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Therefore, risk factors should be identified and prevention of these factors is considered to be critical in management. We reviewed the medical records of 96 thyroidectomy patients who were divided into two groups based on scar type: patients with hypertrophic (<jats:italic>n<\/jats:italic>\u2009=\u200961) and linear flat scars (<jats:italic>n<\/jats:italic>\u2009=\u200935). Multivariable logistic regression model was developed to identify risk factors for developing hypertrophic scar. There was no significant difference between the two groups in terms of age, gender ratio, tumor type, and type of operation. Multivariable analysis showed that hypertrophic scar development was associated with scars located within 1\u2009cm above the sternal notch (odds ratio [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>]\u2009=\u20095.94, <jats:italic>p<\/jats:italic>\u2009=\u20090.01), prominent sternocleidomastoid muscles (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u200912.03, <jats:italic>p\u2009<\/jats:italic>&lt;<jats:italic>\u2009<\/jats:italic>0.01), and a high body mass index (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20091.33, <jats:italic>p<\/jats:italic>\u2009=\u20090.01). The area under the receiver operating characteristic curve for risk factors was 0.85. Development of hypertrophic scar after thyroidectomy was found to be associated with specific preoperative factors such as incision site near the sternal notch, prominent sternocleidomastoid muscles, and high body mass index.<\/jats:p>","DOI":"10.1111\/j.1524-475x.2012.00784.x","type":"journal-article","created":{"date-parts":[[2012,4,24]],"date-time":"2012-04-24T22:34:35Z","timestamp":1335306875000},"page":"304-310","source":"Crossref","is-referenced-by-count":38,"title":["Risk factors for hypertrophic surgical scar development after thyroidectomy"],"prefix":"10.1111","volume":"20","author":[{"given":"Jong Hoon","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Dermatology and Cutaneous Biology Research Institute Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Yong","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Biology Research 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