Imperial College London
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Professor Hesham Saleh

Faculty of Medicine, Department of Surgery & Cancer

Professor of Practice (Rhinology)
 
 
 
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Contact

 

+44 (0)20 3311 1025h.saleh Website

 
 
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Location

 

Charing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Joseph:2017:10.1111/coa.12752,
author = {Joseph, J and Randhawa, P and Hannan, SA and Long, J and Goh, S and O'Shea, N and Saleh, H and Hansen, E and Veale, D and Andrews, P},
doi = {10.1111/coa.12752},
journal = {Clin Otolaryngol},
pages = {508--513},
title = {Body dysmorphic disorder in patients undergoing septorhinoplasty surgery: should we be performing routine screening?},
url = {http://dx.doi.org/10.1111/coa.12752},
volume = {42},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: Body dysmorphic disorder (BDD) is defined as having a preoccupation with a perceived flaw in one's appearance, which appears slight to others and significantly interferes with a person's functioning. When undetected in septorhinoplasty patients, it will often lead to poor outcomes. DESIGN: We performed a prospective cohort study to determine the prevalence of BDD in our patients and whether surgical correction could be considered. SETTING AND PARTICIPANTS: We recruited 34 patients being considered for septorhinoplasty in a tertiary referral rhinology clinic and a control group of 50 from the otology clinic giving a total of 84. MAIN OUTCOME MEASURES: Participants completed the Body Dysmorphic Disorder Questionnaire (BDDQ), the sino-nasal outcome test-23 (SNOT-23) and underwent nasal inspiratory peak flow (NIPF). Those found to be at high risk for BDD were referred to a clinical psychologist. RESULTS: Of the septorhinoplasty patients, 11 (32%) were high risk for BDD. Following psychological assessment, 7 (63%) patients were felt to be unsuitable for surgery and were offered psychological therapy. SNOT-23 scores were significantly higher in the BDD group indicating a negative impact on quality of life. NIPF readings were not significantly different in the BDD group compared to the control group. CONCLUSIONS: The BDDQ is a valid tool for identifying patients at risk of BDD. A close working relationship with clinical psychology has been advantageous to help the selection process of candidates for surgery when there is a high risk of BDD.
AU  - Joseph,J
AU  - Randhawa,P
AU  - Hannan,SA
AU  - Long,J
AU  - Goh,S
AU  - O'Shea,N
AU  - Saleh,H
AU  - Hansen,E
AU  - Veale,D
AU  - Andrews,P
DO  - 10.1111/coa.12752
EP  - 513
PY  - 2017///
SP  - 508
TI  - Body dysmorphic disorder in patients undergoing septorhinoplasty surgery: should we be performing routine screening?
T2  - Clin Otolaryngol
UR  - http://dx.doi.org/10.1111/coa.12752
UR  - https://www.ncbi.nlm.nih.gov/pubmed/27627585
VL  - 42
ER  -
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