6.   DOI
13 Need AG, Morris HA, Horowitz M, Nordin C. Effects of skin thickness, age, body fat, and sunlight on serum 25-hydroxyvitamin D. Am J Clin Nutr 1993;58:882-5.   DOI
14 Shuster S, Black MM, McVitie E. The influence of age and sex on skin thickness, skin collagen and density. Br J Dermatol 1975;93:639-43.   DOI
15 Shimizu H. Structure and function of the skin. In: Shimizu H, editor. Shimizu's textbook of dermatology. Sapporo: Hokkaido University Press; 2007. p. 12-6.
16 Scherer-Pietramaggiori SS, Pietramaggiori G, Dennis P. Skin graft. In: Neligan PC, editor. Plastic surgery. 3rd ed. London: Elsevier Saunders; 2012. p. 319-38.
17 Meigel WN, Gay S, Weber L. Dermal architecture and collagen type distribution. Arch Dermatol Res 1977;259:1-10.   DOI
18 Tang YW. Intra- and postoperative steroid injections for keloids and hypertrophic scars. Br J Plast Surg 1992;45:371-3.   DOI
19 Whitby DJ, Ferguson MW. The extracellular matrix of lip wounds in fetal, neonatal and adult mice. Development 1991;112:651-68.
20 Lee Y, Hwang K. Skin thickness of Korean adults. Surg Radiol Anat 2002;24:183-9.   DOI
21 Alexander H, Miller DL. Determining skin thickness with pulsed ultra sound. J Invest Dermatol 1979;72:17-9.   DOI
22 Kim K, Son D, Kim J. Radiation therapy following total keloidectomy: a retrospective study over 11 years. Arch Plast Surg 2015;42:588-95.   DOI