de Souza Thiago Sasso Carmona, Patrial Maria Theresa Costa Ramos de Oliveira, Meneguetti André Francisco Correa, de Souza Mariana Sasso Carmona, Meneguetti Maria Elisa, Rossato Virgílio Frota
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.
Positivo University, R. Prof. Pedro Viriato Parigot de Souza, 5300 - Cidade Industrial De Curitiba, Curitiba, Paraná, Brazil.
Aesthetic Plast Surg. 2021 Apr;45(2):641-648. doi: 10.1007/s00266-020-01930-9. Epub 2020 Sep 1.
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.
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.
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).
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.
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隆鼻术是全球最常开展的美容/功能性手术之一。寻求隆鼻的人群中，有些人对自身美学缺陷的认知存在偏差，从而遭受巨大痛苦。这些人被诊断为躯体变形障碍（BDD）。他们通常对手术效果抱有很高期望，术后却往往不满意。本研究旨在将BDD与患者对鼻功能的自我评估相关联，分析BDD是否会对其产生影响。此外，我们还核实了该疾病在我们研究人群中的患病率。
横断面、对比分析研究。88名患者参与了试验，其中57名是隆鼻术候选者，为隆鼻术组（RG），31名来自随机人群，为对照组（CG）。通过自我评估，应用了BDSS、乌得勒支问卷、SNOT-22和NOSE问卷。BDSS评分≥6分的患者被视为BDD阳性。对两组以及BDD筛查阳性或阴性的隆鼻术候选者进行了比较。
该疾病在RG中的患病率为35.1%，在CG中的患病率为3.2%。值得注意的是，与筛查阴性者相比，RG组，尤其是BDD筛查阳性者，获得了更高的NOSE和SNOT-22评分，反映出鼻功能更差（p＜0.05）。
BDD影响了约三分之一的隆鼻术候选人群。他们的存在似乎对患者对自身鼻功能的自我评估产生了负面影响。
证据水平III：本刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
