Psychological Patient Reactions after Septorhinoplasty - Our Personal View

Authors

  • Gabriela Kopacheva-Barsova University Hospital for Ear, Nose and Throat, University Campus "St. Mother Theresa", Skopje
  • Nikola Nikolovski University Hospital for Ear, Nose and Throat, University Campus "St. Mother Theresa", Skopje
  • Slavica Arsova University Hospital of Psychiatry, University Campus "St. Mother Theresa", Skopje
  • Dragoslav Kopachev Institute for Mental Health, Skopje

DOI:

https://doi.org/10.3889/oamjms.2015.100

Keywords:

rhino/septoplasty, Patients selection for septorhinoplasty, psychological abilities, “Self-body image” questioner, Brief Symptom Inventory (BSI) test

Abstract

AIM: The aim of our study is to observe adequate and inadequate psychological reactions in patients who are candidates for septorhinoplasty, before and after surgery and to create an adequate psychological model of a person suitable for septorhinoplasty in this group of patients.

MATERIAL AND METHODS: In this study, 140 patients with nasal septal deviation (deviatio septi nasi), alone or together with other nasal deformities, were observed in the period of 4 years (2011-2015 year). Our patients were psychologically observed using two standard psychological tests: Patients selection for septorhinoplasty and their psychological abilities (“Self-body image†questionnaire) and Brief Symptom Inventory (BSI) test.

RESULTS: Most of the patients 43 (39.8%), thought that after rhinoseptoplasty their self-confidence arise, 32 (29.63%) expected changing's in their life's, few of them 9 (8, 3%) thought that the environment will act different with them. The Brief Symptom Inventory (BSI) in women group was shown that most of the women patients presented symptoms of somatisation; 23 (23.33%) and 15 (25%) one year after surgery.

CONCLUSIONS: The patients made a sound decision for intervention, which was useful for the surgeon too, because it helped them choose an adequate operative technique and especially helped them in the postoperative period.

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References

Goin MK, Rees TD. A prospective study of patient's psychological reactions to rhinoplasty. Ann Plast Surg. 1991; 27:210-215.

http://dx.doi.org/10.1097/00000637-199109000-00004 DOI: https://doi.org/10.1097/00000637-199109000-00004

Hay GG. Psychiatric aspects of cosmetic of cosmetic nasal operations. Br J Psychiatry. 1970;116:85-97.

http://dx.doi.org/10.1192/bjp.116.530.85 DOI: https://doi.org/10.1192/bjp.116.530.85

PMid:5411011

Wright MR, Wright WK. A psychological study of patients undergoing cosmetic surgery. Arch Otorolaryngol. 1975;101:145-151.

http://dx.doi.org/10.1001/archotol.1975.00780320003001 DOI: https://doi.org/10.1001/archotol.1975.00780320003001

Goin MK, Burgoyne RW, Goin JM, Staples FR. A prospective psychological study of 50 female face-lift patients. Plast Reconstr Surg. 1980;65:436-442.

http://dx.doi.org/10.1097/00006534-198004000-00007 DOI: https://doi.org/10.1097/00006534-198004000-00007

PMid:7360810

Gorney M. Psychiatric and-medical legal implications of rhinoplasty, mentoplasty and otoplasty. Symposiums of aesthetic surgery of the Nose ears and chin. Vol.6, St. Louis; Mosby, 1995.

Jacobson WE, et al. Psychiatric evaluation of female patients seeking cosmetic surgery. Plast Reconstr Surg. 1960;26:356.

http://dx.doi.org/10.1097/00006534-196010000-00003 DOI: https://doi.org/10.1097/00006534-196010000-00003

David CW. The Changing Definition of Beauty. Facial Plastic Surgery. 2006;22:198-203. DOI: https://doi.org/10.1055/s-2006-950178

Davis R. Doctors will transplant a face-but whose? USA Today. May 24, 2006

Webster M, Driskell Je. Beauty as status. American Journal of Sociology. 1983;89:14—165.

http://dx.doi.org/10.1086/227836 DOI: https://doi.org/10.1086/227836

Garner DM. The 1997 body image survey results. Psychol today. 1997;31:30-44. DOI: https://doi.org/10.3233/FI-1997-30103

Philips KA, Dwight MM, McElroy Sl. Efficacy and safety of psychotherapy in body dysmorphic disorder. J Clin Psychiatry. 1998;59:165-171.

http://dx.doi.org/10.4088/JCP.v59n0404 DOI: https://doi.org/10.4088/JCP.v59n0404

Sohr E. The difficult Patient. Miami, FL: Medmaster Inc., 1996.

Picavet VA, Prokopakis EP, Gabriëls L, Jorissen M, Hellings PW. High prevalence of body dysmorphic disorder symptoms in patients seeking rhinoplasty. Plast Reconstr Surg. 2011;128(2):509-17.

http://dx.doi.org/10.1097/PRS.0b013e31821b631f DOI: https://doi.org/10.1097/PRS.0b013e31821b631f

PMid:21788842

Sarwer DB, Crerand CE, Didie ER. Body dysmorphic disorder in cosmetic surgery patients. Facial Plast Surg. 2003;19:7-18.

http://dx.doi.org/10.1055/s-2003-39137 DOI: https://doi.org/10.1055/s-2003-39137

PMid:12739178

Honigman RJ, Phillips KA, Castle DJ. A review of psychosocial outcomes for patients seeking cosmetic surgery. Plast Reconstr Surg. 2004;113:1229-1237.

http://dx.doi.org/10.1097/01.PRS.0000110214.88868.CA DOI: https://doi.org/10.1097/01.PRS.0000110214.88868.CA

PMid:15083026 PMCid:PMC1762095

Sarwer DB. Awareness and identification of body dysmorphic disorder by aesthetic surgeons: results of a survey of american society for aesthetic plastic surgery members. Aesthet Surg J. 2002;22:531-535.

http://dx.doi.org/10.1067/maj.2002.129451 DOI: https://doi.org/10.1067/maj.2002.129451

PMid:19332010

Gorney M. Recognition and management of the patient unsuitable for aesthetic surgery. Plast Reconstr Surg. 2010;126:2268-2271.

http://dx.doi.org/10.1097/PRS.0b013e3181f619da DOI: https://doi.org/10.1097/PRS.0b013e3181f619da

PMid:21124170

Published

2015-10-30

How to Cite

1.
Kopacheva-Barsova G, Nikolovski N, Arsova S, Kopachev D. Psychological Patient Reactions after Septorhinoplasty - Our Personal View. Open Access Maced J Med Sci [Internet]. 2015 Oct. 30 [cited 2024 Apr. 24];3(4):635-9. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2015.100

Issue

Section

B - Clinical Sciences

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