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Body Dysmorphic Disorder in Rhinoplasty Candidates: Prevalence and Functional Correlations

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  • Rhinoplasty
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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 ≥ 6 were considered as positive for BDD. Comparisons were made between the groups and among the candidates for rhinoplasty with positive or negative BDD.

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

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Acknowledgements

The authors would like to thank all the patients who agreed to participate in this study, in addition to our department colleagues.

Funding

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Authors and Affiliations

  1. Department of Otolaryngology–Head and Neck Surgery, Federal University of Paraná Clinics Hospital, R. Gen. Carneiro, 181 - Alto da Glória, Curitiba, Paraná, 80060-900, Brazil

    Thiago Sasso Carmona de Souza, Maria Theresa Costa Ramos de Oliveira Patrial & André Francisco Correa Meneguetti

  2. Positivo University, R. Prof. Pedro Viriato Parigot de Souza, 5300 - Cidade Industrial De Curitiba, Curitiba, Paraná, Brazil

    Mariana Sasso Carmona de Souza

  3. Faculdades Pequeno Príncipe, Av. Iguaçu, 333 - Rebouças, Curitiba, Paraná, Brazil

    Maria Elisa Meneguetti & Virgílio Frota Rossato

Authors
  1. Thiago Sasso Carmona de Souza
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  2. Maria Theresa Costa Ramos de Oliveira Patrial
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  3. André Francisco Correa Meneguetti
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  4. Mariana Sasso Carmona de Souza
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  5. Maria Elisa Meneguetti
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  6. Virgílio Frota Rossato
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Correspondence to Thiago Sasso Carmona de Souza.

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The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from every patient participating in this study.

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de Souza, T.S.C., Patrial, M.T.C.R.O., Meneguetti, A.F.C. et al. Body Dysmorphic Disorder in Rhinoplasty Candidates: Prevalence and Functional Correlations. Aesth Plast Surg 45, 641–648 (2021). https://doi.org/10.1007/s00266-020-01930-9

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  • DOI: https://doi.org/10.1007/s00266-020-01930-9

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