A prospective study of psychological adjustment during and after forehead flap nasal reconstruction.

Autor: Hsu FY; Department of Plastic and Reconstructive Surgery, Chang Gung University, Chiayi, Taiwan., Hsiao YC; Elysée Aesthetic Medical Center, Taipei, Taiwan., Su YJ; Graduate Institute of Behavioral Sciences, Chang Gung University and Department of Psychiatry, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan., Chang CS; Elysée Aesthetic Medical Center, Taipei, Taiwan., Yen CI; Department of Plastic and Reconstructive Surgery, Aesthetic Medical Center of Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan. Electronic address: a9281@cgmh.org.tw.
Jazyk: angličtina
Zdroj: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [J Craniomaxillofac Surg] 2024 Jun; Vol. 52 (6), pp. 692-696. Date of Electronic Publication: 2024 Mar 17.
DOI: 10.1016/j.jcms.2024.03.010
Abstrakt: The psychological effects of staged nasal reconstruction with a forehead flap were prospectively investigated. Thirty-three patients underwent nasal reconstruction with forehead flaps between March 2017 and July 2020. Three questionnaires were used to assess psychosocial functioning before surgery (time 1), 1 week after forehead flap transfer (time 2), 1 week after forehead flap division (time 3), and after refinement procedures (time 4). The patients were categorized into three groups according to the severity of nasal defects. Between- and within-group comparisons were conducted. All patients reported increased satisfaction with their appearance during nasal reconstruction. For most patients, levels of distress and social avoidance were highest before reconstruction (time 1). Both levels decreased as reconstruction advanced, and were significantly improved by times 3 and 4. The stage of reconstruction had a greater effect on these levels than did severity of nasal defect. Nasal reconstruction with forehead flap is beneficial physically and psychologically. Psychological evaluation before and after surgery facilitates patient-surgeon interactions and further enhances outcomes.
Competing Interests: Declaration of competing interest None.
(Copyright © 2024 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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