Quality of Life in Patients Who Underwent Rhinoplasty

Abstract

Despite developments in the therapeutic field of cosmetic surgery, there is a little information about the effects of cosmetic procedures on quality of life (QOL), especially in Iran. Rhinoplasty is the most common cosmetic surgeries. The aim of this study was to evaluate QOL and General Health before and after rhinoplasty. Patients aged 18 to 55 years seeking cosmetic rhinoplasty were included in this study. Demographic information such as age, sex, marital status, and education of patients were recorded. General Health Questionnaire (GHQ-28) and World Health Organization Quality of Life (WHOQOL-BREF) questionnaire were completed by a single investigator for all patients, before and 3 months after rhinoplasty. A total of 50 patients were enrolled in this study. Overall, 78% were women and 22% were men. QOL did not change significantly (p < 0.05) except for its psychological domain, which did not depend on sex, age, marital, and educational status. Also, general health changes after rhinoplasty was not statistically significant (p > 0.05) and it did not depend on age, sex, and marital status. It seems that cosmetic rhinoplasty has no significant effect on general health and QOL except for its psychological health domain.

Keywords

rhinoplasty - quality of life - general health - GHQ-28 - WHOQOL-BREF

• References

• 1 Bagheri SC, Khan HA, Jahangirnia A, Rad SS, Mortazavi H. An analysis of 101 primary cosmetic rhinoplasties. J Oral Maxillofac Surg 2012; 70 (4) 902-909
• 2 Akbari Sari A, Babashahy S, Olyaeimanesh A, Rashidian A. Estimating the frequency and rate of first 50 common types of invasive procedures in iran healthcare system. Iran J Public Health 2012; 41 (10) 60-64
• 3 American Society of Plastic Surgeons.. 2011 Cosmetic Plastic Surgery Statistics. Available at: http://www.plasticsurgery.org/Documents/news-resources/statistics/2011-statistics/2011-cosmetic-procedures-trends-statistics.pdf . Accessed September 1, 2012
• 4 Whalen GF, Ferrans CE. Quality of life as an outcome in clinical trials and cancer care: a primer for surgeons. J Surg Oncol 2001; 77 (4) 270-276
• 5 WHOQOL Group. Development of the WHOQOL: Rationale and current status. Int J Ment Health 1994; 23: 24-56
• 6 World Health Organization. Constitution of the World Health Organization – Basic Documents, Forty-fifth edition, Supplement, October 2006. Available at http://www.who.int/governance/eb/who_constitution_en.pdf . Accessed June 18, 2014
• 7 WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med 1998; 46 (12) 1569-1585
• 8 The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med 1998; 28 (3) 551-558
• 9 Rankin M, Borah GL, Perry AW, Wey PD. Quality-of-life outcomes after cosmetic surgery. Plast Reconstr Surg 1998; 102 (6) 2139-2145 , discussion 2146–2147
• 10 Castle DJ, Honigman RJ, Phillips KA. Does cosmetic surgery improve psychosocial wellbeing?. Med J Aust 2002; 176 (12) 601-604
• 11 Honigman RJ, Phillips KA, Castle DJ. A review of psychosocial outcomes for patients seeking cosmetic surgery. Plast Reconstr Surg 2004; 113 (4) 1229-1237
• 12 Cook SA, Rosser R, Salmon P. Is cosmetic surgery an effective psychotherapeutic intervention? A systematic review of the evidence. J Plast Reconstr Aesthet Surg 2006; 59 (11) 1133-1151
• 13 Shakespeare V, Cole RP. Measuring patient-based outcomes in a plastic surgery service: breast reduction surgical patients. Br J Plast Surg 1997; 50 (4) 242-248
• 14 Papadopulos NA, Kovacs L, Krammer S, Herschbach P, Henrich G, Biemer E. Quality of life following aesthetic plastic surgery: a prospective study. J Plast Reconstr Aesthet Surg 2007; 60 (8) 915-921
• 15 Rhee JS, Poetker DM, Smith TL, Bustillo A, Burzynski M, Davis RE. Nasal valve surgery improves disease-specific quality of life. Laryngoscope 2005; 115 (3) 437-440
• 16 Fatemi MJ, Rajabi F, Moosavi SJ, Soltani M. Quality of life among Iranian adults before and after rhinoplasty. Aesthetic Plast Surg 2012; 36 (2) 448-452
• 17 Grossbart TA, Sarwer DB. Cosmetic surgery: surgical tools—psychosocial goals. Semin Cutan Med Surg 1999; 18 (2) 101-111
• 18 Sarwer DB, Pertschuk MJ, Wadden TA, Whitaker LA. Psychological investigations in cosmetic surgery: a look back and a look ahead. Plast Reconstr Surg 1998; 101 (4) 1136-1142
• 19 Zahiroddin AR, Shafiee-Kandjani AR, Khalighi-Sigaroodi E. Do mental health and self-concept associate with rhinoplasty requests?. J Plast Reconstr Aesthet Surg 2008; 61 (9) 1100-1103
• 20 Goldberg DP. Manual of the General Health Questionnaire. Windsor, England: NFER Publishing; 1978
• 21 Ebrahimi A, Molavi H, Moosavi G, Bornamanesh A, Yaghobi M. Psychometric properties and factor structure of general health questionnaire 28 (GHQ-28) in Iranian psychiatric patients. Tahghighat Oloom Raftari 2007; 5: 5-12
• 22 Malakouti SK, Fatollahi P, Mirabzadeh A, Zandi T. Reliability, validity and factor structure of the GHQ-28 used among elderly Iranians. Int Psychogeriatr 2007; 19 (4) 623-634
• 23 Yousefy AR, Ghassemi GR, Sarrafzadegan N, Mallik S, Baghaei AM, Rabiei K. Psychometric properties of the WHOQOL-BREF in an Iranian adult sample. Community Ment Health J 2010; 46 (2) 139-147
• 24 Nedjat S, Montazeri A, Holakouie K, Mohammad K, Majdzadeh R. Psychometric properties of the Iranian interview-administered version of the World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF): a population-based study. BMC Health Serv Res 2008; 8: 61
• 25 Won TB, Park KT, Moon SJ , et al. The effect of septorhinoplasty on quality of life and nasal function in Asians. Ann Plast Surg 2013; 71 (1) 40-44
• 26 Saleh AM, Younes A, Friedman O. Cosmetics and function: quality-of-life changes after rhinoplasty surgery. Laryngoscope 2012; 122 (2) 254-259
• 27 Cingi C, Songu M, Bal C. Outcomes research in rhinoplasty: body image and quality of life. Am J Rhinol Allergy 2011; 25 (4) 263-267
• 28 Erdogan BA, Avseren E, Paksoy M, Bora F, Altin G. Assessing quality of life in septorhinoplasty patients with two different instruments. B-ENT 2013; 9 (4) 277-283