CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S329
DOI: 10.1055/s-0038-1640859
Abstracts
Rhinologie: Rhinology

Positive screening for body dysmorphic disorder in patients undergoing septorhinoplasty: No significant long-term health-related quality of life

R Hohenberger
1   Univ. HNO-Klinik, Heidelberg
,
OC Bulut
2   SLK-Klinik, Heilbronn
,
I Baumann
1   Univ. HNO-Klinik, Heidelberg
,
F Wallner
1   Univ. HNO-Klinik, Heidelberg
,
PK Plinkert
1   Univ. HNO-Klinik, Heidelberg
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    Body dysmorphic disorder is a mental disorder defined by an excessive preoccupation about flaws of one's self-appearance even with little or no objective flaw present. We examined patients undergoing septorhinoplasty retrospectively for BDD prevalence and impact of a positive screening on postoperative health-related quality of life (QOL).

    104 patients who underwent septorhinoplasty at the University Hospital Heidelberg completed two validated, disease-specific self-report questionnaires pre- and five year postoperatively: The Rhinoplasty Outcomes Evaluation (ROE) and the Functional Rhinoplasty Outcome Inventory (FROI)-17. To screen for BDD, the BDD Questionnaire (BDDQ) was applied.

    Fifty-one patients with complete data enrolled in our study, four patients screened positive for BDD. Regarding all patients we found a significant gain in QOL pre- vs. postoperatively in ROE and FROI-17 (p < 0.001). Patients with positive BDD screening showed a lower improvement in the ROE score postoperatively than rest of the group (25 vs. 33 points). The improvement of the ROE score in the BDD group was not significant. In the FROI-17 there were no significant increases in the subcategories "self-esteem", "general," "nasal symptoms" and in the overall score in the BDD group.

    Prevalence of BDD in our collective was 7.8%. These patients showed no significant gain in QOL after septorhinoplasty. Awareness of this patient group is obligatory in order to prevent insufficient postoperative results as this specific patient group may benefit from alternative treatments.


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    No conflict of interest has been declared by the author(s).

    Dr. Ralph Hohenberger
    Univ. HNO-Klinik,
    Im Neuenheimer Feld 400, 69120,
    Heidelberg

    Publication History

    Publication Date:
    18 April 2018 (online)

    © 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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