MENTAL FACTORS IN RELATION TO RECONSTRUCTIVE SURGERY OF NOSE AND EARS

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Abstract
WHEN ONE contemplates surgery for the correction of nasal and ear deformities, the mental reactions of the patient should be carefully studied and evaluated. The fact is recognized that one person may be severely handicapped by a given facial disfigurement, whereas another will adjust himself to such a degree that surgical correction may not be necessary or even advisable. One person may dismiss from his thoughts a slight deformity of the nose, while a second may have reactions that amount to an obsession because of a similar slight defect. If we are to predict what the whole effect of any surgical procedure will be, we must understand the workings of the patient's mind. Occasionally we feel that a certain patient will never be satisfied even with a reasonably good result or that he is likely to turn his attention to some other real or imaginary defect. If there is little

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