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Table 1 Results of cosmetic outcome and pain assessment

From: Advances in the assessment of cosmetic outcomes, sensory alteration in surgical areas, and health-related quality of life of endoscopic thyroidectomy

Researchers

Surgery approach

Score scale (points)

No. of cases

Study design

Follow-up time

Result

Yang et al. [38]

(Transoral)

Observation group/control group

Pain: 0–10

30/30

Retrospective studya

Pre-op, post-op 1 day, 3 days, 7 days

Less pain in intervention group on post-op 3 and 7 days

Yan et al. [26]

Transoral/OT

Cosmetic and pain: 0–10

48/42

Retrospective study

Post-op 3 months

Higher cosmetic satisfaction and less pain in transoral group

Nguyen et al. [27]

Transoral/OT

Cosmetic: 0–5

Pain: 0–10

61/60

Prospective study

Pre-op and post-op 4 weeks, 8 weeks, 12 weeks

Higher cosmetic satisfaction in transoral group and no difference in pain

Wirth et al. [28]

EndoCATS/ABBA/OT

Cosmetic: 1–6

59/52/225

Retrospective study

NA

No difference in cosmetic outcome

Sun et al. [5]

Trans-axillary/OT

Cosmetic: 1–4

Pain: 0–3

105/105

Retrospective study

Cosmetic: post-op 1 month

Pain: post-op 1 week, 1 month

Higher cosmetic satisfaction and more pain in transoral group

Piromchai et al. [4]

Submental/OT

Cosmetic and pain: 1–10

24/24

Retrospective study

NA

No difference in cosmetic outcome and pain

Lian et al. [39]

(Anterior cervical approach) MT/MR

Cosmetic and pain: 1–10

46/44

Retrospective study

Post-op 12, 24 h/ NA

More pain for MR group postoperative 12 h and no difference in 24 h; no difference in cosmetic outcome

Bo et al. [31]

Transthoracic/OT/thermal ablation

Cosmetic and pain: 1–10

129/320/56

Retrospective study

Post-op 1, 3, 6, 12 months

Better cosmetic outcome in thermal ablation than OT group

Wongwattana et al. [19]

Transoral/axillo-breast

Cosmetic and pain: 1–10

11/11

Retrospective study

Cosmetic: post-op 90 days

Pain: post-op 1, 2, 3 days;

More pain in transoral group; no difference in cosmetic outcome

Nguyen et al. [20]

Transoral/unilateral axillo-breast

Pain: 1–10

Cosmetic: 3 levelsb

51/50

Retrospective study

Pain: post-op 1, 4, 7 days/NA

More pain in transoral group; no difference in cosmetic outcome

Liu et al. [29]

Transoral/OT

Cosmetic: 0–3

96/425

Retrospective study

Post-op 3 months

Better cosmetic outcome in transoral group

Yuliang et al. [40]

Axillary-breast-shoulder

Cosmetic: 1–4

42

Cohort study

Post-op 6 months

Basically satisfied or very satisfied

Lee et al. [37]

Trans-axillary/postauricular/OT

Cosmetic: 1–5

50/50/50

Retrospective study

Post-op 3 months, 1 year

Better cosmetic outcome in trans-axillary and postauricular group

Johri et al. [41]

BABA/OT

Cosmetic: 1–5

Pain: 1–10

43/60

Prospective study

Pre-op, post-op 6 months

More pain and better cosmetic outcome in BABA group

Sung et al. [21]

GUA/postauricular facelift approach

Cosmetic: 1–5

Pain: 0–10

45/20

Retrospective study

Cosmetic: post-op 1 week, 3 months

Pain: pre-op, post-op 1, 3 days, 1 week

No difference between two groups

Song et al. [22]

Robotic/conventional surgery

Cosmetic: 1–5

Pain: 0–4

25/66

Retrospective study

Post-op 1 day, 1 week, 1 month, 3 months

Better cosmetic satisfaction in robotic group

More pain in robotic group post-op 1 day and 1 month

Zhu et al. [23]

Transareola

Cosmetic: 0–10

Pain: 0–5

12

Retrospective study

Cosmetic: 2 months

Pain: post-op 24 h

High cosmetic satisfaction and median pain

Ryu et al. [35]

Trans-axillary/OT

Pain: 0–10

45/45

Prospective study

Post-op 4 h, 1, 2, 3, 10 days

Lower pain scores in robotic group at post-op 1, 2, and 3 days

  1. Abbreviation: OT open thyroidectomy, MT muscle transection, MR muscle retraction, NA not available, BABA bilateral axillo-breast approach, EndoCATS Endoscopic Cephalic Access Thyroid Surgery, ABBA axillo-bilateral-breast approach, GUA gasless unilateral axillary
  2. aObservation group received neck and face management
  3. bCosmetic outcome was divided into three levels: satisfied, average, dissatisfied