TY  - JOUR
T1  - Cosmetic aspects in minimally ınvasive parathyroidectomy: Is minimally invasive approach superior?
TT  - Kozmetik yönüyle minimal invaziv paratiroidektomi: Minimal invaziv yaklaşım daha mı üstün?
AU  - Makay, Özer
AU  - Erol, Varlık
AU  - İçöz, Gökhan
AU  - Öztürk, Şafak
AU  - Akdemir, Övünç
AU  - Akyıldız, Mahir
PY  - 2018
DA  - June
DO  - 10.19161/etd.415654
JF  - Ege Tıp Dergisi
JO  - EJM
PB  - Ege Üniversitesi
WT  - DergiPark
SN  - 1016-9113
SP  - 100
EP  - 106
VL  - 57
IS  - 2
LA  - en
AB  - Aim: Theaim of this study was to determine whether minimally invasive parathyroidsurgery has any positive impact on cosmesis. Materials and Methods: This case control study included 28 parathyroidectomized patients, whohad been operated between January 2006 – December 2008. All patients werecalled back for at least 8 months after surgery. Demographics were recorded.Minimally invasive parathyroidectomy versus conventional parathyroidectomy werecompared by means of skin features (using Fitzpatrick’s classification),results of patient and independent observer scar assessment scales andphotographic scar analysis by the blinded plastic surgeon. Results: Therewere no differences in demographics and Fitzpatrick’s classification betweenboth groups. As expected, incision length of the minimal invasive group wassignificantly shorter (2.6 ± 0.5cm vs. 4.9±1.0 cm, p=0.02). Meanwhile, nosignificant difference in objective outcomes of patients between groups wasrecorded. There was also no significant difference in photographic scaranalysis between groups, while independent observer scar assessment scalescores were better in the minimal invasive group (p=0.03). Conclusion: Although superiorresults of an independent observer, assessment of cosmesis by the plasticsurgeon and the patient him/herself revealed no superiority of the minimallyinvasive approach, when compared to conventional parathyroid surgery.
KW  - Parathyroidectomy
KW  - minimally invasive surgery
KW  - cosmesis
KW  - scar.
N2  - Amaç: Bu çalışmanın amacıminimal invaziv paratiroidektominin kozmeziz üzerine olumlu bir etkisinin olupolmadığının belirlenmesidir.Gereç ve Yöntem: Bu olgu kontrol çalışması, Ocak 2006-Aralık 2008 tarihleri arasındaopera edilen 28 paratiroidektomili hastayı kapsamaktadır. Tüm hastalaroperasyondan en az 8 ay sonra kontrole çağırıldı. Demografik verilerikaydedildi. Minimal invaziv paratiroidektomi ve konvansiyonel paratiroidektomi,operasyon sonrası cilt özellikleri açısından (Fitzpatrick’s sınıflaması kullanılarakbelirlenen) bir plastik cerrah tarafından hasta sonuçları ve bağımsız gözlemciskar değerlendirme skalası, fotografik skar analizi vasıtasıylakarşılaştırıldı.Bulgular: İki grup arasında demografik veriler ve Fitzpatrick’s sınıflamasıaçısından farklılık saptanmadı. Beklendiği gibi minimal invaziv grubun insizyonuzunluğunun daha kısa olduğu belirendi (2.6 ± 0.5 cm’ye 4.9±1.0 cm; p=0.02).Iki grup arasında objektif sonuçlar açısından anlamlı bir fark belirlenmedi.Fotografik skar analizi açısından iki grup arasında anlamlı bir farkbelirlenmezken, bağımsız gözlemci skar değerlendirme skalası sonuçlarınınminimal invaziv cerrahi grubunda daha iyi olduğu belirlendi (p=0.03).Sonuç: Bağımsız bir gözlemcitarafından daha iyi sonuçlar olduğu belirtilse de, kozmetik sonuçlar birplastik cerrah ve hasta tarafından değerlendirildiğinde minimal invazivcerrahinin konvansiyonel cerrahiye göre bir üstünlüğünün olmadığı belirlendi.
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UR  - https://doi.org/10.19161/etd.415654
L1  - https://dergipark.org.tr/tr/download/article-file/458435
ER  -