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Psychosomatic Medicine 12:277-291 (1950)
© 1950 American Psychosomatic Society

Screening Patients for Nasal Plastic Operations

Some Sociologic and Psychiatric Considerations

FRANCES COOKE MACGREGOR M.A.1 and BERTRAM SCHAFFNER M.D.1

1 Research Associate, Department of Psychiatry, New York University College of Medicine, and Coordinator of an interdisciplinary project entitled "Psychological and Sociological Aspects of Facial Deformities and Plastic Surgery," directed by Dr. John Marquis Converse, under the Departments of Psychiatry and Surgery at New York University College of Medicine. This study is supported by a grant from the National Institute of Mental Health, U. S. Public Health Service.

Description has been given of a method of screening potential candidates for nasal plastic surgery, by use of interviews of patients along environmental, psychologic, cultural, and medical lines, and criteria are suggested that may be useful in deciding the advisability or inadvisability of surgery.

Some sociologic and psychologic factors which lead patients to request nasal plastic surgery in the absence of clear-cut organic reason for operation, have been outlined.

The hazards of operating without adequate understanding of the personality of the patients and the etiology of their problems, have been pointed out.

Case histories of 5 patients illustrating various types of dilemma confronting the plastic surgeon have been given, together with discussions of the procedure decided upon, the results of operation or withholding of operation, and reports on followup information to date.




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