Patients with mild to moderate body dysmorphic disorder may benefit from rhinoplasty

被引:67
作者
Arruda Felix, Gabriel Almeida [1 ]
Azevedo de Brito, Maria Jose [1 ,2 ]
Nahas, Fabio Xerfan [1 ]
Tavares, Hermano [3 ]
Cordas, Taki Athanassios [3 ]
Dini, Gal Moreira [1 ]
Ferreira, Lydia Masako [1 ]
机构
[1] Fed Univ Sao Paulo UNIFESP, Div Plast Surg, Sao Paulo, Brazil
[2] Sapucai Valley Univ UNIVAS, Pouso Alegre, MG, Brazil
[3] Univ Sao Paulo, Dept Psychiat, Sao Paulo, Brazil
关键词
Rhinoplasty; Plastic surgery; Body dysmorphic disorders; Body image; Therapeutics; NONPSYCHIATRIC MEDICAL-TREATMENT; PLASTIC SURGEONS OPERATE; QUALITY-OF-LIFE; COSMETIC SURGERY; PREVALENCE; SYMPTOMS; INDIVIDUALS; SAMPLE;
D O I
10.1016/j.bjps.2014.01.002
中图分类号
R61 [外科手术学];
学科分类号
摘要
Body dysmorphic disorder (BDD) is one of the most common psychiatric conditions found in patients seeking cosmetic surgery. BDD is also a challenge for plastic surgeons because it is still an underdiagnosed mental disorder. The aims of this study were to prospectively investigate whether patients with mild to moderate BDD are suitable for rhinoplasty, and to assess BDD severity and patient satisfaction with the surgical outcome 1 year after the intervention. All women (n = 116) seeking rhinoplasty at a university hospital between September 2009 and August 2010 were recruited for the study and assessed for BDD. The final sample consisted of 31 patients aged 32 (standard deviation (SD), 10) years with mild to moderate BDD who underwent rhinoplasty. The participants were assessed preoperatively (baseline) and 1 year postoperatively with the Body Dysmorphic Disorder Examination (BDDE). Most patients (22/31, 71%) were of African descent. Socio-demographic variables and the extent of the nasal deformities had no effect on the severity of BDD symptoms and patient satisfaction with surgery outcome. At the 1-year postoperative follow-up, there was a significant decrease from baseline in BDDE scores and time spent by patients worrying about their appearance; 25 (25/31, 81%) patients experienced complete remission from BDD and 28 (28/31, 90%) were satisfied with the results of surgery. Rhinoplasty may be indicated in the treatment of female patients with mild to moderate BDD. (C) 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:646 / 654
页数:9
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