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Body dysmorphic disorder in patients undergoing septorhinoplasty surgery: should we be performing routine screening?
Author(s) -
Joseph J.,
Randhawa P.,
Hannan S.A.,
Long J.,
Goh S.,
O'Shea N.,
Saleh H.,
Hansen E.,
Veale D.,
Andrews P.
Publication year - 2017
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/coa.12752
Subject(s) - medicine , body dysmorphic disorder , rhinology , otorhinolaryngology , prospective cohort study , rhinoplasty , referral , quality of life (healthcare) , cohort , septoplasty , physical therapy , surgery , nose , psychiatry , family medicine , nursing
Objective Body dysmorphic disorder ( BDD ) is defined as having a preoccupation with a perceived flaw in one's appearance, which appears slight to others and significantly interferes with a person's functioning. When undetected in septorhinoplasty patients, it will often lead to poor outcomes. Design We performed a prospective cohort study to determine the prevalence of BDD in our patients and whether surgical correction could be considered. Setting and participants We recruited 34 patients being considered for septorhinoplasty in a tertiary referral rhinology clinic and a control group of 50 from the otology clinic giving a total of 84. Main outcome measures Participants completed the Body Dysmorphic Disorder Questionnaire ( BDDQ ), the sino‐nasal outcome test‐23 ( SNOT ‐23) and underwent nasal inspiratory peak flow ( NIPF ). Those found to be at high risk for BDD were referred to a clinical psychologist. Results Of the septorhinoplasty patients, 11 (32%) were high risk for BDD . Following psychological assessment, 7 (63%) patients were felt to be unsuitable for surgery and were offered psychological therapy. SNOT ‐23 scores were significantly higher in the BDD group indicating a negative impact on quality of life. NIPF readings were not significantly different in the BDD group compared to the control group. Conclusions The BDDQ is a valid tool for identifying patients at risk of BDD . A close working relationship with clinical psychology has been advantageous to help the selection process of candidates for surgery when there is a high risk of BDD .