ABSTRACT Objective:Thyroidectomy is commonly performed surgical procedure for benign or malignant thyroid pathologies. Patients generally mention about their reservations about the shape of skin incision. In order to minimize the scar deformity novel surgical procedures were described in the literature. We aimed to investigate the relationship between the scar length, type of surgery, obesity and patient satisfaction and scar appearance. Design: A total of seventy seven (77) patients were included in the study. Patient and Observer Scar Assessment Scale (POSAS) was used for measuring the satisfaction. Results: The mean overall satisfaction score was 1,6 (1: normal 10: worst) and the vast majority of the patients (74/77, 96.1%) were satisfied with their surgical scars. Significantly higher OSAS scores were observed in patients who have secondary (completion of contralateral lobectomy) surgery and radioactive iodine treatment (p<0,001 p=0,034 respectively). There was not significantly different OSAS scores in patients according to sex, body mass index (BMI) and incision length. Conclusion: The classical mid-cervical incision has positive long-term satisfactory results. Patients required early secondary (completion) thyroidectomy should be informed about the possible unsatisfactory results and surgeon should pay more attention and act as careful as possible for skin closure

Abstract Introduction Crooked nose deformity is a vertical axis deviation of the nasal pyramid; despite all advancements, it remains a significant problem to resolve. In this study, we present our I- and C-shaped crooked nose rhinoplasty results with this new osteotomy technique. Method This study included 25 patients with I- or C-shaped crooked nose deformities who underwent correction with a closed-approach let-down procedure. In this technique, the middle vault is preserved, the bony cap is mobilized and preserved, and the lateral nasal bones are equalized by a piezo device or classical osteotomes. By the mobilization of the bony cap, tension on the dorsal septum is released, and slight asymmetries are hidden behind this mobile bony cap. Results The postoperative angles for both type I and C deformities were closer to the ideal angle, and the difference was statistically significant. All patients were satisfied with their aesthetic and functional results. Conclusion In this procedure, we correct asymmetries at the lower maxillary nasal junction, such as in the Let-down approach, as well as asymmetries at the K-point, such as in the structural approach. Thus, we combine the advantages of both techniques. Additionally, the mobile-bony cap left on the patient is very useful for releasing the tension of the septal dorsum and hiding slight asymmetries that remain below in the patients.