Investigation of Body Perception, Alexithymic Characteristics, and Self-Esteem in Patients Underwent Septorhinoplasty.

Tarik Yagci, Zehra Gunay Yagci
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Abstract

Objective: This study evaluated patients' body perception, self-esteem, and personality traits during the preoperative and postoperative periods of septorhinoplasty. Based on these evaluations, we may provide patient selection recommendations for septorhinoplasty applicants. Methods: In this cross-sectional questionnaire study, 86 patients who underwent primary septorhinoplasty in the Department of Otolaryngology at Bilecik Training and Research Hospital were included between March 2023 and 2024. The same surgeon performed all operations. The preoperative Rhinoplasty Outcome Evaluation (ROE) Questionnaire, Rosenberg Self-Esteem Scale (RSES), Body Perception Scale (BPS), Toronto Alexithymia Scale (TAS), and TEMPS-A Temperament Scale in the preoperative period and ROE, RSES, and BPS in the postoperative period were applied. Results: Fifty-four female and 32 male patients participated in our study. The mean age was 24.0 ± 0.6 years. While there was no significant difference in the BPS and RSES scores between the preoperative and postoperative periods, the total ROE score was significantly higher in the postoperative than in the preoperative period. Postoperative ROE scores were positively correlated with RSES and hyperthymic temperament. In contrast, it was negatively correlated with depressive temperament, cyclothymic temperament, anxious temperament, BPS total score, TAS total score, and TAS emotion recognition and expression subscale scores. In the group with alexithymia features separated according to the TAS cutoff score, preoperative and postoperative ROE results were significantly lower, whereas depressive, cyclothymic, irritable, and anxious personality traits and total BPS scores were higher. However, the postoperative RSBE scores were lower in this group. Conclusion: This is the first study to evaluate self-esteem, body image, alexithymia, and personality traits in septorhinoplasty patients. Appropriate patient selection is essential for success and patient satisfaction in aesthetic operations such as septorhinoplasty. Performing BPS, TEMPS-A, and TAS may help evaluate psychological factors.

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对接受鼻中隔成形术患者的身体感知、亚历山大特征和自尊的调查。
研究目的本研究评估了鼻中隔成形术术前和术后患者的身体感知、自尊和个性特征。根据这些评估结果,我们可以为鼻中隔成形术申请者提供患者选择建议。方法:在这项横断面问卷调查中,共纳入了 2023 年 3 月至 2024 年 3 月期间在比勒希克培训与研究医院耳鼻喉科接受鼻中隔成形术的 86 名患者。所有手术均由同一位外科医生实施。术前采用鼻整形术结果评估(ROE)问卷、罗森伯格自尊量表(RSES)、体感量表(BPS)、多伦多亚历山大量表(TAS)和 TEMPS-A 气质量表,术后采用 ROE、RSES 和 BPS。结果54名女性和32名男性患者参与了研究。平均年龄为 24.0±0.6 岁。虽然术前和术后的 BPS 和 RSES 分数没有明显差异,但术后的 ROE 总分明显高于术前。术后 ROE 分数与 RSES 和多血质气质呈正相关。相反,它与抑郁气质、环状气质、焦虑气质、BPS 总分、TAS 总分以及 TAS 情绪识别和表达分量表得分呈负相关。在根据 TAS 临界分值区分的具有反射性癔症特征的组别中,术前和术后 ROE 结果均显著降低,而抑郁、环状、易激惹和焦虑人格特质以及 BPS 总分则较高。然而,该组患者术后的 RSBE 评分较低。结论:这是首次对鼻中隔成形术患者的自尊、身体形象、自闭症和人格特质进行评估的研究。适当选择患者对于鼻中隔成形术等美容手术的成功和患者满意度至关重要。进行 BPS、TEMPS-A 和 TAS 可以帮助评估心理因素。
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