{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:05:09Z","timestamp":1782979509852,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,10,5]],"date-time":"2016-10-05T00:00:00Z","timestamp":1475625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009360","name":"King\u2019s College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009360","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Body dysmorphic disorder (<jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>) 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>We performed a prospective cohort study to determine the prevalence of <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content> in our patients and whether surgical correction could be considered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and participants<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Participants completed the Body Dysmorphic Disorder Questionnaire (<jats:styled-content style=\"fixed-case\">BDDQ<\/jats:styled-content>), the sino\u2010nasal outcome test\u201023 (<jats:styled-content style=\"fixed-case\">SNOT<\/jats:styled-content>\u201023) and underwent nasal inspiratory peak flow (<jats:styled-content style=\"fixed-case\">NIPF<\/jats:styled-content>). Those found to be at high risk for <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content> were referred to a clinical psychologist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the septorhinoplasty patients, 11 (32%) were high risk for <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>. Following psychological assessment, 7 (63%) patients were felt to be unsuitable for surgery and were offered psychological therapy. <jats:styled-content style=\"fixed-case\">SNOT<\/jats:styled-content>\u201023 scores were significantly higher in the <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content> group indicating a negative impact on quality of life. <jats:styled-content style=\"fixed-case\">NIPF<\/jats:styled-content> readings were not significantly different in the <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content> group compared to the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">BDDQ<\/jats:styled-content> is a valid tool for identifying patients at risk of <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>. 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 <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12752","type":"journal-article","created":{"date-parts":[[2016,9,14]],"date-time":"2016-09-14T14:36:38Z","timestamp":1473863798000},"page":"508-513","source":"Crossref","is-referenced-by-count":34,"title":["Body dysmorphic disorder in patients undergoing septorhinoplasty surgery: should we be performing routine screening?"],"prefix":"10.1111","volume":"42","author":[{"given":"J.","family":"Joseph","sequence":"first","affiliation":[{"name":"Department of Rhinology and Facial Plastics Surgery Royal National Throat Nose and Ear Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Randhawa","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastics Surgery Royal National Throat Nose and Ear Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.A.","family":"Hannan","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastics Surgery Royal National Throat Nose and Ear Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastics Surgery Royal National Throat Nose and Ear Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastics Surgery Royal National Throat Nose and Ear Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"O'Shea","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastics Surgery Royal National Throat Nose and Ear Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Saleh","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastics Surgery Charing Cross Hospital Imperial College Healthcare NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Royal Free London NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Veale","sequence":"additional","affiliation":[{"name":"The Institute of Psychiatry, Psychology and Neuroscience King's College London and the South London and Maudsley NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Rhinology and Facial Plastics Surgery Royal National Throat Nose and Ear Hospital London UK"},{"name":"The Ear Institute UCL London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, ed 5","author":"American Psychiatric Association","year":"2013"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2009.05.002"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.46.4.317"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.169.2.196"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000366035"},{"key":"e_1_2_9_7_1","volume-title":"The Broken Mirror: Understanding and Treating Body Dysmorphic Disorder","author":"Phillips K.","year":"2005"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000360740"},{"key":"e_1_2_9_9_1","volume-title":"Core Interventions in the Treatment of Obsessive\u2010Compulsive Disorder and Body Dysmorphic Disorder. 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