Body Dysmorphic Disorder in Rhinoplasty Candidates: Prevalence and Functional Correlations
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ORIGINAL ARTICLE
RHINOPLASTY
Body Dysmorphic Disorder in Rhinoplasty Candidates: Prevalence and Functional Correlations Thiago Sasso Carmona de Souza1 • Maria Theresa Costa Ramos de Oliveira Patrial1 Andre´ Francisco Correa Meneguetti1 • Mariana Sasso Carmona de Souza2 • Maria Elisa Meneguetti3 • Virgı´lio Frota Rossato3
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Received: 5 July 2020 / Accepted: 16 August 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Background Rhinoplasty is one of the most commonly performed aesthetic/functional procedures worldwide. Among those who seek rhinoplasty are those whose aesthetic defect is interpreted by themselves disproportionately, leading to significant suffering. These are given the diagnosis of body dysmorphic disorder (BDD). They commonly have high expectations regarding the surgical outcome and are often not satisfied postoperatively. The present study aimed to correlate BDD with the patient’s self-assessment of nasal function, analysing whether BDD would have any influence on it. In addition, we verified the prevalence of the disorder in our population. Methods Cross-sectional, comparative and analytical study. Eighty-eight patients participated in the trial, 57 of them being candidates for rhinoplasty, rhinoplasty group (RG), and 31 from a random population, control group (CG). Through self-assessment, the BDSS, The Utrecht, SNOT-22 and NOSE questionnaires were applied. Patients with BDSS score C 6 were considered as positive for BDD. Comparisons were made between the groups and among the candidates for rhinoplasty with positive or negative BDD.
& Thiago Sasso Carmona de Souza [email protected] 1
Department of Otolaryngology–Head and Neck Surgery, Federal University of Parana´ Clinics Hospital, R. Gen. Carneiro, 181 - Alto da Glo´ria, Curitiba, Parana´ 80060-900, Brazil
2
Positivo University, R. Prof. Pedro Viriato Parigot de Souza, 5300 - Cidade Industrial De Curitiba, Curitiba, Parana´, Brazil
3
Faculdades Pequeno Prı´ncipe, Av. Iguac¸u, 333 - Rebouc¸as, Curitiba, Parana´, Brazil
Results The prevalence of the disorder was 35.1% in the RG and 3.2% in the CG. Significantly, higher NOSE and SNOT-22 scores, reflecting worse nasal function, were obtained by the RG, especially in those with positive screening for BDD, when compared to those with negative screening (p \ 0.05). Conclusions BDD affects about one-third of the rhinoplasty candidate population. Their presence seems to exert a negative influence on the patients’ self-assessment regarding their nasal function. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Body dysmorphic disorder Rhinoplasty Nasal obstruction
Introduction Facial aesthetics, along with other bodily characteristics that make up certain Western beauty stand
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