Cuneyt Kucur1, Ozan Kuduban2, Ahmet Ozturk3, Mustafa Sitki Gozeler4, Isa Ozbay1, Erdem Deveci3, Eda Simsek2, Zulkuf Kaya2. 1. Department of Otolaryngology - Head and Neck Surgery, Dumlupınar University Evliya Çelebi Training and Research Hospital, Kütahya, Turkey. 2. Department of Otolaryngology - Head and Neck Surgery, Erzurum Bölge Training and Research Hospital, Erzurum, Turkey. 3. Department of Psychiatry and Behavioral Sciences, Bezmialem University Hospital, İstanbul, Turkey. 4. Department of Otolaryngology - Head and Neck Surgery, Atatürk University Hospital, Erzurum, Turkey.
Abstract
OBJECTIVE: 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. MATERIALS AND METHODS: 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. RESULTS: 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). CONCLUSION: 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.
OBJECTIVE: 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. MATERIALS AND METHODS: 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. RESULTS: 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). CONCLUSION: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.
Authors: John S Rhee; David M Poetker; Timothy L Smith; Andres Bustillo; Mary Burzynski; Richard E Davis Journal: Laryngoscope Date: 2005-03 Impact factor: 3.325