Abstract
The aim of this study was to evaluate different determinants of the patient's psychosocial functioning that might possibly affect the outcome of rhinoplastic surgery. Forty-one patients undergoing rhinoplasty, consecutively admitted to and operated upon at the Department of Otolaryngology, Erzurum Regional Training and Research Hospital, Turkey, were studied with regard to their psychological characteristics. In the patient group, Liebowitz anxiety, Liebowitz/avoidance, and Liebowitz/total scores were significantly higher than the control group (p<0.001). No significant differences were found between the patient and control groups according to Rosenberg self-esteem scale and The Hospital Anxiety and Depression Scale. In the Quality of Life SF-36 results, significant differences were found between the patient and control groups apart from SF-36 scores of pain (p<0.05), vitality (p<0.05), social functioning (p<0.05) and emotional role difficulties (p<0.05). Patient selection must be done very carefully to obviate not only physical, but also psychological postoperative complications. The SF-36 questionnaire may be of value in screening-patients for psychological problems prior to rhinoplasty.
Highlights
The face is the crucial anatomical structure that determines the identity perception
Forty one patients who demanded rhinoplasty and 34 age- and sex-matchedhealthy control subjects enrolled in this prospective study
The patient group consisted of 14 female and 27 male patients with a mean age of 26.5±5.6 years, and the control group had 15 female and 19 male participants with a mean age of 24.5±4.8 years.The patients were examined with the Hospital Anxiety and Depression Scale (HADS), Liebowitz Social Anxiety Scale (LSAS), Quality of Life Scale Short Form (SF-36), and Rosenberg self-esteem scale (RSES) questionnaires before the operation
Summary
The face is the crucial anatomical structure that determines the identity perception. Authors showed that even small changes from normal appearance might influence other people’s perception of the person. Several psychological theories conclude that there is an interaction between patient and perceiver often resulting in a self-fulfilling prophecy in which the patient incorporates the perceiver’s expectations and behaviourinto his or her selfconcept [2, 3]. This can have a negative effect on a patient’s self-esteem, resulting in feelings of anxiety and depression, and subsequently in social avoidance
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