Preventing Postsurgical Dissatisfaction Syndrome after Rhinoplasty with Propranolol: A Pilot Study

Gruber, Ronald P.; Roberts, Christa; Schooler, Wesley; Pitman, Roger K.

doi:10.1097/prs.0b013e318199f63f

Cited by 15 publications

(8 citation statements)

References 38 publications

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“…However, asymmetrical shape of the face may appear as interesting [21]. It is therefore important that the patient receives appropriate information concerning the possible postoperative deviations in shape from perfect symmetry after posttraumatic rhinoplasty [22]. In the current study, we obtained good results of corrective surgery of the external nose, which for most of the linear parameters, were similar to healthy Caucasian population.…”

Section: Discussionsupporting

confidence: 56%

Individual and ethnic aspects of preoperative planning for posttraumatic rhinoplasty

2010

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The aim of this study was to compare the aesthetic results of post traumatic rhinoplasty among Europeans with populations of healthy Caucasians described in earlier reports, and to collate correct parameters of nasal shape in healthy representatives of both sexes and various races for improvement in aesthetic results of surgery. 3-D scanning of the face was performed in 54 patients after posttraumatic septorhinoplasty. Analysis of 3D model was based on two indices of the nasal proportions and four angles of the region from 18 anthropological points. Parameters of the nasal shape in addition to gender were compared to average values of healthy Caucasian population, described before. Normal characteristics of the nose among individuals of three races from previous studies were also compared to one another. In females, mean height and width of the nose as well as length of both nostrils was smaller. Neither were there any significant differences in width of the nostrils and length of the nasal pyramid nor nasal prominence. Nasal proportions were similar in both sexes. Some of the nasal angles differed in addition to gender. Posttraumatic rhinoplasty resulted in correct shape of the nose similar to the healthy Caucasian population. The aesthetic nose differ among healthy individuals of the three races analysed. While preoperative planning is important, knowledge of the normal values of parameters characterising shape in both genders is equally important as the individual differences in relation to the whole face.

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Section: Discussionsupporting

confidence: 56%

Individual and ethnic aspects of preoperative planning for posttraumatic rhinoplasty

2010

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“…The β-adrenergic blocker propranolol may help reduce the "postsurgical dissatisfaction syndrome" in some patients. 17 This effect could perhaps be explained by a dampening effect on potentially occurring ASD hypervigilance symptoms. Delusional thoughts, which are one possible symptom of ADS/PTSD, may be treated with neuroleptics.…”

Section: Support For Patients Suffering From Acute Stress Disorder/pomentioning

confidence: 99%

Posttraumatic Stress Disorder: Reason for or Consequence of Facial Plastic Surgery?

Ehlert

2015

Facial plast Surg

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Facial plastic surgery may be undertaken for a variety of reasons. Patients may have had traumatic experiences prior to surgery, such as an accident, a physical assault, or severe illness resulting in facial damage, and they may have used inadequate coping strategies. These patients usually appear suspicious toward medical staff and need special attention because they are at high risk of being unsatisfied with the outcome of surgery. Some patients may hold unrealistic assumptions about the outcome of plastic surgery. Yet other patients may suffer from complications of surgery and may thus experience facial plastic surgery as a trauma. In all such events these patients require special attention. First of all, careful exploration of traumatic experiences prior to surgery should take place even if this does not seem to be part of the standard treatment and requires additional time. Patients usually experience strong relief when their concerns are taken seriously, and treatment outcomes can thus be improved. Moreover, patients should be checked for acute stress disorder (ASD) or posttraumatic stress disorder (PTSD), and if so diagnosed, specialized treatment should be initiated postoperatively. Patients with ASD or PTSD will experience the surgical intervention and the treatment postsurgery with more confidence and greater satisfaction if the surgeon also engages in the psychosocial aspects of their history.

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“…A preliminary study in rhinoplasty patients indicated that propranolol given immediately after splint removal in anxious, unhappy rhinoplasty patients may prevent a postsurgical dissatisfaction syndrome. 7 It is as yet unknown if anxiety caused by postoperative swelling and bruising may be approached in a similar fashion as in anxious, unhappy patients immediately after splint removal. The number of studies aiming at the prevention or reduction of swelling and bruising clearly indicates that the surgical community is both aware of the clinical relevance for the patient and the potential to minimize this unwanted side effect of surgery.…”

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confidence: 99%

Reducing Periorbital Edema and Ecchymosis after Rhinoplasty: Literature Review and Personal Approach

Tasman

2018

Facial plast Surg

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Postoperative periorbital edema and ecchymosis are most bothersome to rhinoplasty patients. The degree of swelling and bruising is influenced by several factors, and numerous prophylactic and therapeutic measures have been described in the literature. This article reviews the current literature and concludes with the author's suggestions on how to best minimize postoperative periorbital edema and ecchymosis.

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Preventing Postsurgical Dissatisfaction Syndrome after Rhinoplasty with Propranolol: A Pilot Study

Abstract: Propranolol given immediately after splint removal in anxious, unhappy cosmetic surgery patients may prevent postsurgical dissatisfaction syndrome. A double-blind study appears warranted.

Cited by 15 publications

References 38 publications

Individual and ethnic aspects of preoperative planning for posttraumatic rhinoplasty

Individual and ethnic aspects of preoperative planning for posttraumatic rhinoplasty

Posttraumatic Stress Disorder: Reason for or Consequence of Facial Plastic Surgery?

Reducing Periorbital Edema and Ecchymosis after Rhinoplasty: Literature Review and Personal Approach

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