دورية أكاديمية
أعرض في EDS

Aesthetic Perceptions Regarding a Thyroidectomy Scar and Transvestibular Approach in Brazil.

التفاصيل البيبلوغرافية
العنوان: Aesthetic Perceptions Regarding a Thyroidectomy Scar and Transvestibular Approach in Brazil.
المؤلفون: Agne GR; Department of Head and Neck Surgery, PESCOP Group, Balneário Camboriú, Brazil., Kohler HF; Department of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, São Paulo, Brazil., Lira RB; Department of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, São Paulo, Brazil., Belli M; Department of Head and Neck Surgery, PESCOP Group, Balneário Camboriú, Brazil., Bento GN; Department of Head and Neck Surgery, PESCOP Group, Balneário Camboriú, Brazil., Viana A; Department of Head and Neck Surgery, NICAP Group, Florianópolis, Brazil., Kowalski LP; Department of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, São Paulo, Brazil.; Department of Head and Neck Surgery, Universidade de São Paulo, São Paulo, Brazil.
المصدر: The Laryngoscope [Laryngoscope] 2024 Aug; Vol. 134 (8), pp. 3862-3867. Date of Electronic Publication: 2024 Feb 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
مواضيع طبية MeSH: Cicatrix*/psychology , Cicatrix*/etiology , Cicatrix*/prevention & control , Thyroidectomy*/adverse effects , Thyroidectomy*/methods , Esthetics*, Humans ; Female ; Brazil ; Male ; Adult ; Middle Aged ; Surveys and Questionnaires ; Young Adult ; Motivation ; Aged ; Adolescent ; Patient Preference/statistics & numerical data
مستخلص: Objective: We investigated motivation levels across the general Brazilian population and subgroups and their willingness to spend for surgery without a cervical scar.
Methods: This random-sample survey was performed by a specialized third-party research institute. In this study, we created a hypothetical thyroidectomy scenario, and the transcervical and transoral endoscopic thyroidectomy vestibular approach (TOETVA) were used. The survey included sociocultural data and questions regarding participants' surgical preferences.
Results: Data were obtained from 1250 participants; 42.4% were of the opinion that a cervical scar affects social or professional life. Young and childless women were most likely to be affected (p <0.001). All respondents accepted the transoral approach to avoid cervical scarring. However, 30.7% and 31.9% of respondents maintained their preference for TOETVA despite understanding the risks of a hypothetical increase in complications and unfavorable oncological outcomes and 98.6% were of the opinion that this approach was likely associated with greater postoperative pain. Only 16.2% were unwilling to spend for TOETVA. The variable that most affected patients' willingness to spend was a salary greater than 10 Brazilian minimum wages (odds ratio 9.797, 95% confidence interval, p <0.005). Upper class respondents were 10 times more likely to spend for TOETVA than lower class patients.
Conclusion: This study highlights patients' interest in TOETVA. Cervical scar perception is affected by concerned about appearance, particularly in certain societal subgroups. Our study population showed significant motivation to undergo TOETVA, which was emphasized by their acceptance of the complication rate, poor postoperative outcomes, greater postoperative pain, and willingness to spend on surgery with an invisible scar.
Level of Evidence: 4 Laryngoscope, 134:3862-3867, 2024.
(© 2024 The American Laryngological, Rhinological and Otological Society, Inc.)
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فهرسة مساهمة: Keywords: TOETVA; patient perception; scar; thyroidectomy; transoral thyroidectomy
تواريخ الأحداث: Date Created: 20240227 Date Completed: 20240712 Latest Revision: 20240712
رمز التحديث: 20240712
DOI: 10.1002/lary.31372
PMID: 38411345
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.31372