Kavoussi Hossein, Ebrahimi Ali, Rezaei Mansour, Khazaie Habibolah, Shakeri Jalal, Jamshidi Sajedeh, Kavoussi Reza
Department of Dermatology, Hajdaie Dermatolgy Clinic, Kermanshah University of Medical Sciences , Kermanshah, Iran.
Family Health Research Center, Health School, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Iran J Otorhinolaryngol. 2019 May;31(104):147-152.
Rhinoplasty is one of the most common cosmetic surgeries occasionally associated with complications, such as acne lesions. Anxiety reportedly leads to the emergence or exacerbation of acne lesions.
This cross-sectional study was conducted on 147 patients undergoing rhinoplasty. The patients were assigned into two groups of case (with acne lesions) and control (without acne lesions) entailing 52 (45 females, 7 males) and 95 (68 females, 27 males) subjects, respectively. The data were collected using an instrument entailing clinical and demographic data and the state-trait anxiety inventory developed by Spielberger.
According to the results, 70.7% and 71.6% of the patients in the case and control groups were female, respectively. Regarding the education level, 61.5% and 68.4% of the case and control groups had academic education, respectively. Additionally, 61.5% and 42.1% of the subjects in the case and control groups were single with the mean ages of 25.06±5.077 and 27.45±5.909 years, respectively. , 73.1% of the case group indicated grade 2 acne mostly in the face (100%) appearing 1-4 weeks post-surgery (51.9%). The case group had higher mean scores of trait (46.92±12.53) and state (46.21±9.30) anxiety, trait (P=0.001) and state (P=0.019) anxiety severity, as well as the prevalence of cosmetic dissatisfaction (51.9%), compared to the control group. Furthermore, acne severity showed a direct correlation with the severity of trait anxiety (r=0.472, P=0.005) and state anxiety (r=0.443, P=0.013).
As the findings indicated, anxiety could be a major factor in triggering or exacerbating acne lesions after rhinoplasty. The assessment of mental health before the surgery, proper selection of the cases seeking aesthetic surgery, provision of psychological support, lack of medical history of acne lesions, and successful cosmetic rhinoplasty could result in reducing the prevalence of acne lesions after cosmetic surgeries, especially rhinoplasty.
隆鼻术是最常见的整形手术之一，偶尔会出现痤疮等并发症。据报道，焦虑会导致痤疮的出现或加重。
本横断面研究对147例接受隆鼻术的患者进行。患者被分为病例组（有痤疮）和对照组（无痤疮），分别有52例（45名女性，7名男性）和95例（68名女性，27名男性）。数据通过一份包含临床和人口统计学数据以及Spielberger编制的状态-特质焦虑量表的工具收集。
结果显示，病例组和对照组中分别有70.7%和71.6%的患者为女性。在教育程度方面，病例组和对照组分别有61.5%和68.4%的患者接受过学术教育。此外，病例组和对照组分别有61.5%和42.1%的受试者为单身，平均年龄分别为25.06±5.077岁和27.45±5.909岁。病例组中73.1%的患者痤疮为2级，主要出现在面部（100%），多在术后1 - 4周出现（51.9%）。与对照组相比，病例组的特质焦虑（46.92±12.53）和状态焦虑（46.21±9.30）平均得分更高，特质焦虑（P = 0.001）和状态焦虑（P = 0.019）严重程度更高，以及美容不满意率（51.9%）更高。此外，痤疮严重程度与特质焦虑严重程度（r = 0.472，P = 0.005）和状态焦虑严重程度（r = 0.443，P = 0.013）呈正相关。
研究结果表明，焦虑可能是隆鼻术后引发或加重痤疮的主要因素。术前评估心理健康状况、合理选择寻求美容手术的病例、提供心理支持、无痤疮病史以及成功进行美容隆鼻术，可能会降低美容手术后尤其是隆鼻术后痤疮的发生率。
