Journal article
The psychological aspects of rhinoplasty.
- Tasman AJ ENT Department, Cantonal Hospital St. Gallen, St. Gallen, Switzerland. abel-jan.tasman@kssg.ch
- 2010-06-15
Published in:
- Current opinion in otolaryngology & head and neck surgery. - 2010
Anxiety
Body Dysmorphic Disorders
Communication
Contraindications
Humans
Image Processing, Computer-Assisted
Motivation
Patient Satisfaction
Patient Selection
Physician-Patient Relations
Postoperative Care
Rhinoplasty
English
PURPOSE OF REVIEW
Literature on the psychological aspects of rhinoplasty is sparse compared with publications on methods and instrumentation. Understanding the psychological aspects of rhinoplasty and, more importantly, recognizing the patient who may have an unfavorable postoperative course regardless of the objective outcome is of fundamental importance to the surgeon.
RECENT FINDINGS
Several profiles of patients with a high risk of postoperative dissatisfaction have been described and the important role of body dysmorphic disorder and its treatment has been stressed. Still, these criteria can be insufficient when facing the individual patient, as reliable screening instruments for clinical practice have not been developed and the question when not to operate is subject to controversy. The role of computer imaging as a safeguard in preoperative counseling has been highlighted.
SUMMARY
The surgeon must rely on instinct and experience to avoid overlooking any signs of psychological imbalance in the patient that may herald adversity. Archetypes described in the literature should be recognized and computer imaging should be used during the preoperative consultation.
Literature on the psychological aspects of rhinoplasty is sparse compared with publications on methods and instrumentation. Understanding the psychological aspects of rhinoplasty and, more importantly, recognizing the patient who may have an unfavorable postoperative course regardless of the objective outcome is of fundamental importance to the surgeon.
RECENT FINDINGS
Several profiles of patients with a high risk of postoperative dissatisfaction have been described and the important role of body dysmorphic disorder and its treatment has been stressed. Still, these criteria can be insufficient when facing the individual patient, as reliable screening instruments for clinical practice have not been developed and the question when not to operate is subject to controversy. The role of computer imaging as a safeguard in preoperative counseling has been highlighted.
SUMMARY
The surgeon must rely on instinct and experience to avoid overlooking any signs of psychological imbalance in the patient that may herald adversity. Archetypes described in the literature should be recognized and computer imaging should be used during the preoperative consultation.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1097/MOO.0b013e32833b51e6
- PMID 20543695
- Persistent URL
- https://sonar.ch/global/documents/278203
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