Impact of psychiatric symptoms on nasal perception in septorhinoplasty patients

• Verfasst von: Hohenberger, Ralph [VerfasserIn]
• Verfasst von: Baumann, Ingo [VerfasserIn]
• Verfasst von: Riedel, Frank [VerfasserIn]
• Verfasst von: Plinkert, Peter K. [VerfasserIn]
• Verfasst von: Bulut, Cem [VerfasserIn]
• Titel: Impact of psychiatric symptoms on nasal perception in septorhinoplasty patients
• Verf.angabe: Ralph Hohenberger, MD, Ingo Baumann, MD, Frank Riedel, MD, Peter K. Plinkert, MD, Olcay Cem Bulut, MD
• E-Jahr: 2024
• Jahr: 09. Februar 2024
• Umfang: 5 S.
• Fussnoten: Gesehen am 28.06.2024
• Titel Quelle: Enthalten in: Facial plastic surgery
• Ort Quelle: New York, NY : Thieme Medical Publ., 1983
• Jahr Quelle: 2024
• Band/Heft Quelle: 40(2024), 5, Seite 560-564
• ISSN Quelle: 1098-8793
• DOI: doi:10.1055/a-2240-8943
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: ANXIETY
• Sach-SW: body dysmorphic disorder
• Sach-SW: BODY DYSMORPHIC DISORDER
• Sach-SW: DEPRESSION
• Sach-SW: OUTCOMES SURVEY
• Sach-SW: quality of life
• Sach-SW: QUALITY-OF-LIFE
• Sach-SW: rhinoplasty
• Sach-SW: RHINOPLASTY
• Sach-SW: ROE
• Sach-SW: SATISFACTION
• Sach-SW: somatic symptom disorder
• Sach-SW: STANDARDIZED COSMESIS
• K10plus-PPN: 1892429322

Abstract

Psychological assessment plays a crucial role in the preoperative phase of septorhinoplasty (SRPL), exerting potential influence on both pre- and postoperative aspects of quality of life (QoL). In this prospective study, SRPL patients were systematically screened using two validated questionnaires for body dysmorphic disorder (BDD) and one each for anxiety, depression, and somatic symptom disorder (SSD). Nasal perception was evaluated utilizing two disease-specific, self-report instruments: The Rhinoplasty Outcomes Evaluation (ROE) and the Functional Rhinoplasty Outcome Inventory-17 (FROI-17). A total of 95 patients were enrolled. Positive screening rates were 40.4 and 28.3% for BDD, 37.3% for elevated anxiety, 16.4% for depression, and 22.4% for SSD. Mean scores on the ROE and FROI indicated lower QoL in all positive screening groups. Statistically significant differences were observed for anxiety (FROI total score: 47.1 +/- 14.6 to 37.8 +/- 16.2; p = 0.021) and BDD (ROE: 43.7 +/- 15.7 to 32.5 +/- 15.5; p = 0.003 and FROI total score: 47.4 +/- 15.3 to 37.8 +/- 17.1; p = 0.014). The Hospital Anxiety and Depression Scale exhibited a significant correlation with the preoperative FROI score (r = 0.34, p = 0.005). Patients with positive screenings for depression, anxiety, BDD, and SSD demonstrated compromised QoL during preoperative assessments compared with their negative counterparts, reflecting diminished nasal perception in both esthetic and functional dimensions. Surgeons must be cognizant of these psychological aspects during preoperative evaluations.