Scar satisfaction and body image in thyroidectomy patients: prospective study in a tertiary referral centre

J Laryngol Otol. 2018 Jan;132(1):60-67. doi: 10.1017/S0022215117002158. Epub 2017 Nov 16.

Abstract

Background: This study is the first to evaluate scar satisfaction and body image in thyroidectomy patients using validated assessment tools.

Methods: A total of 123 thyroidectomy patients were recruited over 8 months. Both patients and clinicians completed assessment tools that included: the Manchester Scar Scale (to measure scar perception), Dysmorphic Concern Questionnaire (to assess body image), Body Dysmorphic Concern Questionnaire (to screen for body dysmorphic disorder) and EQ-5D (to measure life quality). A separate image panel comprising experts and non-experts assessed 15 scar photographs. The results were analysed using non-parametric descriptive statistics.

Results: Poor body image was associated with poor scar perception (ρ = 0.178, p = 0.05). Poor life quality correlated with poor scar perception (ρ = -0.292, p = 0.001). Scar length did not affect scar perception. Prevalence of body dysmorphic disorder among patients was found to be 8.94 per cent, which is higher than general population rates.

Conclusion: Negative body image and life quality impact negatively upon scar perception.

Keywords: Body Image; Parathyroidectomy; Quality Of Life; Scar; Thyroidectomy.

MeSH terms

  • Adult
  • Aged
  • Body Image / psychology*
  • Cicatrix / psychology*
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Postoperative Complications / psychology*
  • Prospective Studies
  • Surveys and Questionnaires
  • Tertiary Care Centers*
  • Thyroidectomy*
  • Time Factors