The DOI matches its Crossref record.
Patientsʼ Perceptions of the Cosmetic Impact of Melanoma Resection
Abstract
This study investigated the relationship between primary versus grafted closure for melanoma and the cosmetic impact on the patient of the resulting scar. A total of 176 patients with melanoma completed a multiple-choice questionnaire designed for this study. Two factors were significantly related to negative cosmetic impact: severity of scar indentation (but not scar length) and the extent to which patients were unprepared for the actual size of their scars. Patients whose scars were deeply indented as well as those whose scars were larger than anticipated displayed greatest distress about their appearance. Cosmetic impact was greater for women than for men. These observations suggest that primary closures, rather than closures requiring skin grafts, have important psychological benefits for patients and that physicians can assist postoperative adjustment by giving patients accurate information about the expected appearance of their scars.
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Preoperative expectations appear to be an important factor in psychosocial distress related to body image.
“One important variable to consider when examining psychosocial distress involving body image appears to be preoperative expectations.”
From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [3]
In head and neck patients, anticipating disfiguring surgery and holding inaccurate views of postoperative appearance have been significantly linked to distress and poorer coping.
“The anticipation of disfigurative surgery as well as inaccurate perceptions of postoperative appearance in head and neck patients have been significantly related to overall distress and low levels of coping effectiveness.(3–5)”
From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [3]
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Sorted by citations
Importance of physical appearance in patients with skin cancer
Sobanko, J. F., Sarwer, D. B., Zvargulis, Z., & Miller, C. J. (2015) · Dermatologic Surgery · doi:10.1097/dss.0000000000000253 · Cited by 105
Fingeret, M. C., Vidrine, D. J., Reece, G. P., Gillenwater, A. M., & Gritz, E. R. (2010) · Head & Neck · doi:10.1002/hed.21181 · Cited by 101
Metadata
- Authors
- Cassileth, B. R., Lusk, E. J., & Tenaglia, A. N.
- Affiliations
- University of Pennsylvania (US)
- ORCID
- Lusk, Edward J.
- Venue
- Plastic and Reconstructive Surgery
- Published
- 1983-01
- Volume
- 71
- Issue
- 1
- Pages
- 73-75
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2317722725
- Cited by
- 80
- References
- 0
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- melanoma, surgical resection, scar cosmetic outcome, primary closure, skin grafting, patient perspectives, body image distress, patient expectations, sex differences
- MeSH terms
- Body Image, Cicatrix, Esthetics, Female, Humans, Male, Melanoma, Self Concept, Skin Neoplasms
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