Abstract:The appearance of psychiatric disorders among plastic surgery patients is well-known, and its frequency is higher than in other surgical branches. There is evidence that these patients may suffer from body dysmorphic disorder (BDD), a mental disorder characterized by excessive concern about some imaginary or slight physical defect, causing significant clinical discomfort, social deterioration, and losses in other important areas of the individuals' activity. We present a typical case of BDD and discuss diagnos… Show more
“… Conclusion 1 – A surgical operation can benefit the Body Dysmorphic Disorder (BDD) patient when appropriate support is provided. In these cases, the handling of these patients must be coordinated by a psychiatrist and this must be combined with medical treatment 28 …”
Section: Resultsmentioning
confidence: 99%
“…Conclusion 2 – In most cases surgery will not be useful in the long term. The authors refer to a case report of a patient who had undergone aesthetic rhinoplasty and following surgery ‘showed us fun noses (of the type people wear on Halloween) that she wore at home to disguise her own nose and so diminish her anxiety’ 28 …”
Section: Resultsmentioning
confidence: 99%
“…In these cases, the handling of these patients must be coordinated by a psychiatrist and this must be combined with medical treatment 28 …”
Objectives This systematic review set out to establish best practice in relation to policy for the inclusion/exclusion of rhinoplasty within public health systems. Inclusion criteria The review considered any studies relating to rhinoplasty that addressed issues of inclusion/exclusion from public funded health systems including criteria for clinical need, contraindications, fit/ready for surgery, policy compliance and issues in relation to surgical training. Search strategy The search strategy sought to find published and unpublished studies and papers limited to English. An initial search of Medline and CINAHL was undertaken, followed by an analysis of keywords contained in the title, abstract and index terms. A second comprehensive search was then undertaken using Medline, CINAHL, EMBASE, AUSTROM, Health Business, and FullTEXT Elite and PsycINFO. The search was restricted to the period 1995-2005. Methodological quality Each paper was assessed by two independent reviewers for methodological quality before inclusion in the review using an appropriate critical appraisal instrument from the Joanna Briggs Institute System for the Unified Management and Assessment Review Instrument package. Results A total of nine papers were included in the review. Owing to the diverse nature of these papers, meta-synthesis was only possible for three of the seven papers. For this reason, the rest of the results are presented in narrative form. The majority of the papers included in the review related to psychological indicators for surgery and the potential impact of surgery on quality of life. Conclusion Where clinical indications for surgery are determined and documented following thorough diagnostic evaluation, rhinoplasty may be conducted.
“… Conclusion 1 – A surgical operation can benefit the Body Dysmorphic Disorder (BDD) patient when appropriate support is provided. In these cases, the handling of these patients must be coordinated by a psychiatrist and this must be combined with medical treatment 28 …”
Section: Resultsmentioning
confidence: 99%
“…Conclusion 2 – In most cases surgery will not be useful in the long term. The authors refer to a case report of a patient who had undergone aesthetic rhinoplasty and following surgery ‘showed us fun noses (of the type people wear on Halloween) that she wore at home to disguise her own nose and so diminish her anxiety’ 28 …”
Section: Resultsmentioning
confidence: 99%
“…In these cases, the handling of these patients must be coordinated by a psychiatrist and this must be combined with medical treatment 28 …”
Objectives This systematic review set out to establish best practice in relation to policy for the inclusion/exclusion of rhinoplasty within public health systems. Inclusion criteria The review considered any studies relating to rhinoplasty that addressed issues of inclusion/exclusion from public funded health systems including criteria for clinical need, contraindications, fit/ready for surgery, policy compliance and issues in relation to surgical training. Search strategy The search strategy sought to find published and unpublished studies and papers limited to English. An initial search of Medline and CINAHL was undertaken, followed by an analysis of keywords contained in the title, abstract and index terms. A second comprehensive search was then undertaken using Medline, CINAHL, EMBASE, AUSTROM, Health Business, and FullTEXT Elite and PsycINFO. The search was restricted to the period 1995-2005. Methodological quality Each paper was assessed by two independent reviewers for methodological quality before inclusion in the review using an appropriate critical appraisal instrument from the Joanna Briggs Institute System for the Unified Management and Assessment Review Instrument package. Results A total of nine papers were included in the review. Owing to the diverse nature of these papers, meta-synthesis was only possible for three of the seven papers. For this reason, the rest of the results are presented in narrative form. The majority of the papers included in the review related to psychological indicators for surgery and the potential impact of surgery on quality of life. Conclusion Where clinical indications for surgery are determined and documented following thorough diagnostic evaluation, rhinoplasty may be conducted.
“…Septorhinoplastik ist in der Tendenz eher enttäuschend [2,11,17,18,22]. Selbst die Literatur zu subjektiven Aspekten plastisch-ästhetischer Operationen allgemein ist spärlich [3].Die subjektiven Motive des Op.-Wunsches des Patienten und die objektivierbaren Beweggründe zur Indikationsentscheidung durch den HNO-Arzt sind oftmals diskrepant und können zur Quelle problematischer Arzt-Patient-Interaktionen werden. Nicht selten begibt sich der Patient mit überhöhten, allein chirurgisch-technisch nicht realisierbaren Erwartungen in die Behandlung.…”
unclassified
“…Septorhinoplastik ist in der Tendenz eher enttäuschend [2,11,17,18,22]. Selbst die Literatur zu subjektiven Aspekten plastisch-ästhetischer Operationen allgemein ist spärlich [3].…”
Body dysmorphic disorder (BDD) is a somatoform disorder characterized by the patient's excessive concern with an imagined or minor defect in physical appearance. Patients with BDD often have been observed in aesthetic surgery settings seeking surgical enhancement at a reported prevalence of 6% to 15%. Published studies in the general population tend to aggregate a prevalence of 0.7% to 2.3%. This review aimed to search the literature for data on the prevalence, psychopathologic aspects, and comorbidity of BDD, and to provide an update on current BDD research. Relevant literature was identified by searching the Medline, PubMed, PsycINFO, and EMBASE databases. The following search words were used alone or in combination when appropriate: "body dysmorphic disorder," "somatoform disorder," "obsessive compulsive spectrum disorder," "personality disorders," "presurgical counseling," "aesthetic surgery," "cosmetic surgery," and "plastic surgery." Further articles were sourced from the reference lists of the articles ascertained through the search. Recent findings include the relationship between BDD and the obsessive-compulsive spectrum, treatment of BDD based on pharmacologic and psychological approaches, and the hypothesis that the often distinguished delusional and nondelusional variants of BDD very likely are the expression of a single disorder with varying degrees of severity. Retrospective outcome studies suggest that patients affected by BDD typically do not benefit from surgical treatment. In contrast, serotonin reuptake inhibitors and cognitive-behavior therapy appear to be good practice in addressing the disorder. Further research is needed to identify effective interventions for patients who do not respond to these treatment methods.
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