Dinis P B, Dinis M, Gomes A
Department of Otorhinolaryngology, Hospital de Pulido Valente, Lisbon, Portugal.
Rhinology. 1998 Mar;36(1):32-6.
Much still needs to be known about what motivates and goes through patients' minds when undergoing nasal aesthetic surgery. Little is also known on how the aesthetic change affects the way other people see those patients after surgery, and if the improved appearance significantly benefits the patients' psychosocial functioning. So far, research has largely focused on subjects in Plastic Surgery settings, neglecting to investigate the specificities of rhinoplasty as performed by otolaryngologists. In order to elucidate these, a prospective controlled-study design was developed. Twenty-five consecutive patients, selected from an ENT practice for septorhinoplasty, were enrolled. They were submitted to pre-operative psychiatric interviews and psychological tests. Two control groups were simultaneously enlisted, and were submitted also to the same tests. Four to seven months after surgery, the septorhinoplasty patients were again evaluated by psychiatric interviews and psychological tests as well as asked to fill out a questionnaire addressing subjective satisfaction with the surgical results. They also underwent, at that time, a rhinomanometric examination assessing the objective success of surgery on nasal function. It was concluded that the study population was basically a psychologically well balanced group of patients, and that a successful surgical result could indeed, in some, improve pre-operative psychological "suffering" related to the nasal deformity, and give these patients a new social identity. Ultimately, it was found that the meeting of aesthetic requirements, frequently not put forward by the patient preoperatively, was the single most important factor required for a final complete satisfaction with the overall surgical results in this population.
在患者接受鼻部美容手术时，关于是什么激发了他们的动机以及他们的内心想法，仍有许多需要了解的地方。对于美容改变如何影响其他人在术后看待这些患者的方式，以及改善后的外貌是否能显著有益于患者的心理社会功能，人们也知之甚少。到目前为止，研究主要集中在整形外科环境中的受试者，而忽略了对耳鼻喉科医生所进行的鼻整形术的特殊性进行调查。为了阐明这些问题，我们设计了一项前瞻性对照研究。从一家耳鼻喉科诊所连续选取了25名接受鼻中隔鼻成形术的患者。他们接受了术前精神科访谈和心理测试。同时招募了两个对照组，他们也接受了同样的测试。术后四到七个月，对鼻中隔鼻成形术患者再次进行精神科访谈和心理测试评估，并要求他们填写一份关于对手术结果主观满意度的问卷。那时，他们还接受了鼻阻力测量检查，以评估手术对鼻腔功能的客观成功率。研究得出的结论是，研究人群基本上是一组心理平衡良好的患者，成功的手术结果确实可以在一些患者中改善术前与鼻畸形相关的心理“痛苦”，并赋予这些患者新的社会身份。最终发现，满足审美需求（这一需求患者术前通常未提出）是该人群对整体手术结果最终完全满意所需的唯一最重要因素。
