Effect of Nasal Deviation on Quality of Life
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Date
2011-07-01
Authors
Ramos, Sueli de Lima
Hochman, Bernardo
Gomes, Heitor Carvalho
Felipe, Luiz Eduardo
Veiga, Daniela Francescato
Juliano, Yara
Dini, Gal Moreira [UNIFESP]
Ferreira, Lydia Masako
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Abstract
Background: Nasal deviation is a common complaint in otorhinolaryngology and plastic surgery. This condition not only causes impairment of nasal function but also affects quality of life, leading to psychological distress. the subjective assessment of quality of life, as an important aspect of outcomes research, has received increasing attention in recent decades. Quality of life is measured using standardized questionnaires that have been tested for reliability, validity, and sensitivity. the aim of this study was to evaluate health-related quality of life, self-esteem, and depression in patients with nasal deviation.Methods: Sixty patients were selected for the study. Patients with nasal deviation (n = 32) were assigned to the study group, and patients without nasal deviation (n = 28) were assigned to the control group. the diagnosis of nasal deviation was made by digital photogrammetry. Quality of life was assessed using the Medical Outcomes Study 36-Item Short Form Health Survey questionnaire; the Rosenberg Self-Esteem/Federal University of São Paulo, Escola Paulista de Medicina Scale; and the 20-item Self-Report Questionnaire.Results: There were significant differences between groups in the physical functioning and general health subscales of the Medical Outcomes Study 36-Item Short Form Health Survey (p < 0.05). Depression was detected in 11 patients (34.4 percent) in the study group and in two patients in the control group, with a significant difference between groups (p < 0.05).Conclusions: Nasal deviation is an aspect of rhinoplasty of which the surgeon should be aware so that proper psychological diagnosis can be made and suitable treatment can be planned because psychologically the patients with nasal deviation have significantly worse quality of life and are more prone to depression. (Plast. Reconstr. Surg. 128: 132, 2011.) CLINICAL QUESTION/LEVEL of EVIDENCE: Risk, II.
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Plastic and Reconstructive Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 128, n. 1, p. 132-136, 2011.