Bakhshaee Mehdi, Poursadegh Mehdi, Irani Majid, Yazdanpanah Mohammad Javad, Fayyazi Bordbar Mohammad Reza, Rasoulian Bashir
Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Otorhinolaryngology-Head & Neck Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Otorhinolaryngol. 2020 Sep;32(112):319-325. doi: 10.22038/ijorl.2020.41593.2358.
Acne is a common complain among post rhinoplasty patients. While rhinoplasty is done for aesthetic reasons and acne expressively affects the individual's appearance, we aimed to study its incidence and role players.
A descriptive cross-sectional study was performed on 152 (143 females and 9 males) patients admitted for rhinoplasty during January 2016 to March 2017. Patients were examined by a dermatologist prior to surgery and 7, 30 and 90 days after rhinoplasty using the Global Acne Grading System and responded to a list of questions on the probable risk factors of acne. Psychological status was examined by the perceived stress scale-14 and the Hospital Anxiety and Depression Scale.
The patients' mean age was 28.9±3.82 yrs. Mild and moderate acne were observed in 21.7% (n=33) of the cases in the preoperative visit. The incidence of mild and moderate acne was 36.1%, 42.8% and 23% after 7, 30 and 90 days of surgery, respectively. One week after rhinoplasty, acne manifested in 14.9% of cases with no history of acne. Mean age significantly differed between those with and without post-surgical acne at all post-surgical visits (P> 0.001 and P=0.001 and P=0.015, respectively). Hospital anxiety and depression and perceived stress levels were significantly higher in patients who presented with acne on the first post-surgical visit compared to those with no acne presentations (P=0.04 and P=0.02, respectively).
External psychological stress may be the main role player in post-rhinoplasty acne. Consultation or referral of patients to an experienced psychologist is highly recommended for a better outcome and fewer complications.
痤疮是隆鼻术后患者常见的主诉。隆鼻手术是出于美学目的进行的，而痤疮会显著影响个人容貌，我们旨在研究其发病率及相关影响因素。
对2016年1月至2017年3月期间收治的152例（143例女性和9例男性）隆鼻患者进行了描述性横断面研究。术前及隆鼻术后7天、30天和90天由皮肤科医生使用全球痤疮分级系统对患者进行检查，并让患者回答一系列关于痤疮可能危险因素的问题。通过感知压力量表-14和医院焦虑抑郁量表对心理状态进行检查。
患者的平均年龄为28.9±3.82岁。术前访视时，21.7%（n = 33）的病例观察到轻度和中度痤疮。术后7天、30天和90天，轻度和中度痤疮的发生率分别为36.1%、42.8%和23%。隆鼻术后一周，14.9%无痤疮病史的病例出现痤疮。在所有术后访视中，有术后痤疮和无术后痤疮患者的平均年龄差异均有统计学意义（分别为P>0.001、P = 0.001和P = 0.015）。与无痤疮表现的患者相比，术后首次访视时出现痤疮的患者的医院焦虑抑郁和感知压力水平显著更高（分别为P = 0.04和P = 0.02）。
外部心理压力可能是隆鼻术后痤疮的主要影响因素。强烈建议将患者转介给经验丰富的心理学家进行咨询，以获得更好的结果并减少并发症。
