Do mental health and self-concept associate with rhinoplasty requests?

Zahiroddin, Alireza; Shafiee-Kandjani, Ali Reza; Khalighi-Sigaroodi, Enayat

doi:10.1016/j.bjps.2007.07.017

Cited by 31 publications

(43 citation statements)

References 21 publications

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“…In another study done in Iran by Zahiroddin et al [8], the Roger's Self-Concept Questionnaire and General Health Questionnaire (GHQ-28) were used to identify the self-concept and mental health of the patients requesting rhinoplasty. The study showed no significant difference in the mental health and self-concept between cases and controls.…”

Section: Discussionmentioning

confidence: 99%

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Personality Characteristics of Patients Seeking Cosmetic Rhinoplasty

Zojaji

Arshadi

Keshavarz³

et al. 2014

Aesth Plast Surg

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Section: Discussionmentioning

confidence: 99%

“…A previous study in Iran did not find any relationship between mental health, self-concept, and requesting cosmetic rhinoplasty [8]. In our previous study in Iran, the most common personality trait in individuals seeking rhinoplasty was obsessiveness-compulsiveness (23 %) [9].…”

Section: Introductionmentioning

confidence: 97%

Personality Characteristics of Patients Seeking Cosmetic Rhinoplasty

Zojaji

Arshadi

Keshavarz³

et al. 2014

Aesth Plast Surg

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“…Die neuere empirische Forschung zu subjektiven Aspekten von Septumplastik bzw. 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].…”

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“…Nicht selten begibt sich der Patient mit überhöhten, allein chirurgisch-technisch nicht realisierbaren Erwartungen in die Behandlung. Der behandelnde HNO-Arzt ist auf der anderen Seite gefordert, den subjektiven Wunsch des Patienten, seine objektivierbaren Beschwerden und die chirurgisch-technisch realisierbaren Erfolgsaussichten individuell abzuschätzen und eine rational begründbare Op.-Indikation zu stellen [1,6,9,22].Es liegt daher nahe, über die rein medizinisch-funktionellen Aspekte hinaus auch das subjektive Patientenerleben psychometrisch zu erfassen, um es im Rahmen der präoperativen Diagnostik und individuellen Beratung in die Indikationsentscheidung einbeziehen zu können.Ziel dieser Studie war die Erfassung psychometrischer Parameter bei Patienten mit dem Wunsch nach einer funktionell-ästhetischen Nasen-Op. und die Entwicklung eines präoperativen Screenings.…”

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Patienten mit dem Wunsch nach einer funktionell-ästhetischen Nasenoperation

Keck

Kühnemann

Ehrat

et al. 2012

HNO

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Association of Mental Health Status With Perception of Nasal Function

Strazdins

Nie

Ramli

et al. 2017

JAMA Facial Plast Surg

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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.

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Do mental health and self-concept associate with rhinoplasty requests?

Cited by 31 publications

References 21 publications

Personality Characteristics of Patients Seeking Cosmetic Rhinoplasty

Personality Characteristics of Patients Seeking Cosmetic Rhinoplasty

Patienten mit dem Wunsch nach einer funktionell-ästhetischen Nasenoperation

Association of Mental Health Status With Perception of Nasal Function

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