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[畸形恐惧症体征对隆鼻手术效果评估的影响]

[The influence of signs of dysmorphophobia on the evaluation of the result of rhinoplasty].

作者信息

Semenov F V, Nazhmudinova H A, Snakho B A

机构信息

Kuban State Medical University, Ministry of Health of the Russian Federation, Krasnodar, Russia.

出版信息

Vestn Otorinolaringol. 2020;85(5):74-77. doi: 10.17116/otorino20208505174.

Abstract

The object of the clinical research was 367 patients after rhinoplasty. All patients before the operation fill in a special questionnaire, allowing to evaluate quantify the signs of dysmorphophobia. Patients with low index of dysmorphophobia (within 5-6 points) adequately estimated the result of the operation because their opinion coincided with the opinion of the doctor and in some cases they didn't notice even insignificant defects the doctor saw. The total number of these results satisfying the patient and the doctor composed 93% (341 patients). The patients who attaches great importance to insignificant defect of their appearance the index of desmorphophobia was high (16 patients - the average index of dysmorphophobia - 15). Questionnaires containing questions that allows to expose the signs of dysmorphophobia may be useful in the time of selection of patients for plastic surgery, in particular rhinoplasty. According to the questionnaire worked out by us, the index of dysmorphophobia of 5 points and below allows to count up on an adequate evaluation. The importance of index from 6 to 10 points may require psychological support of the patient who will much evaluate the result.

摘要

这项临床研究的对象是367名隆鼻术后的患者。所有患者在手术前都填写了一份特殊问卷,以评估量化畸形恐惧症的症状。畸形恐惧症指数较低(5 - 6分)的患者对手术结果的评估较为客观,因为他们的看法与医生一致,甚至在某些情况下,他们没有注意到医生所看到的哪怕是微不足道的缺陷。这些令患者和医生都满意的结果总数占93%(341名患者)。那些对外表微不足道的缺陷极为重视的患者,其畸形恐惧症指数较高(16名患者——畸形恐惧症平均指数为15)。包含能揭示畸形恐惧症症状问题的问卷,在为整形手术(尤其是隆鼻手术)挑选患者时可能会很有用。根据我们制定的问卷,畸形恐惧症指数为5分及以下有望得到客观评估。6至10分的指数可能需要对会过度评估结果的患者给予心理支持。

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