Joseph, J;
Randhawa, P;
Hannan, SA;
Long, J;
Goh, S;
O'Shea, N;
Saleh, H;
... Andrews, P; + view all
(2017)
Body dysmorphic disorder in patients undergoing septorhinoplasty surgery: should we be performing routine screening?
Clinical Otolaryngology
, 42
(3)
pp. 508-513.
10.1111/coa.12752.
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Abstract
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.
| Type: | Article |
|---|---|
| Title: | Body dysmorphic disorder in patients undergoing septorhinoplasty surgery: should we be performing routine screening? |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/coa.12752 |
| Publisher version: | https://doi.org/10.1111/coa.12752 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10059584 |
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