دوختن يا ندوختن عضله پلاتيسما در جراحي هاي تيروييد

Should the platysma muscle be sutured in thyroid surgery or not?

Background: Thyroid surgery is one the most commonly performed operation involving the cervical area. Some investigators have believed that better cosmetics results could be obtained if the platysma muscle remained unsutured. We have studied the surgical scar appearance in two groups, platysma muscle sutured or not sutured. Materials and methods: Sixty patients have been distributed in two groups according to the day of operation. In 30 patients, designed as the study group, the platysma muscle was not sutured, however, in the control group the platysma muscle was sutured with interrupted 3/0 chromic catgut sutures. Results: The control group included 8 males and 22 females with the mean age of 42.3 years, however the study group included 9 males and 21 females with the mean age of 35.9 years. In the case group, good and excellent scar formation was reported 60% and 40%, respectively. For the control group these figures were 80% and 20%, respectively. The difference is not statistically significant. Conclusion: Results have revealed no statistically significant differences between the groups considering the surgical scar appearance.