Comparison of Depression and Anxiety Levels Before and After Rhinoplasty: A longitudinal study
Journal of Otorhinolaryngology and Facial Plastic Surgery,
Vol. 9 No. 1 (2023),
2 September 2023
,
Page 1-6
https://doi.org/10.22037/orlfps.v9i1.47351
Abstract
Background: Rhinoplasty is a common cosmetic procedure in which the nasal shape is changed and reconstructed. It can be done for both reconstructive and cosmetic purposes. Evaluating the success of the procedure involves traditional measures as well as the patient's perspective, both of which are important for their psychological well-being.
Aim: This research was conducted to evaluate the mental health changes after rhinoplasty in different populations. Understanding the level of anxiety and depression in rhinoplasty patients before and after the operation is important for achieving positive outcomes.
Methods: In this study, 200 patients over 18 years of age who underwent rhinoplasty surgery were selected. Anxiety levels were checked using Hamilton questionnaire prior to the operation and the depression level via Beck questionnaire. Then, after six months, the anxiety and depression levels were examined again. The differences before and six months after the operation were evaluated by paired t-test. A P-value less than 0.05 was considered statistically significant.
Results: 200 patients underwent rhinoplasty for a study. The average patient age was 28.14 ± 10.21, and 83.5% were women. Most patients did not have a history of depression. The Beck questionnaire showed a significant reduction in depression scores post-surgery (p=0.032). Anxiety levels showed no significant difference before and after rhinoplasty (p=0.862).
Conclusion: The level of depression in patients after rhinoplasty decreased significantly. Rhinoplasty did not affect the anxiety level of the patients.
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References
Hern, J., et al., Assessing psychological morbidity in patients with nasal deformity using the CORE®questionnaire. Clinical Otolaryngology & Allied Sciences, 2002. 27(5): p. 359-364.
Afkham, E.A., et al., Psychological health and expectations of patients seeking cosmetic rhinoplasty.2009
Fischer, H. and W. Gubisch, Nasal reconstruction: a challenge for plastic surgery. Deutsches ÄrzteblattInternational, 2008. 105(43): p. 741
Davis, A.M., R.L. Simons, and J.S. Rhee, Evaluation of the Goldman tip procedure in modern-day rhinoplasty. Archives of facial plastic surgery, 2004
Ching, S., et al., Measuring outcomes in aesthetic surgery: a comprehensive review of the literature.Plastic and reconstructive surgery, 2003. 111(1): p. 469-482
Ishii, C.H., Current update in Asian rhinoplasty. Plastic and Reconstructive Surgery Global Open, 2014.2(4)
Hashemi, M., et al., Effects of aesthetic rhinoplasty on quality of life, anxiety/depression, and self-esteem of the patients. European Journal of Plastic Surgery, 2020. 43(2): p. 153-158
Goin, M.K. and T.D. Rees, A prospective study of patients' psychological reactions to rhinoplasty. Annals of plastic surgery, 1991. 27(3): p. 210-215
Alsarraf, R., Outcomes research in facial plastic surgery: a review and new directions. Aesthetic plastic surgery, 2000. 24(3): p. 192-197
Yang, F., et al., Evaluation of preoperative and postoperative patient satisfaction and quality of life in patients undergoing rhinoplasty: a systematic review and meta-analysis. Plastic and reconstructive surgery, 2018. 141(3): p. 603-611
Sarwer, D.B., The" obsessive" cosmetic surgery patient: A consideration of body image dissatisfaction and body dysmorphic disorder. Plastic Surgical Nursing, 1997. 17(4): p. 193
Hamilton, M. (1959). "The Assessment of Anxiety States by Rating." British Journal of Medical Psychology 32(1): 50-55.
Beck at, Ward Ch, Mendelson M, Mock J, Erbaugh J. An Inventory for Measuring Depression. Arch Gen Psychiatry. 1961;4(6):561–571. doi:10.1001/archpsyc.1961.01710120031004
Saleh, AM, Younes A, Friedman O. Cosmetics and function: Quality‐of‐Life changes after rhinoplasty surgery. Laryngoscope 2012; 122: 254-259.
Azizli E, Oğuz O, Bayar Muluk N, Sarı H, Dilber M, Uyar Y, Cingi C. Applied surgical methods and outcomes in crooked nose rhinoplasty. Eur Rev Med Pharmacol Sci 2023; 27: 1-5.
Cingi C, Songu M, Bal C. Outcomes research in rhinoplasty: body image and quality of life. Am J Rhinol Allergy 2011; 25: 263-267.
Cingi C, Eskiizmir G. Deviated nose attenuates the degree of patient satisfaction and quality of life in rhinoplasty: a prospective controlled study. Clin Otolaryngol 2013; 38: 136-141.
Hart TA, Flora DB, Palyo SA, Fresco DM, Holle C, Heimberg RG. Development and examination of the social appearance anxiety scale. Assessment 2008; 15: 48-59.
Cingi C, Eskiizmir G, Cakli H. Comparative analysis of primary and secondary rhinoplasties according to surgeon’s perspective, patient satisfaction, and quality of life. Ann Otol Rhinol Laryngol 2012; 121: 322-327
Yildirim YSS, Yildiz S. Investigation of social appearance anxiety and self-esteem in individuals planned for aesthetic rhinoplasty. Eur Rev Med Pharmacol Sci. 2024 Feb;28(3):1089-1094. doi: 10.26355/eurrev_202402_35345. PMID: 38375714.
Hohenberger R, Endres P, Salzmann I, Plinkert PK, Wallner F, Baumann I, Alt J, Riedel F, Lippert BM, Bulut OC. Quality of Life and Screening on Body Dysmorphic Disorder, Depression, Anxiety in Septorhinoplasty. Laryngoscope. 2024 May;134(5):2187-2193. doi: 10.1002/lary.31212. Epub 2023 Dec 5. PMID: 38050954.
Papadopulos NA, Liebmann J, Kloeppel M, Henrich G, Machens HG, Staudenmaier R, Niehaus R. Quality of Life after Rhinoplasty: A Prospective Study. Facial Plast Surg. 2021 Oct;37(5):639-645. doi: 10.1055/s-0041-1725174. Epub 2021 Mar 11. PMID: 33706388.
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