Psychological Status in Patients Seeking Rhinoplasty

Piromchai, Patorn; Suetrong, Surapol; Arunpongpaisal, Suwanna

doi:10.4137/cment.s7859

Cited by 10 publications

(15 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Meyer et al 23 found that 16 of 30 patients who sought rhinoplasty had psychological problems. In another study, 24 rhinoplasty candidates had higher scores for anxiety, insomnia, social dysfunction, depression, and somatic symptoms. Various studies indicate that body image of aesthetic rhinoplasty candidates is significantly lower than that of control groups 25,26 .…”

Section: Introductionmentioning

confidence: 92%

Comparison of Patterns of Psychopathology in Aesthetic Rhinoplasty Patients versus Functional Rhinoplasty Patients

Naraghi

Atari

2014

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 92%

Comparison of Patterns of Psychopathology in Aesthetic Rhinoplasty Patients versus Functional Rhinoplasty Patients

Naraghi

Atari

2014

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…Several anxiety disorders have been associated with altered breathing, perception of breathing, and response to manipulations of breathing. 5 A seemingly paradox inverse relation between breathing-related symptoms and the accuracy of estimating breathing loads has been found. Patients with an anxiety disorder may therefore have a blunted sensitivity to respiratory stimuli, keeping them from perceiving small respiratory changes in a normal gradual fashion and reacting to substantial changes from homeostasis with sudden worrying or a bout of anxiety.…”

Section: Do Not Miss the Fourth Dimension Of The Nasal Airwaymentioning

confidence: 99%

“…Many studies over the past 5 decades report that patients undergoing rhinoplasty have poor mental health. [1][2][3][4][5][6][7] In contrast, other studies view patients undergoing rhinoplasty as psychologically stable, 2,8,9 with normal selfesteem but poor body image. 3,[10][11][12][13][14][15] A more conservative approach suggests that, as a whole, the population of patients undergoing rhinoplasty have good mental health, but psychological abnormalities, such as body dysmorphic disorder (BDD), 4,16,17 anxiety, 2 and depression, 4,16 are overrepresented.…”

mentioning

confidence: 99%

Association of Mental Health Status With Perception of Nasal Function

Strazdins

Nie

Ramli

et al. 2017

JAMA Facial Plast Surg

View full text Add to dashboard Cite

IMPORTANCE Mental health issues are thought to be overrepresented among patients undergoing rhinoplasty and may be associated with patient presentation prior to surgery.OBJECTIVE To assess the association of poor mental health with perception of nasal function. DESIGN, SETTING, AND PARTICIPANTSA cross-sectional study of patients presenting for airway assessment was performed from December 1, 2011, to October 31, 2015, at 2 tertiary rhinoplasty centers in Sydney, Australia. Mental health was independently defined preoperatively by the Mental Component Summary of the 36-item Short Form Health Survey version 2 (a score of <40 indicated poor mental well-being), the Rosenberg Self-Esteem Scale (a score of <15 indicated low self-esteem), and the Dysmorphic Concerns Questionnaire (a score of >11 indicated above-average dysmorphic concerns). MAIN OUTCOMES AND MEASURESNasal function was assessed with patient-reported outcome measures, including the Nasal Obstruction Symptom Evaluation Scale, the 22-item Sinonasal Outcome Test, a visual analog scale to rate ease of breathing on the left and right sides, and Likert scales to assess overall function and nasal obstruction. Nasal airflow was assessed by nasal peak inspiratory flow, nasal airway resistance, and minimum cross-sectional area.RESULTS Among 495 patients in the study (302 women and 193 men; mean [SD] age, 36.5 [13.6] years), compared with patients with good mental health, those with poor mental health had poorer scores in all patient-reported outcome measures, including the visual analog scale for the left side (mean [SD], 51 [25] vs 42 [25]; P = .001), visual analog scale for the right side (mean [SD], 54 [24] vs 45 [26]; P < .001), Nasal Obstruction Symptom Evaluation Scale (mean [SD], 2.64 [0.95] vs 1.96 [1.04]; P < .001), 22-item Sinonasal Outcome Test (mean [SD], 2.14 [0.84] vs 1.33 [0.83]; P < .001), nasal obstruction (58 of 145 [40.2%] vs 83 of 350 [23.7%] with severe or worse obstruction; P < .001), and nasal function (72 of 145 [49.7%] vs 111 of 350 [31.8%] with poor or worse function; P < .001). Subclinical differences in nasal peak inspiratory flow could be demonstrated, but all other nasal airflow measures were similar. Low self-esteem produced a similar pattern, but dysmorphia did not. CONCLUSIONS AND RELEVANCEPoor mental health status is associated with a poorer self-perception of nasal function compared with those who are mentally healthy with clinically similar nasal airflow. Clinicians should be aware that patients with poor mental health reporting obstructed airflow may in part be representing an extension of their negative emotions rather than true obstruction and may require further assessment prior to surgery.LEVEL OF EVIDENCE NA.

show abstract

“…Meyer et al (1960) found that 16 out of 30 patients who sought rhinoplasty had psychological problems. In a more recent study (Piromchai et al, 2011), rhinoplasty candidates had higher scores of anxiety, insomnia, social dysfunction, depression, and somatic symptoms. Various studies indicate that body image of aesthetic rhinoplasty candidates are significantly lower than those of control group (Mowlawi et al, 2000;Khajeddin and Izadi Mazidi, 2013).…”

Section: Introductionmentioning

confidence: 97%