{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:22:40Z","timestamp":1791901360869,"version":"4.3.4"},"reference-count":51,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T00:00:00Z","timestamp":1521936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Background and Objective<\/jats:title><jats:p>Polynucleotide (PN) provides a structural scaffold to induce anti\u2010inflammatory and enhanced wound healing properties, and this study aimed to assess the efficacy of PN administration in the prevention of post\u2010operative scars after conventional open total thyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design Materials and Methods<\/jats:title><jats:p>Forty\u2010two patients with thyroid carcinoma who underwent total thyroidectomy were randomly assigned to the study (PN administration) or control (normal saline) group. All patients underwent a single session of combined ablative and non\u2010ablative fractional laser. The Vancouver Scar Scale (VSS), global photographic assessment, and objective scar were assessed using three\u2010dimensional (3D) camera at baseline and at 2, 4, 8, and 16 weeks after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients who underwent PN injection demonstrated better surgical scar quality outcome. Participants in the PN administration group had lower VSS scores than the control group (2.09\u2009\u00b1\u20090.47 vs. 4.01\u2009\u00b1\u20090.55, respectively) and lower scar height (0.23\u2009\u00b1\u20090.03 vs. 0.29\u2009\u00b1\u20090.03, respectively), as measured using 3D imaging. Furthermore, in the PN injected group, the degree of erythema, and pigmentation of the scar were less prominent. No patient developed hypertrophic scar or keloids on the surgical site. No other adverse events, including post\u2010inflammatory hyperpigmentation, scarring, or infection, were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adjuvant administration of PN along with conventional fractional laser treatment led to more favorable effect in wound healing and post\u2010operative scar prevention after thyroidectomy. Lasers Surg. Med. 50:755\u2013762, 2018. \u00a9 2018 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lsm.22812","type":"journal-article","created":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T15:00:24Z","timestamp":1521990024000},"page":"755-762","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Preventive effect of polynucleotide on post\u2010thyroidectomy scars: A randomized, double\u2010blinded, controlled trial"],"prefix":"10.1002","volume":"50","author":[{"given":"Ji Hee","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Dermatology and Cutaneous Biology Research Institute Yonsei University College of Medicine Seoul Korea"},{"name":"Scar Laser and Plastic Surgery Center Yonsei University College of Medicine Yonsei Cancer Hospital Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong 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