Association of Mental Health Status With Perception of Nasal Function

Strazdins, Erika; Nie, Yu Feng; Ramli, Raziqah; Palesy, Tom; Christensen, Jenna M.; Marcells, George N.; Harvey, Richard J.

doi:10.1001/jamafacial.2017.0459

Cited by 15 publications

(28 citation statements)

References 46 publications

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“…While devising a management plan for those seeking rhinoplasty it is important to incorporate thorough assessment of mental health as it has lasting impact on the outcome of surgery. 13 Results of this study are consistent with other studies as majority of patients seeking rhinoplasty were young, single females. Similar results were observed in studies done by Abbas, 14 de Brito, 15 and Bouman, 16 in which there was higher prevalence of females seeking rhinoplasty as they are preoccupied with physical appearance of their breast, hip with particular focus on skin tone, color, hairs or shape of nose, 17 as compared to males who are more concerned about their body hairs, genital and height.…”

Section: Discussionsupporting

confidence: 91%

Depression and Anxiety Among Patients Seeking Rhinoplasty

Khan

Ali

Raza

et al. 2021

PAFMJ

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Objective: To evaluate the presence and relation of depression and anxiety among patients seeking rhinoplasty Study Design: A cross-sectional study. Place and Duration of Study: Departments of Psychiatry, department of Plastic Surgery and ENT, Combined Military Hospital Multan, from Jan 2019 to Mar 2020. Methodology: A total of 102 patients were recruited that reported to Plastic surgery and ENT unit. Patients were divided equally in two groups of 51 each. One group included patients seeking rhinoplasty while other group included those patients that reported in Plastic surgery and ENT unit for reasons other than rhinoplasty. Symptom were assessed using Beck Depressive Inventory for depression and Beck Anxiety Inventory for anxiety. Results: A total of 102 participants were included in the study, of these 51 were patients seeking rhinoplasty and 51 were controls. Significant correlation exist between anxiety and depression (p<0.00). Conclusion: There is a very high frequency of anxiety and depression among patients seeking Rhinoplasty along with significant positive correlation.

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Section: Discussionsupporting

confidence: 91%

Depression and Anxiety Among Patients Seeking Rhinoplasty

Khan

Ali

Raza

et al. 2021

PAFMJ

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“…Greater benefit was seen in NOSE scores in those with poor mental well-being, but this may be due to a bias inherent in comparing preoperative and postoperative outcomes. Indeed, preoperatively those with impairments in mental well-being report significantly worse NOSE scores than those with normal mental well-being (mean [SD] score 2.64 [0.95] vs 1.96 [1.04]; P < .001) 48 ; hence, patients with a better initial perception of nasal function have less scope for improvement following rhinoplasty. The greater improvements in perceptions of nasal function observed in individuals with poor vs normal mental well-being may thus be a consequence of a lower baseline rather than a different surgical benefit.…”

Section: Discussionmentioning

confidence: 99%

Association Between Mental Health Status and Patient Satisfaction With the Functional Outcomes of Rhinoplasty

Strazdins

Nie

Ramli

et al. 2018

JAMA Facial Plast Surg

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IMPORTANCE Mental health can have an impact on patient satisfaction with rhinoplasty. However, the association between mental health and patient satisfaction with functional outcomes of rhinoplasty is poorly understood. OBJECTIVE To determine whether preoperative mental health is associated with satisfaction with functional outcomes of rhinoplasty. DESIGN, SETTING, AND PARTICIPANTS This case-control study assessed baseline nasal function and postsurgical functional outcomes for 88 consecutive patients undergoing rhinoplasty with both cosmetic and functional goals at 2 tertiary rhinologic centers in Sydney, Australia. EXPOSURES Poor mental well-being was defined preoperatively by the Optum SF-36v2 Health Survey mental component summary. MAIN OUTCOMES AND MEASURES Nasal function was assessed with patient-reported outcome measures, including visual analog scales, the Nasal Obstruction Symptom Evaluation Scale (NOSE), the 22-item Sinonasal Outcome Test (SNOT-22), and Likert scales. Objective outcomes included nasal peak inspiratory flow, nasal airway resistance, and minimum cross-sectional area. All outcomes were assessed preoperatively and 6 months postoperatively. The 36-item Optum SF-36v2 Health Survey mental component summary was used to assess mental well-being, with a score of less than 40 indicating poor mental well-being and a score 40 or higher indicating normal well-being. RESULTS Mean (SD) patient age was 37.6 (12.9) years and 53 of 88 (60.2%) were women. The mental component summary defined impaired well-being in n = 24 (cases) and normal well-being in n = 64 (controls). There were improvements in the total study population across most nasal function outcomes and in both groups. After rhinoplasty, benefit was seen for both groups in visual analog scale (left side mean [SD] change, 18 [30]; P < .001 and right side mean [SD] change, 24 [30]; P < .001); NOSE (mean [SD] change, 1.35 [1.21]; P < .001); and SNOT-22 (mean [SD] change, 0.81 [0.88]; P < .001) scores. Nasal peak inspiratory flow improved for both groups (mean [SD] change, 32 [45] L/min; P < .001), while nasal airway resistance and minimum cross-sectional area remained similar (change in nasal airway resistance, 0.086 Pa/cm 3 /s; 95% CI, −0.007 Pa/cm 3 /s to 0.179 Pa/cm 3 /s and change in minimum cross-sectional area, −0.04 cm 2 ; 95% CI, −0.21 cm 2 to 0.13 cm 2). Patients with poor mental health had similar improvements in nasal function compared with controls. CONCLUSIONS AND RELEVANCE Rhinoplasty imparts similar benefits to nasal function assessed by patient-reported outcome measures and objective airflow measures regardless of preoperative mental health status. LEVEL OF EVIDENCE 3.

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“…In a 2017 cross-sectional study of *500 patients, it was shown that those with poor mental health had poorer scores in not only visual cosmetic scales but also functional scales including the NOSE and SNOT-22 scales, compared with mentally healthy patients with similar nasal airflow. 30 This indicates that mental health is linked to both cosmesis and function, which must be taken into consideration when evaluating patients for surgical rhinoplasty.…”

mentioning

confidence: 99%

Complications in Rhinoplasty: A Literature Review and Comparison with a Survey of Consent Forms

Heilbronn

Cragun

Wong

2020

Facial Plastic Surgery & Aesthetic Medicine

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Importance: Informed consent in rhinoplasty is a challenging process due to the technically demanding surgery with a wide array of potential complications. Objective: To underscore the significance of informed consent in rhinoplasty, its complications, and identify gaps in the consent process. Design, Setting, and Participants: Dual search and comparison. First a review of the literature for rhinoplasty articles was carried out between January 2000 and November 2017 with at least 100 patients to identify complications and their incidences. Then a comprehensive online search for rhinoplasty consent forms was carried out to identify consent form topics and their incidences. Main Outcomes and Measures: Consent form topics and complication rates from the literature review were reported and directly compared. Results: A total of 117 articles were included, with 36 different complications reported. Twenty-four consent forms were evaluated, yielding 80 different topics. Common complications within the literature included skin problems such as acne (18.3%), numbness (16.7%), hospital revisit (6.5%), primary source revision rate (5.3%), and dissatisfaction (5.0%). The most commonly covered consent topics included infection (100%), bleeding (95.8%), and scarring (95.8%). Unsatisfactory results and need for revision were only covered in 83.3% and 75.0% of consent forms, respectively, despite both being in the top 5 complications cited in the literature. Conclusions and Relevance: Rhinoplasty consent forms generally cover a wide range of topics, with varying incidences of complications cited within the literature. Certain complications such as dissatisfaction and revision surgery should be included in every consent process. These data help provide a contextual framework as well as valuable information in preoperative counseling for patients and physicians regarding rhinoplasty and its potential complications Level of Evidence: NA

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Association of Mental Health Status With Perception of Nasal Function

Cited by 15 publications

References 46 publications

Depression and Anxiety Among Patients Seeking Rhinoplasty

Depression and Anxiety Among Patients Seeking Rhinoplasty

Association Between Mental Health Status and Patient Satisfaction With the Functional Outcomes of Rhinoplasty

Complications in Rhinoplasty: A Literature Review and Comparison with a Survey of Consent Forms

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