Platysma Incision Cosmesis
| Status: | Enrolling by invitation |
|---|---|
| Healthy: | No |
| Age Range: | 18 - 70 |
| Updated: | 3/21/2019 |
| Start Date: | November 26, 2018 |
| End Date: | December 2020 |
Influence of Platysmal Incision on Cosmetic Satisfaction Outcomes in Anterior Cervical Spine Surgery Patients
The anterior cervical fusion and decompression (ACDF) surgery provides direct access to
symptomatic areas of the cervical spine. Cosmesis, including factors like wound healing, is
an important issue for patients who undergo surgery on anterior neck structures. One
significant factor that impacts cosmetic healing in patients who undergo the ACDF surgery is
whether a vertical or transverse incision of the platysma muscle in the neck was used to
access the cervical spine.
The purpose of the present study is to compare cosmetic outcomes in vertical versus
transverse platysmal incisions for anterior cervical spine exposures. Researchers intend to
analyze this effect with a prospective comparative study model. A targeted number of 100
patients who undergo anterior cervical surgery, as part of their standard of care, will be
randomized to receive either a transverse or vertical platysmal incision during the exposure
part of their procedure. Informed consent for inclusion in the study, as approved by the
Institutional Review Board, will be obtained from all patients in addition to consent for the
surgical procedure. Regardless of the platysmal incision, all patients will receive a
standard transverse skin incision, as is done routinely in anterior cervical exposures. After
the surgery, all closures will be done in a standard manner.
These patients will be followed up in the clinic at two weeks, three months, six months, and
one year. They will be evaluated for wound healing and incision cosmesis using a modification
of The Hollander Wound Evaluation Scale. Clinical photographs of the patients' necks will be
captured during these visits in a manner that does not reveal any patient identifiers in any
way. The incisions and overall cosmesis will be graded using the scale mentioned above. The
data will be analyzed to determine if a transverse platysmal incision offers better cosmetic
results than a vertical platysmal incision, or vice versa, and will also be used to validate
the modified wound evaluation scale.
symptomatic areas of the cervical spine. Cosmesis, including factors like wound healing, is
an important issue for patients who undergo surgery on anterior neck structures. One
significant factor that impacts cosmetic healing in patients who undergo the ACDF surgery is
whether a vertical or transverse incision of the platysma muscle in the neck was used to
access the cervical spine.
The purpose of the present study is to compare cosmetic outcomes in vertical versus
transverse platysmal incisions for anterior cervical spine exposures. Researchers intend to
analyze this effect with a prospective comparative study model. A targeted number of 100
patients who undergo anterior cervical surgery, as part of their standard of care, will be
randomized to receive either a transverse or vertical platysmal incision during the exposure
part of their procedure. Informed consent for inclusion in the study, as approved by the
Institutional Review Board, will be obtained from all patients in addition to consent for the
surgical procedure. Regardless of the platysmal incision, all patients will receive a
standard transverse skin incision, as is done routinely in anterior cervical exposures. After
the surgery, all closures will be done in a standard manner.
These patients will be followed up in the clinic at two weeks, three months, six months, and
one year. They will be evaluated for wound healing and incision cosmesis using a modification
of The Hollander Wound Evaluation Scale. Clinical photographs of the patients' necks will be
captured during these visits in a manner that does not reveal any patient identifiers in any
way. The incisions and overall cosmesis will be graded using the scale mentioned above. The
data will be analyzed to determine if a transverse platysmal incision offers better cosmetic
results than a vertical platysmal incision, or vice versa, and will also be used to validate
the modified wound evaluation scale.
Inclusion Criteria:
- All patients undergoing elective Anterior Cervical Decompression and Fusion surgery
for degenerative spinal pathologies by Dr. Tony Tannoury or Dr. Chadi Tannoury at
Boston Medical Center as part of their standard of care.
Exclusion Criteria:
- Patients undergoing revision anterior cervical spine surgeries with a pre-existing
scar. Patients with cervical spine tumors/neoplastic pathologies. Patients undergoing
surgery for cervical spine trauma.
We found this trial at
1
site
Click here to add this to my saved trials
