Postoperative Recovery in Thyroid Surgery: Evaluating Pain, Scar Quality, and Operative Efficiency with and without Platysma Suturing
Background: Often, thyroid surgery requires a layered closure, involving the suturing of the platysma muscle. But, this procedure can increase the length of the surgery and the pain a patient feels afterward without obvious benefits. It is important to think about the need for this surgery to help...
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| Format: | Article |
| Language: | English |
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ziauddin University
2025-07-01
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| Series: | Pakistan Journal of Medicine and Dentistry |
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| Online Access: | https://ojs.zu.edu.pk/pjmd/article/view/3832 |
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| author | Waqas Ahmad Muhammad Shahid Farooq Rana Muhammad Umar Rizwan Bahzad Akram Khan Muhammad Usman Siddique Abdul Haseeb |
| author_facet | Waqas Ahmad Muhammad Shahid Farooq Rana Muhammad Umar Rizwan Bahzad Akram Khan Muhammad Usman Siddique Abdul Haseeb |
| author_sort | Waqas Ahmad |
| collection | DOAJ |
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Background: Often, thyroid surgery requires a layered closure, involving the suturing of the platysma muscle. But, this procedure can increase the length of the surgery and the pain a patient feels afterward without obvious benefits. It is important to think about the need for this surgery to help achieve better results and better patient recovery. The intention of this study is to review the postoperative pain, appearance of the scar and the amount of time needed for wound closure when using or not using platysma suturing in thyroidectomy.
Methods: At Mayo Hospital Lahore, researchers recruited 72 patients going through thyroid surgery to take part in a randomized controlled trial January to July 2022. The patients were assigned to one of the following two groups: Group A patients had no platysma suturing, whereas Group B had it. The pain level was checked 6, 24 and 48 hours postoperatively using the Visual Analogue Scale (VAS). At the 6-month mark, the quality of scars was appraised with the Patient and Observer Scar Assessment Scale (POSAS). We also collected data about when surgery was completed and whether any pain relief medicines were given.
Results: There were much lower pain scores for Group A throughout the procedure (p < 0.001) and a faster time to close the wound (3.86 vs. 5.86 minutes; p < 0.001). The POSAS scores did not differ significantly among the two groups (p = 0.078). It was observed that less patients from Group A asked for additional pain relief (p = 0.032).
Conclusion: Not sewing the platysma during thyroid surgery lowers the time needed for closure, reduces pain after surgery and results in comparable scarring, showing that it is a suitable simple method.
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| format | Article |
| id | doaj-art-ff52efa0bfc74cdca002d687c98de09a |
| institution | DOAJ |
| issn | 2313-7371 2308-2593 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | ziauddin University |
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| series | Pakistan Journal of Medicine and Dentistry |
| spelling | doaj-art-ff52efa0bfc74cdca002d687c98de09a2025-08-20T03:08:32Zengziauddin UniversityPakistan Journal of Medicine and Dentistry2313-73712308-25932025-07-0114310.36283//ziun-pjmd14-3/012Postoperative Recovery in Thyroid Surgery: Evaluating Pain, Scar Quality, and Operative Efficiency with and without Platysma SuturingWaqas Ahmad0Muhammad Shahid Farooq1Rana Muhammad Umar Rizwan2Bahzad Akram Khan3Muhammad Usman Siddique4Abdul Haseeb5 Akhtar Saeed Medical and Dental College , Farooq Hospital Lahore, Pakistan.King Edward Medical University Lahore, Pakistan.Jinnah Hospital/Allama Iqbal Medical College Lahore, Pakistan.Mayo Hospital/King Edward medical university Lahore, Pakistan.King Edward Medical University Lahore, Pakistan.Sharif Medical City Hospital, Sharif Medical &Dental College, Lahore, Pakistan. Background: Often, thyroid surgery requires a layered closure, involving the suturing of the platysma muscle. But, this procedure can increase the length of the surgery and the pain a patient feels afterward without obvious benefits. It is important to think about the need for this surgery to help achieve better results and better patient recovery. The intention of this study is to review the postoperative pain, appearance of the scar and the amount of time needed for wound closure when using or not using platysma suturing in thyroidectomy. Methods: At Mayo Hospital Lahore, researchers recruited 72 patients going through thyroid surgery to take part in a randomized controlled trial January to July 2022. The patients were assigned to one of the following two groups: Group A patients had no platysma suturing, whereas Group B had it. The pain level was checked 6, 24 and 48 hours postoperatively using the Visual Analogue Scale (VAS). At the 6-month mark, the quality of scars was appraised with the Patient and Observer Scar Assessment Scale (POSAS). We also collected data about when surgery was completed and whether any pain relief medicines were given. Results: There were much lower pain scores for Group A throughout the procedure (p < 0.001) and a faster time to close the wound (3.86 vs. 5.86 minutes; p < 0.001). The POSAS scores did not differ significantly among the two groups (p = 0.078). It was observed that less patients from Group A asked for additional pain relief (p = 0.032). Conclusion: Not sewing the platysma during thyroid surgery lowers the time needed for closure, reduces pain after surgery and results in comparable scarring, showing that it is a suitable simple method. https://ojs.zu.edu.pk/pjmd/article/view/3832Thyroidectomy Platysma SuturingPostoperative PainScar QualityWound Closure Time |
| spellingShingle | Waqas Ahmad Muhammad Shahid Farooq Rana Muhammad Umar Rizwan Bahzad Akram Khan Muhammad Usman Siddique Abdul Haseeb Postoperative Recovery in Thyroid Surgery: Evaluating Pain, Scar Quality, and Operative Efficiency with and without Platysma Suturing Pakistan Journal of Medicine and Dentistry Thyroidectomy Platysma Suturing Postoperative Pain Scar Quality Wound Closure Time |
| title | Postoperative Recovery in Thyroid Surgery: Evaluating Pain, Scar Quality, and Operative Efficiency with and without Platysma Suturing |
| title_full | Postoperative Recovery in Thyroid Surgery: Evaluating Pain, Scar Quality, and Operative Efficiency with and without Platysma Suturing |
| title_fullStr | Postoperative Recovery in Thyroid Surgery: Evaluating Pain, Scar Quality, and Operative Efficiency with and without Platysma Suturing |
| title_full_unstemmed | Postoperative Recovery in Thyroid Surgery: Evaluating Pain, Scar Quality, and Operative Efficiency with and without Platysma Suturing |
| title_short | Postoperative Recovery in Thyroid Surgery: Evaluating Pain, Scar Quality, and Operative Efficiency with and without Platysma Suturing |
| title_sort | postoperative recovery in thyroid surgery evaluating pain scar quality and operative efficiency with and without platysma suturing |
| topic | Thyroidectomy Platysma Suturing Postoperative Pain Scar Quality Wound Closure Time |
| url | https://ojs.zu.edu.pk/pjmd/article/view/3832 |
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