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Published on: June 20, 2018
The Effect of Psychosocial Factors on Rhinoplasty Outcomes
Phillip Q Richards1, Nessreen Ghanem, Jennifer N Shehan1
1From the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston, MA.
Background:
Rhinoplasty patients are reported to have higher rates of psychological disorders. Psychosocial concerns may hinder positive outcomes after rhinoplasty.
Objective:
The aim of the study was to assess the impact of psychosocial factors on outcomes after cosmetic and functional rhinoplasty.
Methods:
A retrospective chart review was conducted on 554 rhinoplasty patients operated on by a single surgeon.
Results:
21.5% of rhinoplasty patients had a psychiatric comorbidity, with anxiety (11.3%) and depression (10.0%) being most prevalent. The mean follow-up duration was 363 days. 12.9% of patients requested revision, and 5.6% underwent revision surgery. Younger age, male sex, and functional indication for rhinoplasty were associated with earlier loss of patient follow-up. Cosmetic indication for surgery was associated with increased revision requests. Psychiatric comorbidities were not associated with differential rates of follow-up, revision request, or revision surgery.
Conclusions:
Psychiatric comorbidities did not affect outcomes following rhinoplasty. Several patient factors associated with loss of follow-up and revision surgery were identified, including younger age, male sex, and indication for surgery.
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