2019
DOI: 10.1002/lary.28305
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Transoral neck surgery prevents attentional bias towards the neck compared to open neck surgery

Abstract: Objective: Measure attentional distraction of neck scars after open neck surgery compared to transoral endoscopic thyroidectomy via a vestibular approach (TOETVA) or transoral endoscopic parathyroidectomy via a vestibular approach (TOEPVA) using eye-tracking technology.Methods: Casual observers viewed facial images of patients who underwent open neck surgery, TOETVA/TOEPVA, or no surgery (controls). An eye-tracking monitor recorded eye fixations in real time. Multivariate Hotelling's analysis followed by post-… Show more

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Cited by 28 publications
(20 citation statements)
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“…This may seem to nullify the efficacy of the scale, but one of the main conclusions from this study is that the lack of scar confers superior cosmesis to any scar. This finding is supported by studies showing that observers exhibit attentional distraction towards neck scars from traditional thyroidectomy that is normalized with the transoral technique 44,45 . There are no other existing measurement tools that can directly compare cosmesis of a scar to a scarless surface at this time.…”
Section: Discussionmentioning
confidence: 91%
See 1 more Smart Citation
“…This may seem to nullify the efficacy of the scale, but one of the main conclusions from this study is that the lack of scar confers superior cosmesis to any scar. This finding is supported by studies showing that observers exhibit attentional distraction towards neck scars from traditional thyroidectomy that is normalized with the transoral technique 44,45 . There are no other existing measurement tools that can directly compare cosmesis of a scar to a scarless surface at this time.…”
Section: Discussionmentioning
confidence: 91%
“…This is particularly relevant for females, who make up nearly three‐quarters of the patient population that receive thyroidectomy, and who tend to experience less satisfaction and increased self‐consciousness of neck scars 43 . Studies using eye‐tracking methodology demonstrated that a central neck scar diverted significant attention of casual observers from the peripheral face to the neck, causing attentional distraction when compared to the transoral approach 44,45 . Postoperative neck scars have additionally been associated with a lower quality of life regardless of size and type, particularly in the immediate postoperative period 2,20,46,47 .…”
Section: Discussionmentioning
confidence: 99%
“…The level of impact was viewed as equivalent to other disfiguring conditions such as psoriasis and severe atopic dermatitis. Liao and colleagues recently performed an eye‐tracking study using facial imaging showing when a visible scar is on the neck there is an increase in attention towards the neck in casual observers further supporting that a visible neck scar is attention‐drawing 10 . A second belief is that the procedure has only a “cosmetic” benefit.…”
Section: Argument For Adoption Of Tesmentioning
confidence: 99%
“…However, surgery is not without risk, and may be elevated in older patients ( 5 ). Potential surgical complications include the presence of a life-long visible scar despite having benign disease, recurrent laryngeal nerve injury, and temporary or permanent hypocalcemia ( 6 , 7 ). Additionally, thyroid lobectomy has the 5–49% chance of leading to postoperative hypothyroidism ( 8 – 11 ).…”
Section: Transoral Endoscopic Thyroid Surgery Vestibular Approachmentioning
confidence: 99%