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Donnish Journal of Medicine and Medical Sciences

November 2015 Vol. 2(8), pp. 125-129

Copyright © 2015 Donnish Journals




Original Research Paper


Psychological Patient Reactions after Septorhinoplasty: Our Personal View


Kopacheva-Barsova Gabriela1*, Nikolovski Nikola1, Arsova Slavica2 and Dragoslav Kopachev3

1University Hospital for Ear, Nose and Throat, University Campus "St. Mother Theresa", Skopje, Macedonia.
2University Hospital of Psychiatry, University Campus "St. Mother Theresa", Skopje, Macedonia.
3Institute for Mental Health, Skopje, Macedonia.

Corresponding Author's E-mail: gabrielak70@yahoo.com

Accepted 22nd October, 2015.



Abstract


Introduction: Rhinoseptoplasty (RSP), especially cosmetic rhinoplasty ranks among the most commonly performed cosmetic surgical procedures. The surgeon, except having skills, experience and knowledge of operative techniques, should also choose a patient who is psychologically adequate for septorhinoplasty. This is important, because beside good postoperative results and “satisfied surgeon” we can be faced with “unsatisfied” patient, which inadequate psychological reactions can have an influence not only to surgeon’s work, and psychologically too. The aim of our study is to observe adequate and inadequate psychological reactions in patients who are candidates for septorhinoplasty, before and after surgery. The aim is to create an adequate psychological model of a person suitable for septorhinoplasty in this group of patients. Material and methods: In this study, 140 patients with nasal septal deviation (deviatio septi nasi), alone or together with other nasal deformities were observed. The patients who were on operative list for RSP at the University Clinic for ENT, University Campus "St. Mother Theresa" in Skopje were observed during the period of 4 years, from 2011-2015year. The psychological reactions were taken from patients who filled the psychological questionnaire. From 140 patients, 108 filled the questionnaire. Our patients were psychologically observed using two standard psychological tests: Patients selection for septorhinoplasty and their psychological abilities (“Self-body image” questionnaire) and Brief Symptom Inventory (BSI) test. Results: Most of the patients 43 (39,8%), thought that after rhinoseptoplasty their self-confidence rose, 32 (29,63%) expected changes in their lives, few of them 9 (8, 3%) thought that the environment will act different with them. High statistically significant score showed patients who thought that their self-confidence rose up after RSP. According to surgeon’s assessment, 69,45% of the candidates for SRP were psychologically fit for this intervention, 10,2% didn't have psychological capacity, and 20,4% were followed up for some period before operation. The Brief Symptom Inventory (BSI) in the women’s group was shown that most of the women patients presented symptoms of somatisation; 23 (23,33%) and 15 (25%) one year after surgery. Obsessive-compulsive reactions were second common symptoms, and were presented in 12 (20%) in women one month and in 9 (15%) one year after surgery. Conclusion: According to Patient selection for septorhinoplasty and their psychological abilities (“Self-body image” questionnaire) and Brief Symptom Inventory (BSI) test, the patients made a sound decision for intervention, which was useful for the surgeon too, because it helped them choose an adequate operative technique and especially helped them in the postoperative period. Therefore, the above-mentioned tests are instrumental in determining realistic surgeon’s and patient’s expectation.

Keywords: Rhino/septoplasty, Patients selection for septorhinoplasty, Psychological abilities, Brief Symptom Inventory (BSI) test, Surgery.

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Cite This Article:

Kopacheva-Barsova Gabriela, Nikolovski Nikola, Arsova Slavica and Dragoslav Kopachev. Psychological Patient Reactions after Septorhinoplasty: Our Personal View. Donnish Journal of Medicine and Medical Sciences 2(8) 2015 pp. 125-129.


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