The Impact of Platysma Closure on Post-Thyroidectomy Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Aim This systematic review and meta-analysis of randomized controlled trials (RCTs) compare the impact of platysma muscle layer closure technique among patients undergoing thyroidectomy in terms of postoperative outcomes, specifically pain. Methods Five electronic databases (PubMed, Scopus, Web of S...
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| Veröffentlicht in: | Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2024-06, Vol.76 (3), p.2217-2226 |
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| container_title | Indian journal of otolaryngology, and head, and neck surgery |
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| creator | Albazee, Ebraheem Alsubaie, Hemail M. Al Sadder, Khaled Alqaryan, Saleh Tawfeeq, Essa Alshakhri, Abdulrazzaq Alwahhabi, Fai Alameer, Ehab S. Aldhahri, Saleh F. |
| description | Aim
This systematic review and meta-analysis of randomized controlled trials (RCTs) compare the impact of platysma muscle layer closure technique among patients undergoing thyroidectomy in terms of postoperative outcomes, specifically pain.
Methods
Five electronic databases (PubMed, Scopus, Web of Science, Google Scholar, and Cochrane Central Register of Controlled Trials) were searched from inception until July 22, 2023. The Cochrane risk of bias tool 2 was employed for risk of bias (ROB) assessment. Data were pooled as mean difference (MD), standardized MD (SMD), or risk ratio (RR) based on data type (continuous or dichotomous) using RevMan software.
Results
This meta-analysis included four RCTs with a total of 426 patients. Three RCTs had a low risk of bias, while one had some concern regarding bias. The overall MD of the postoperative pain score favored the non-closure group over the closure group (MD = 0.63; 95% CI: [0.09, 1.18];
P
= 0.02). However, no significant differences were observed between the two groups in terms of patient scar assessment scale (MD= -0.61; 95% CI: [-3.39, 2.17];
P
= 0.67), observer scar assessment scale (SMD = 0.26; 95% CI: [-0.30, 0.81];
P
= 0.37), length of the scar (MD = 0.27; 95% CI: [-0.12, 0.67];
P
= 0.17), wound infection (RR = 0.63; 95% CI: [0.13, 3.16];
P
= 0.57), and seroma or hematoma (RR = 3.00; 95% CI: [0.49, 18.55];
P
= 0.24).
Conclusion
Our findings suggest that the platysma muscle layer closure during thyroidectomy might lead to increased postoperative pain but does not significantly impact scar outcomes or postoperative complications. |
| doi_str_mv | 10.1007/s12070-024-04503-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3069173503</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3069173503</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-637e02d3dd3baa03b2c6253160e6203be0f75da037d3b916246100210dc4dd603</originalsourceid><addsrcrecordid>eNp9kcFuEzEQhi1ERUPhBTggS1y4GMb2rp1wiyIKlYpalXC2HHtCt1qvg-1ttZx5cJymgNQDp5nxfPOPPD8hrzi84wD6feYCNDAQDYOmBcnkEzKDhZZMa9BPyUwIyZnUC3VMnud8AyBbruEZOZbz-bzm8xn5tb5GehZ21hUat_Syt2XKwdJVH_OYkMaBXsZc2Pp6SrHz6EoME70Yi4sB8we6pF-nXDDY0jl6hbcd3lE7ePoFi2XLwfZT7vJe-aq-xtD9RE9XcSgp9n1N16mzfX5BjrY14MuHeEK-nX5crz6z84tPZ6vlOXNSqMKU1AjCS-_lxlqQG-GUaCVXgErUEmGrW18bugILrkSj6p0EB-8a7xXIE_L2oLtL8ceIuZjQZYd9bweMYzYS1IJrWU9Z0TeP0Js4pvqfe0o3XLVKV0ocKJdizgm3Zpe6YNNkOJi9R-bgkakemXuPzF769YP0uAno_478MaUC8gDk2hq-Y_q3-z-yvwHRKpwY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3067416567</pqid></control><display><type>article</type><title>The Impact of Platysma Closure on Post-Thyroidectomy Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</title><source>SpringerLink</source><creator>Albazee, Ebraheem ; Alsubaie, Hemail M. ; Al Sadder, Khaled ; Alqaryan, Saleh ; Tawfeeq, Essa ; Alshakhri, Abdulrazzaq ; Alwahhabi, Fai ; Alameer, Ehab S. ; Aldhahri, Saleh F.</creator><creatorcontrib>Albazee, Ebraheem ; Alsubaie, Hemail M. ; Al Sadder, Khaled ; Alqaryan, Saleh ; Tawfeeq, Essa ; Alshakhri, Abdulrazzaq ; Alwahhabi, Fai ; Alameer, Ehab S. ; Aldhahri, Saleh F.</creatorcontrib><description>Aim
This systematic review and meta-analysis of randomized controlled trials (RCTs) compare the impact of platysma muscle layer closure technique among patients undergoing thyroidectomy in terms of postoperative outcomes, specifically pain.
Methods
Five electronic databases (PubMed, Scopus, Web of Science, Google Scholar, and Cochrane Central Register of Controlled Trials) were searched from inception until July 22, 2023. The Cochrane risk of bias tool 2 was employed for risk of bias (ROB) assessment. Data were pooled as mean difference (MD), standardized MD (SMD), or risk ratio (RR) based on data type (continuous or dichotomous) using RevMan software.
Results
This meta-analysis included four RCTs with a total of 426 patients. Three RCTs had a low risk of bias, while one had some concern regarding bias. The overall MD of the postoperative pain score favored the non-closure group over the closure group (MD = 0.63; 95% CI: [0.09, 1.18];
P
= 0.02). However, no significant differences were observed between the two groups in terms of patient scar assessment scale (MD= -0.61; 95% CI: [-3.39, 2.17];
P
= 0.67), observer scar assessment scale (SMD = 0.26; 95% CI: [-0.30, 0.81];
P
= 0.37), length of the scar (MD = 0.27; 95% CI: [-0.12, 0.67];
P
= 0.17), wound infection (RR = 0.63; 95% CI: [0.13, 3.16];
P
= 0.57), and seroma or hematoma (RR = 3.00; 95% CI: [0.49, 18.55];
P
= 0.24).
Conclusion
Our findings suggest that the platysma muscle layer closure during thyroidectomy might lead to increased postoperative pain but does not significantly impact scar outcomes or postoperative complications.</description><identifier>ISSN: 2231-3796</identifier><identifier>EISSN: 0973-7707</identifier><identifier>DOI: 10.1007/s12070-024-04503-3</identifier><identifier>PMID: 38883518</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Clinical trials ; Head and Neck Surgery ; Medicine ; Medicine & Public Health ; Original Article ; Otorhinolaryngology ; Systematic review ; Thyroidectomy</subject><ispartof>Indian journal of otolaryngology, and head, and neck surgery, 2024-06, Vol.76 (3), p.2217-2226</ispartof><rights>Association of Otolaryngologists of India 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-637e02d3dd3baa03b2c6253160e6203be0f75da037d3b916246100210dc4dd603</cites><orcidid>0000-0003-1244-7769</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12070-024-04503-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12070-024-04503-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38883518$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Albazee, Ebraheem</creatorcontrib><creatorcontrib>Alsubaie, Hemail M.</creatorcontrib><creatorcontrib>Al Sadder, Khaled</creatorcontrib><creatorcontrib>Alqaryan, Saleh</creatorcontrib><creatorcontrib>Tawfeeq, Essa</creatorcontrib><creatorcontrib>Alshakhri, Abdulrazzaq</creatorcontrib><creatorcontrib>Alwahhabi, Fai</creatorcontrib><creatorcontrib>Alameer, Ehab S.</creatorcontrib><creatorcontrib>Aldhahri, Saleh F.</creatorcontrib><title>The Impact of Platysma Closure on Post-Thyroidectomy Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</title><title>Indian journal of otolaryngology, and head, and neck surgery</title><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><description>Aim
This systematic review and meta-analysis of randomized controlled trials (RCTs) compare the impact of platysma muscle layer closure technique among patients undergoing thyroidectomy in terms of postoperative outcomes, specifically pain.
Methods
Five electronic databases (PubMed, Scopus, Web of Science, Google Scholar, and Cochrane Central Register of Controlled Trials) were searched from inception until July 22, 2023. The Cochrane risk of bias tool 2 was employed for risk of bias (ROB) assessment. Data were pooled as mean difference (MD), standardized MD (SMD), or risk ratio (RR) based on data type (continuous or dichotomous) using RevMan software.
Results
This meta-analysis included four RCTs with a total of 426 patients. Three RCTs had a low risk of bias, while one had some concern regarding bias. The overall MD of the postoperative pain score favored the non-closure group over the closure group (MD = 0.63; 95% CI: [0.09, 1.18];
P
= 0.02). However, no significant differences were observed between the two groups in terms of patient scar assessment scale (MD= -0.61; 95% CI: [-3.39, 2.17];
P
= 0.67), observer scar assessment scale (SMD = 0.26; 95% CI: [-0.30, 0.81];
P
= 0.37), length of the scar (MD = 0.27; 95% CI: [-0.12, 0.67];
P
= 0.17), wound infection (RR = 0.63; 95% CI: [0.13, 3.16];
P
= 0.57), and seroma or hematoma (RR = 3.00; 95% CI: [0.49, 18.55];
P
= 0.24).
Conclusion
Our findings suggest that the platysma muscle layer closure during thyroidectomy might lead to increased postoperative pain but does not significantly impact scar outcomes or postoperative complications.</description><subject>Clinical trials</subject><subject>Head and Neck Surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Systematic review</subject><subject>Thyroidectomy</subject><issn>2231-3796</issn><issn>0973-7707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kcFuEzEQhi1ERUPhBTggS1y4GMb2rp1wiyIKlYpalXC2HHtCt1qvg-1ttZx5cJymgNQDp5nxfPOPPD8hrzi84wD6feYCNDAQDYOmBcnkEzKDhZZMa9BPyUwIyZnUC3VMnud8AyBbruEZOZbz-bzm8xn5tb5GehZ21hUat_Syt2XKwdJVH_OYkMaBXsZc2Pp6SrHz6EoME70Yi4sB8we6pF-nXDDY0jl6hbcd3lE7ePoFi2XLwfZT7vJe-aq-xtD9RE9XcSgp9n1N16mzfX5BjrY14MuHeEK-nX5crz6z84tPZ6vlOXNSqMKU1AjCS-_lxlqQG-GUaCVXgErUEmGrW18bugILrkSj6p0EB-8a7xXIE_L2oLtL8ceIuZjQZYd9bweMYzYS1IJrWU9Z0TeP0Js4pvqfe0o3XLVKV0ocKJdizgm3Zpe6YNNkOJi9R-bgkakemXuPzF769YP0uAno_478MaUC8gDk2hq-Y_q3-z-yvwHRKpwY</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Albazee, Ebraheem</creator><creator>Alsubaie, Hemail M.</creator><creator>Al Sadder, Khaled</creator><creator>Alqaryan, Saleh</creator><creator>Tawfeeq, Essa</creator><creator>Alshakhri, Abdulrazzaq</creator><creator>Alwahhabi, Fai</creator><creator>Alameer, Ehab S.</creator><creator>Aldhahri, Saleh F.</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1244-7769</orcidid></search><sort><creationdate>20240601</creationdate><title>The Impact of Platysma Closure on Post-Thyroidectomy Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</title><author>Albazee, Ebraheem ; Alsubaie, Hemail M. ; Al Sadder, Khaled ; Alqaryan, Saleh ; Tawfeeq, Essa ; Alshakhri, Abdulrazzaq ; Alwahhabi, Fai ; Alameer, Ehab S. ; Aldhahri, Saleh F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-637e02d3dd3baa03b2c6253160e6203be0f75da037d3b916246100210dc4dd603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Clinical trials</topic><topic>Head and Neck Surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Systematic review</topic><topic>Thyroidectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Albazee, Ebraheem</creatorcontrib><creatorcontrib>Alsubaie, Hemail M.</creatorcontrib><creatorcontrib>Al Sadder, Khaled</creatorcontrib><creatorcontrib>Alqaryan, Saleh</creatorcontrib><creatorcontrib>Tawfeeq, Essa</creatorcontrib><creatorcontrib>Alshakhri, Abdulrazzaq</creatorcontrib><creatorcontrib>Alwahhabi, Fai</creatorcontrib><creatorcontrib>Alameer, Ehab S.</creatorcontrib><creatorcontrib>Aldhahri, Saleh F.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Albazee, Ebraheem</au><au>Alsubaie, Hemail M.</au><au>Al Sadder, Khaled</au><au>Alqaryan, Saleh</au><au>Tawfeeq, Essa</au><au>Alshakhri, Abdulrazzaq</au><au>Alwahhabi, Fai</au><au>Alameer, Ehab S.</au><au>Aldhahri, Saleh F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Platysma Closure on Post-Thyroidectomy Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</atitle><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle><stitle>Indian J Otolaryngol Head Neck Surg</stitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>76</volume><issue>3</issue><spage>2217</spage><epage>2226</epage><pages>2217-2226</pages><issn>2231-3796</issn><eissn>0973-7707</eissn><abstract>Aim
This systematic review and meta-analysis of randomized controlled trials (RCTs) compare the impact of platysma muscle layer closure technique among patients undergoing thyroidectomy in terms of postoperative outcomes, specifically pain.
Methods
Five electronic databases (PubMed, Scopus, Web of Science, Google Scholar, and Cochrane Central Register of Controlled Trials) were searched from inception until July 22, 2023. The Cochrane risk of bias tool 2 was employed for risk of bias (ROB) assessment. Data were pooled as mean difference (MD), standardized MD (SMD), or risk ratio (RR) based on data type (continuous or dichotomous) using RevMan software.
Results
This meta-analysis included four RCTs with a total of 426 patients. Three RCTs had a low risk of bias, while one had some concern regarding bias. The overall MD of the postoperative pain score favored the non-closure group over the closure group (MD = 0.63; 95% CI: [0.09, 1.18];
P
= 0.02). However, no significant differences were observed between the two groups in terms of patient scar assessment scale (MD= -0.61; 95% CI: [-3.39, 2.17];
P
= 0.67), observer scar assessment scale (SMD = 0.26; 95% CI: [-0.30, 0.81];
P
= 0.37), length of the scar (MD = 0.27; 95% CI: [-0.12, 0.67];
P
= 0.17), wound infection (RR = 0.63; 95% CI: [0.13, 3.16];
P
= 0.57), and seroma or hematoma (RR = 3.00; 95% CI: [0.49, 18.55];
P
= 0.24).
Conclusion
Our findings suggest that the platysma muscle layer closure during thyroidectomy might lead to increased postoperative pain but does not significantly impact scar outcomes or postoperative complications.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>38883518</pmid><doi>10.1007/s12070-024-04503-3</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1244-7769</orcidid></addata></record> |
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| ispartof | Indian journal of otolaryngology, and head, and neck surgery, 2024-06, Vol.76 (3), p.2217-2226 |
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| subjects | Clinical trials Head and Neck Surgery Medicine Medicine & Public Health Original Article Otorhinolaryngology Systematic review Thyroidectomy |
| title | The Impact of Platysma Closure on Post-Thyroidectomy Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials |
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