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CC BY-NC-ND 4.0 · Indian J Plast Surg 2010; 43(02): 200-205
DOI: 10.1055/s-0039-1699436
DOI: 10.1055/s-0039-1699436
Review Article
Psychological issues in acquired facial trauma
Further Information
Publication History
Publication Date:
15 January 2020 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00042863/201002/lookinside/thumbnails/10-1055-s-0039-1699436_00200-1.jpg)
ABSTRACT
The face is a vital component of one's personality and body image. There are a vast number of variables that influence recovery and rehabilitation from acquired facial trauma many of which are psychological in nature. The present paper presents the various psychological issues one comes across in facial trauma patients. These may range from body image issues to post-traumatic stress disorder symptoms accompanied by anxiety and depression. Issues related to facial and body image affecting social life and general quality of life are vital and the plastic surgeon should be aware of such issues and competent to deal with them in patients and families.
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REFERENCES
- 1 Cunningham SJ. The psychology of facial appearance. Dent Update 1999;26:438-43.
- 2 Shetty V, Glynn S, Brown KE. Psychological sequelae and correlates of orofacial injury. Dent Clin North Am 2003;47:141-57.
- 3 De Sousa A. Psychological issues in oral and maxillofacial reconstructive surgery. Br J Oral Maxillofac Surg 2008;46:661-4.
- 4 Frodel JL Jr. Dealing with the difficult trauma and reconstructive surgery patient. Facial Plast Surg Clin North Am 2008;16:225-31.
- 5 Bisson JI, Shepherd JP, Dhutia M. Psychological sequelae of facial trauma. J Trauma 1997;43:496-500.
- 6 Bisson JI. The psychological sequelae of facial trauma. J Trauma 1997;43:496-500.
- 7 Levine E, Degutis L, Pruzinsky T, Shin J, Persing JA. Quality of life and facial trauma: Psychological and body image effects. Ann Plast Surg 2005;54:502-10.
- 8 Cuijpers P, Smit F. Subthreshold depression as a risk factor for major depressive disorder: A review of prospective studies. Acta Psychiatr Scand 2004;109:325-31.
- 9 Meningaud JP, Benadiba L, Servant JM, Bertrand JC, Pelicier Y. Depression, anxiety and quality of life: Outcome 9 months after facial cosmetic surgery. J Craniomaxillofac Surg 2003;31:46-50.
- 10 Enqvist B, Von konow OL, Bystedt OH. Stress reduction, preoperative hypnosis and perioperative suggestion in maxillofacial surgery: Somatic responses and recovery. Stress Med 1995;11:229-33.
- 11 McGrouther DA. Facial disfigurement. BMJ 1997;314:991-2.
- 12 Newell R, Marks I. Phobic nature of social difficulty in facially disfigured people. Br J Psychiatry 2000;176:177-81.
- 13 Le BT, Dierks EJ, Ueeck BA, Homer LD, Potter BF. Maxillofacial injuries associated with domestic violence. J Oral Maxillofac Surg 2001;59:1277-83.
- 14 Van Swearingen J. Facial rehabilitation: A neuromuscular reeducation and patient centered approach. Facial Plast Surg 2008;24:250-9.
- 15 Shaikh ZS, Worall SF. Epidemiology of facial trauma in a sample of patients aged 1-18 years. Injury 2002;33:669-71.
- 16 Thompson A, Kent G. Adjusting to disfigurement: The processes involved in dealing with being visibly different. Clin Psychol Rev 2001;21:663-82.
- 17 Shepherd JP. Strategies for the study of the long term sequelae of oral and facial injuries. J Oral Maxillofac Surg 1992;50:390-9.
- 18 Tebble NJ, Thomas DW, Price P. Anxiety and self consciousness in patients with minor facial lacerations. J Adv Nurs 2004;47:417-26.
- 19 Sen P, Ross N, Rogers S. Recovering maxillofacial trauma patients: The hidden problem. J Wound Care 2001;10:53-7.
- 20 Gopalkrishna G, Peek-Asa C, Kraus JF. Epidemiological features of facial injuries among motorcyclists. Ann Emerg Med 1998;32:425-30.
- 21 Glynn SM, Shetty V, Elliot-Brown K, Leathers R, Belin TR, Wang J. Chronic post traumatic stress disorder after facial injury: A 1 year prospective cohort study. J Trauma 2007;62:410-8.
- 22 Fabio R, Allesandro DA, Guiseppe A, Berrone S. Maxillofacial trauma and psychiatric sequelae: Post traumatic stress disorder. J Craniofac Surg 2005;16:355-60.
- 23 Herman JL. Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. J Trauma Stress 1992;5:377-91.
- 24 Hull AM. Neuroimaging findings in post traumatic stress disorder. Br J Psychiatry 2002;181:102-10.
- 25 Crowley KE. Aesthetic issues and anxiety management in female oral and maxillofacial surgery patients. Oral Maxillofac Surg Clin North Am 2007;19:141-52.
- 26 Thomas CS, Goldberg DP. Appearance, body image and distress in facial dysmorphophobia. Acta Psychiatr Scand 1995;92:231-6.
- 27 Newell R. Psychological difficulties among plastic surgery ex-patients following surgery to the face. Br J Plast Surg 2000;53:386-92.
- 28 Furness G, Garrud P, Faulder A, Swift J. Coming to terms: A grounded theory of adaptation to facial surgery in adulthood. J Health Psychol 2006;11:453-66.
- 29 Pruzinsky T. Body Image: A Handbook of Theory, Research and Clinical Practice. New York: Guilford Press; 2002.
- 30 Islam S, Ahmed M, Walton GM, Dinan TG. The assosciation between depression and anxiety disorders following facial trauma: A comparative study. Injury 2010;41:92-6.
- 31 Auerbach SM, Laskin DM, Kiesler DJ, Wilson M, Rajab B, Campbell TA. Psychological factors associated with a response to maxillofacial injury and its treatment. J Oral Maxillofac Surg 2008;66:755-61.
- 32 Clarke A. Psychosocial aspects of facial disfigurement: Problems, management and the role of a lay led organization. Psychol Health Med 1999;4:127-42.
- 33 Rankin M, Borah GL. Anxiety disorders in plastic surgery. Plast Reconstr Surg 1997;100:535-42.
- 34 Koster ME, Bergsma J. Problems and coping behavior of facial cancer patients. Soc Sci Med 1990;30:569-78.
- 35 Macgregor FC. Facial disfigurement: Problems and management of social interaction and implications for mental health. Aesthetic Plast Surg 1990;14:249-57.
- 36 Sainsbury DC. Body image and facial burns. Adv Skin Wound Care 2009;22:39-44.
- 37 Carr A, Harris D, James C. The derriford appearance scale: A new scale to measure individual responses to living with problems of appearance. Br J Health Psychol 2000;5:201-15.
- 38 Rankin M, Borah GL. Perceived functional impact of impaired facial appearance. Plast Reconstr Surg 2003;14:2140-6.
- 39 Arcan SC. Overview of facial cosmetic surgery. J Calif Dent Assoc 2004;32:849-53.
- 40 Turner SR, Rumsey N, Sandy JR. Psychological aspects of cleft lip and cleft palate. Eur J Orthod 1998;20:407-15.
- 41 Brill SE, Clarke A, Veale DM, Butler PE. Psychological management and body image issues in facial transplantation. Body Image 2006;3:1-15.
- 42 Linley PA, Joseph S. Positive change following trauma and adversity: A review. J Trauma Stress 2004;17:11-21.
- 43 Bonnano GA. Resilience in the face of potential trauma. Curr Dir Psychol Sci 2005;14:135-8.
- 44 Eiserman W. Unique outcomes and positive contributions associated with facial difference: Expanding research and practice. Cleft Palate Craniofac J 2000;38:236-44.
- 45 Burland J. Family to family: A trauma and recovery model of family education. New Dir Ment Health Serv 1998;77:33-41.
- 46 Chemtob CM. Post traumatic stress disorder, trauma and culture. Int Rev Psychiatry 1996;2:257-96.
- 47 De Maio M. The minimal approach: An innovation in facial cosmetic procedures. Aesthetic Plast Surg 2004;28:295-300.
- 48 Bellucci CC, Kapp-Simon KA. Psychological considerations in orthognathic surgery. Clin Plast Surg 2007;34:11-6.
- 49 Rumsey N, Harcourt D. Body image and disfigurement: issues and interventions. Body Image 2004;1:83-97.
- 50 Haas CF, Champion A, Secor D. Motivational factors for seeking cosmetic surgery: A synthesis of literature. Plast Surg Nurs 2008;28:177-82.
- 51 Kreiger LM, Lee GK. The economics of plastic surgery practices: Trends in income, procedure mix and volume. Plast Reconstr Surg 2004;114:192-9.
- 52 Maurin JT, Boyd CB. Burden if mental illness on the family: A review. Adv Psychol Res 1990;4:99-107.
- 53 Brown GW. Life events, psychiatric disorder and physical illness. J Psychosom Res 1981;25:461-73.
- 54 Khouzam HR, Kissmeyer P. Antidepressant treatment, post traumatic stress disorder, survivor guilt and spiritual awakening. J Trauma Stress 1997;10:691-6.
- 55 Brewin CR, Robson MJ, Shapiro DA. Social and psychological determinants of recovery from industrial injuries. Injury 1983;14:451-5.
- 56 Bellamy R. Compensation neurosis: Financial reward for illness as a nocebo. Clin Orthop Relat Res 1997;336:94-106.
- 57 Sarwer DB, Crerand CE. Psychological issues in patient outcomes. Facial Plast Surg 2002;18:125-34.