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Otolaryngology, ENT & Sinus News Provided by Dallas ENTThe psychological aspects of rhinoplastyAugust 1, 2010, 12:00 pm by Current Opinion in Otolaryngology & Head and Neck SurgeryPurpose of review: Literature on the psychological aspects of rhinoplasty is sparse compared with publications on methods and instrumentation. Understanding the psychological aspects of rhinoplasty and, more importantly, recognizing the patient who may have an unfavorable postoperative course regardless of the objective outcome is of fundamental importance to the surgeon. Recent findings: Several profiles of patients with a high risk of postoperative dissatisfaction have been described and the important role of body dysmorphic disorder and its treatment has been stressed. Still, these criteria can be insufficient when facing the individual patient, as reliable screening instruments for clinical practice have not been developed and the question when not to operate is subject to controversy. The role of computer imaging as a safeguard in preoperative counseling has been highlighted. Summary: The surgeon must rely on instinct and experience to avoid overlooking any signs of psychological imbalance in the patient that may herald adversity. Archetypes described in the literature should be recognized and computer imaging should be used during the preoperative consultation. (C) 2010 Lippincott Williams & Wilkins, Inc.
More from Current Opinion in Otolaryngology & Head and Neck Surgery Surgical management of common peripheral vestibular diseases Current Opinion in Otolaryngology & Head and Neck Surgery: August 20, 2010, 6:00 am Purpose of review: To review the latest developments in the surgical management of common peripheral vestibular disorders. Recent findings: Although surgery is indicated mainly for patients with Meniere's disease, other less common disorders Cochlear efferent innervation and function Current Opinion in Otolaryngology & Head and Neck Surgery: August 20, 2010, 6:00 am Purpose of review: This review covers topics relevant to olivocochlear-efferent anatomy and function for which there are new findings in papers from 2009 to early 2010. Recent findings: Work within the review period Reconstruction of cheek defects: a review of current techniques Current Opinion in Otolaryngology & Head and Neck Surgery: August 1, 2010, 12:00 pm Purpose of review: The article discusses the fundamental principles of cheek reconstruction and summarizes recently published techniques and reviews in the field. Recent findings: Reconstruction of the cheek is a complex endeavour. Patient, Editorial introductions Current Opinion in Otolaryngology & Head and Neck Surgery: August 1, 2010, 12:00 pm No abstract available Editorial introduction to the maxillofacial surgery section Current Opinion in Otolaryngology & Head and Neck Surgery: August 1, 2010, 12:00 pm No abstract available
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