Visual Analogue Scale Scoring and Ranking: A Suitable and Sensitive Method for Assessing Scar Quality?

Duncan, Jonathan A L; Bond, Jeremy S; Mason, Tracey; Ludlow, A. I.; Cridland, Peter; O’Kane, Sharon; Ferguson, M. W. J.

doi:10.1097/01.prs.0000232378.88776.b0

Cited by 163 publications

(115 citation statements)

References 16 publications

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“…20 Visual analogue scales have also been validated as accurate tools for assessing patient satisfaction and overall appearance of scars. 21 To our knowledge, this study is the first to use validated outcome measures to assess overall patient satisfaction and scar aesthetics when comparing surgical scars created in MA-P with CON-T and CON-P surgical procedures.…”

Section: Commentmentioning

confidence: 99%

“…Because most of the literature comparing MA with CON incisions in cervical surgery relies on preoperative measurements, the actual final scar length following complete remodeling remains unclear. 21 It is possible that any vigorous retraction during MA surgery may lead to a lengthening of the incision and final scar to those initially mapped out during MA-T and MA-P surgery.…”

Section: Commentmentioning

confidence: 99%

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Objective and Subjective Scar Aesthetics in Minimal Access vs Conventional Access Parathyroidectomy and Thyroidectomy Surgical Procedures

O’Connell¹,

Diamond²,

Seikaly³

et al. 2008

Arch Otolaryngol Head Neck Surg

108

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To determine if performing parathyroidectomy surgery through minimal access (MA) incisions has any notable aesthetic or quality-of-life impact on patients compared with conventional access (CON) techniques.Design: Paired cohort with (1) a prospective MA incision and scar cohort and (2) a sex-and age-matched (within 3 years) retrospective CON incision and scar cohort.Setting: Tertiary care center.Patients: Fifteen patients enrolled in prospective study protocol over a 2-year period; 11 patients met inclusion criteria. A sex-and age-matched retrospective cohort of patients was selected from a patient population undergoing surgical treatment of thyroid neoplastic diseases using a CON approach. Inclusion criteria were use of MA incision for parathyroidectomy and return for longterm follow-up scar assessment.Interventions: Minimal access parathyroidectomy surgery vs CON thyroidectomy surgical procedures, postoperative follow-up assessment of scar aesthetics by patient and naive viewers, and digital photography and analysis of the surgical incision site. All patients were followed for at least 8 months after surgery. Main Outcome Measures:The Patient and Observer Scar Assessment Scale (POSAS), Vancouver Scar Scale, and photographic scar analysis by naive viewers.Results: There was no significant difference in scar assessment scale scores between the MA and CON cohorts and no clinically significant difference in overall patient satisfaction with scars between cohorts (POSAS: Patient Scar Assessment Scale, P=.14, and Observer Scar Assessment Scale, P=.79; Vancouver Scar Scale, P=.76). There was increased visibility of scars in the CON cohort to naive viewers.Conclusions: Although they were more readily visible to naive viewers, CON (larger) cervical scars created in parathyroidectomy or thyroidectomy surgery do not translate into decreased patient satisfaction with their scar result. This may indicate a limited quality-of-life benefit in using MA approaches in transcervical surgical procedures.

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Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Objective and Subjective Scar Aesthetics in Minimal Access vs Conventional Access Parathyroidectomy and Thyroidectomy Surgical Procedures

O’Connell¹,

Diamond²,

Seikaly³

et al. 2008

Arch Otolaryngol Head Neck Surg

108

View full text Add to dashboard Cite

show abstract

“…Subjective scar assessment was performed via the visual analog scale (VAS) [11]. All patients were asked to rate their overall satisfaction with the scars and the surgery using the VAS, with 0 being the worst and 10 being the best aesthetic result.…”

Section: Scar Assessmentmentioning

confidence: 99%

Revision of a Widened Scar Using Dermal Splinting Technique

Namgoong

Jung

Kim

et al. 2015

Arch Aesthetic Plast Surg

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Background Scar revision is a fundamental technique in the field of plastic and reconstructive surgery. Methods using local flaps, such as a Z-plasty, W-plasty, or geometric broken-line closure, have been used for scar revision. Widening of scars is a frustrating event that most plastic surgeons have encountered. Several therapeutic modalities have been proposed, but frequently, the result is disappointing. We describe our experience with the use of a dermal splinting technique for scar revision. Methods We propose a technique by which tension on the wound is applied by tough scar tissue instead of the suture line, thereby reducing the incidence of postoperative widening. This technique was used to treat 21 nonburn scars that had widened:5 scars were facial (3 patients), 8 were on the extremities (6 patients), and 8 were on the torso (5 patients). All scars were at least 4 months old. The operations were perform ed between January 2003 and December 2012; follow-up was 9 to 24 months. Results Only one scar widened during the follow-up period. Overall, satisfaction with scar appearance and surgery was assessed with a visual analog scale (VAS). Mean patient satisfaction was 8.1 ± 0.5. Conclusions We recommend this technique in dealing with widened scars in highly tensile areas during revision surgery.

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“…All patients were prospectively followed up in an open-blinded fashion in the movement disorder clinic, and surgical complications that occurred during the follow-up period were recorded. We also compared the scalp 'bump' using a subscale of the Vancouver Scar scale (VSS) between the C-shaped skin incision only and the combination procedure groups [15] . One trained and experienced physician measured the scalp wound using VSS at the outpatient clinic.…”

Section: Patientsmentioning

confidence: 99%

A Combination Procedure with Double C-Shaped Skin Incision and Dual-Floor Burr Hole Method to Prevent Skin Erosion on the Scalp and Reduce Postoperative Skin Complications in Deep Brain Stimulation

Park

Kang

Kim

et al. 2011

Stereotact Funct Neurosurg

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Background: The purpose of this study was to introduce a combination procedure with double C-shaped skin incision and an adjusted dual-floor burr hole to prevent skin complications on the scalp with deep brain stimulation (DBS) surgery. Methods: Between March 2000 and March 2010, 504 DBS electrodes were implanted in 268 patients. We included both bilateral and unilateral DBS surgery cases for Parkinson’s disease, tremor, pain, obsessive-compulsive disorder and intractable seizure accompanied with cranial and IPG insertion procedure, but excluded motor cortex stimulation, and spinal cord stimulation. We used a straight skin incision in 118 patients, double C-shaped skin incision only in 113 patients since March 2006, and combined a double C-shaped skin incision and dual-floor burr hole in 37 patients since August 2009. We compared scalp wound complications and the height subscale of the Vancouver Scar Scale between previous straight or C-shaped skin incision and the combination procedure. Results: We had eight scalp erosions associated with infection (3.0%) and six disconnection (2.2%) cases among 268 patients. Before the use of the double C- skin incision or adjusted dual-floor burr hole technique, we had 5 (4.2%) scalp erosion cases among 118 patients. With the introduction of the C-shaped incision, only 3 patients (2.7%) developed scalp erosion. However, no patient among 37 patients developed scalp erosion after using both double C-shaped skin incision and dual-floor burr hole technique. Scalp bump measured by the height subscale of the Vancouver Scar Scale was more cosmetic in the combination procedure. Conclusion: The combination procedure prevents skin complications associated with DBS surgery, with tensile strength, less impaired vascular supply and better cosmetic outcome. This promising approach prevents unwanted skin complications associated with DBS surgery and improves patient satisfaction.

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Visual Analogue Scale Scoring and Ranking: A Suitable and Sensitive Method for Assessing Scar Quality?

Cited by 163 publications

References 16 publications

Objective and Subjective Scar Aesthetics in Minimal Access vs Conventional Access Parathyroidectomy and Thyroidectomy Surgical Procedures

Objective and Subjective Scar Aesthetics in Minimal Access vs Conventional Access Parathyroidectomy and Thyroidectomy Surgical Procedures

Revision of a Widened Scar Using Dermal Splinting Technique

A Combination Procedure with Double C-Shaped Skin Incision and Dual-Floor Burr Hole Method to Prevent Skin Erosion on the Scalp and Reduce Postoperative Skin Complications in Deep Brain Stimulation

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