The DOI matches its Crossref record; 65 of the 65 references it cites were found in a registry or an index.
Importance of Physical Appearance in Patients With Skin Cancer
Abstract
BACKGROUND: Physical appearance influences nearly every aspect of human life-impacting how people are judged and subsequently treated by others. OBJECTIVE: To summarize the literature that addresses the psychosocial impact of facial scarring, with a particular emphasis on scarring after skin cancer treatment. MATERIALS AND METHODS: A comprehensive PubMed search was conducted to find articles related to scarring and appearance in the contexts of cutaneous oncology and surgical reconstruction. References from retrieved articles were also considered for review. RESULTS: Scars, especially on the head and neck, change physical appearance and can negatively impact psychosocial functioning. Medical professionals may underestimate the importance of physical appearance for patients with skin cancer. Validated patient-reported outcome (PRO) tools may prove better than objective scar ratings to identify patients who may experience psychosocial impairment from scarring. CONCLUSION: Scarring after skin cancer surgery can profoundly affect psychosocial functioning. Perioperative use of validated PRO tools can help to identify patients with scar concerns. Heightened awareness of patients' psychosocial status will allow practitioners to offer appropriate counseling or support.
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Postoperative distortions from auricular reconstruction can have a significant psychological impact.
“postoperative distortions can have a significant psychological impact.7”
From Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases (2021) · cites this paper as [7]
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Cites
Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., Filiberti, A., Flechtner, H., Fleishman, S. B., Haes, J. C. J. M. D., et al. (1993) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/85.5.365 · Cited by 16,005
Stigma: Notes on the Management of Spoiled Identity
(1969) · Postgraduate Medical Journal · doi:10.1136/pgmj.45.527.642 · Cited by 14,255
Facial attractiveness: evolutionary based research
Little, A. C., Jones, B. C., & DeBruine, L. M. (2011) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2010.0404 · Cited by 1,070
Hamermesh, D. S., & Biddle, J. E. (1993) · National Bureau of Economic Research · doi:10.3386/w4518 · Cited by 778
Factors reported to influence the return to work of cancer survivors: a literature review
Spelten, E. R., Sprangers, M. A. G., & Verbeek, J. H. A. M. (2002) · Psycho-Oncology · doi:10.1002/pon.585 · Cited by 594
Body image and disfigurement: issues and interventions
Rumsey, N., & Harcourt, D. (2004) · Body Image · doi:10.1016/s1740-1445(03)00005-6 · Cited by 561
The hidden cost of skin scars: quality of life after skin scarring
Brown, B. C., McKenna, S. P., Siddhi, K., McGrouther, D. A., & Bayat, A. (2008) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2008.03.020 · Cited by 518
Developmental Stability and Fitness: A Review
Møller, A. P. (1997) · The American Naturalist · doi:10.1086/286030 · Cited by 444
Employment pathways in a large cohort of adult cancer survivors
Short, P. F., Vasey, J. J., & Tunceli, K. (2005) · Cancer · doi:10.1002/cncr.20912 · Cited by 428
The Social Psychology of Facial Appearance
Bull, R. H. C., & Rumsey, N. (1988) · Springer eBooks · doi:10.1007/978-1-4612-3782-2 · Cited by 347
Bjordal, K., Kaasa, S., & Mastekaasa, A. (1994) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/0360-3016(94)90104-x · Cited by 310
An evaluation of the impact of social interaction skills training for facially disfigured people
Robinson, E., Ramsey, N., & Partridge, J. (1996) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(96)90156-3 · Cited by 246
List, M. A., Siston, A. K., Haraf, D. J., Schumm, L. P., Kies, M. S., Stenson, K. M., & Vokes, E. E. (1999) · Journal of Clinical Oncology · doi:10.1200/jco.1999.17.3.1020 · Cited by 230
Papadopoulos, L., Bor, R. J., & Legg, C. R. (1999) · British Journal of Medical Psychology · doi:10.1348/000711299160077 · Cited by 212
Perceived Functional Impact of Abnormal Facial Appearance
Rankin, M. K., & Borah, G. L. (2003) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000060105.63335.0c · Cited by 188
Psychological Responses and Coping Strategies Among Patients With Malignant Melanoma
Kasparian, N. A., McLoone, J. K., & Butow, P. N. (2009) · Archives of Dermatology · doi:10.1001/archdermatol.2009.308 · Cited by 179
Badia, Mascaró, & Lozano (1999) · British Journal of Dermatology · doi:10.1046/j.1365-2133.1999.03112.x · Cited by 171
An assessment of anxiety and dermatology life quality in patients with atopic dermatitis
LINNET, & Jemec, G. B. E. (1999) · British Journal of Dermatology · doi:10.1046/j.1365-2133.1999.02661.x · Cited by 164
Body Image and Quality of Life After Head and Neck Cancer Surgery
Dropkin, M. J. (1999) · Cancer Practice · doi:10.1046/j.1523-5394.1999.76006.x · Cited by 161
The Skin Cancer Index: Clinical Responsiveness and Predictors of Quality of Life
Rhee, J. S., Matthews, B. A., Neuburg, M., Logan, B. R., Burzynski, M., & Nattinger, A. B. (2007) · The Laryngoscope · doi:10.1097/mlg.0b013e31802e2d88 · Cited by 157
A systematic review of health-related quality of life in cutaneous melanoma
Cornish, D., Holterhues, C., van de Poll-Franse, L. V., Coebergh, J. W. W., & Nijsten, T. E. C. (2009) · Annals of Oncology · doi:10.1093/annonc/mdp255 · Cited by 151
Skin scar preconceptions must be challenged: Importance of self-perception in skin scarring
Brown, B. C., Moss, T., McGrouther, D. A., & Bayat, A. (2009) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2009.03.019 · Cited by 134
Klassen, A. F., Newton, J. N., & Mallon, E. (2000) · Journal of the American Academy of Dermatology · doi:10.1067/mjd.2000.105507 · Cited by 134
The effectiveness of stand-alone cognitive-behavioural therapy for body image: A meta-analysis
Jarry, J. L., & Ip, K. (2005) · Body Image · doi:10.1016/j.bodyim.2005.10.001 · Cited by 132
Quality of life in treated head and neck cancer patients: A preliminary report
Morton, R. P., Davies, D. M., Baker, J., Baker, G. A., & Stell, P. M. (1984) · Clinical Otolaryngology · doi:10.1111/j.1365-2273.1984.tb01493.x · Cited by 131
Young, V. L., & Hutchison, J. (2009) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3181a80747 · Cited by 120
Bessell, A., & Moss, T. (2007) · Body Image · doi:10.1016/j.bodyim.2007.04.005 · Cited by 113
Coping with disfigurement and dysfunction after head and neck cancer surgery: A conceptual framework
Dropkin, M. J. (1989) · Seminars in Oncology Nursing · doi:10.1016/0749-2081(89)90095-8 · Cited by 106
Anxiety, Critical Thinking, and Information Processing During and After Breast Biopsy
Scott, D. W. (1983) · Nursing Research · doi:10.1097/00006199-198301000-00006 · Cited by 104
Problems and coping behaviour of facial cancer patients
Koster, M. E. T. A., & Bergsma, J. (1990) · Social Science & Medicine · doi:10.1016/0277-9536(90)90155-l · Cited by 102
Kleve, L., Rumsey, N., Wyn‐Williams, M., & White, P. (2002) · Journal of Evaluation in Clinical Practice · doi:10.1046/j.1365-2753.2002.00348.x · Cited by 94
Anxiety and self-consciousness in patients with facial lacerations one week and six months later
Tebble, N. J., Adams, R. J., Thomas, D. W., & Price, P. (2005) · British Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.bjoms.2005.10.010 · Cited by 85
Quality of life issues in nonmetastatic skin cancer
Burdon‐Jones, D., Thomas, P., & Baker, R. D. (2009) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2009.09469.x · Cited by 85
Factors Associated with Peer Social Competence in Preadolescents with Craniofacial Anomalies
Pope, A. W., & Ward, J. (1997) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/22.4.455 · Cited by 85
A Critical Analysis of Measurements Used to Assess and Manage Scars
Roques, C., & Téot, L. (2007) · The International Journal of Lower Extremity Wounds · doi:10.1177/1534734607308249 · Cited by 82
Measuring attentional bias to peripheral facial deformities
Ishii, L. E., Carey, J. P., Byrne, P., Zee, D. S., & Ishii, M. (2009) · The Laryngoscope · doi:10.1002/lary.20132 · Cited by 82
Patientsʼ Perceptions of the Cosmetic Impact of Melanoma Resection
Cassileth, B. R., Lusk, E. J., & Tenaglia, A. N. (1983) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-198301000-00016 · Cited by 80
Lee, E. H., Klassen, A. F., Nehal, K. S., et al. (2012) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2012.09.017 · Cited by 77
Patient Satisfaction After Treatment of Nonmelanoma Skin Cancer
Asgari, M. M., Bertenthal, D., Sen, Ś., et al. (2009) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2009.01181.x · Cited by 67
Chen, T., Bertenthal, D., Sahay, A. P., Sen, Ś., & Chren, M. (2007) · Archives of Dermatology · doi:10.1001/archderm.143.11.1386 · Cited by 67
The Patient-Reported Impact of Scars Measure: Development and Validation
Brown, B. C., McKenna, S. P., Solomon, M., Wilburn, J. N., McGrouther, D. A., & Bayat, A. (2010) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3181d4fd89 · Cited by 66
Changes of satisfaction with appearance and working status for head and neck tumour patients
Liu, H. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02291.x · Cited by 62
Quality of Life Assessment in Nonmelanoma Cervicofacial Skin Cancer
Rhee, J. S., Loberiza, F. R., Matthews, B. A., et al. (2003) · The Laryngoscope · doi:10.1097/00005537-200302000-00004 · Cited by 61
Oral- and pharyngeal-cancer patients?? perceived symptoms and health
Langius, R. N. A., Bj??rvell, H., & Lind, M. G. (1993) · Cancer Nursing · doi:10.1097/00002820-199306000-00007 · Cited by 60
Presurgical psychological screening: Understanding patients, improving outcomes.
(2012) · American Psychological Association eBooks · doi:10.1037/14035-000 · Cited by 59
Measuring quality of life in patients with melanoma: development of the FACT-melanoma subscale.
Cormier, J. N., Davidson, L., Xing, Y., Webster, K., & Cella, D. F. (2005) · PubMed · Cited by 56
Is lookism unjust?: The ethics of aesthetics and public policy implications
Tietje, L., & Cresap, S. (2005) · Cited by 53
Appearance Is a Function of the Face
Borah, G. L., & Rankin, M. K. (2010) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3181cb613d · Cited by 52
Quality of life in health care of non‐melanoma skin cancer – results of a pilot study
Steinbauer, J., Koller, M. T., Kohl, E. A., et al. (2010) · JDDG Journal der Deutschen Dermatologischen Gesellschaft · doi:10.1111/j.1610-0387.2010.07547.x · Cited by 47
Burdon‐Jones, D., & GIBBONS, K. S. (2012) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/j.1468-3083.2012.04669.x · Cited by 46
Development of the Facial Skin Care Index: A Health-Related Outcomes Index for Skin Cancer Patients
Matthews, B. A., Rhee, J. S., Neuburg, M., Burzynski, M., & Nattinger, A. B. (2006) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2006.32197.x · Cited by 40
Facial Disfigurement after Cancer Resection: A Problem with an Extra Dimension
van Doorne, J. M., van Waas, M. A. J., & Bergsma, J. (1994) · Journal of Investigative Surgery · doi:10.3109/08941939409051149 · Cited by 38
Patient-reported outcome measures in nonmelanoma skin cancer of the face: a systematic review
Bates, A. S., Davis, C., Takwale, A., et al. (2013) · British Journal of Dermatology · doi:10.1111/bjd.12269 · Cited by 37
Prospective study of long-term patient perceptions of their skin cancer surgery
Dixon, A. J., Dixon, M. P., & Dixon, J. B. (2007) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2007.02.006 · Cited by 36
A structured review of patient-reported outcome measures for patients with skin cancer, 2013
Gibbons, E. J., Comabella, C. C. I., & Fitzpatrick, R. (2013) · British Journal of Dermatology · doi:10.1111/bjd.12310 · Cited by 34
Editorial: Progress and Limitations in the Psychological Study of Craniofacial Anomalies
Speltz, M. L., & Richman, L. C. (1997) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/22.4.433 · Cited by 31
Quality of Life in Non-Melanoma Skin Cancer—The Skin Cancer Quality of Life (SCQoL) Questionnaire
Vinding, G. R., Christensen, K. B., Esmann, S., et al. (2013) · Dermatologic Surgery · doi:10.1111/dsu.12353 · Cited by 24
The psycho-social impact of facial skin cancers
Caddick, J., Green, L., Stephenson, J. R., et al. (2012) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2012.02.022 · Cited by 23
Buchhagen, D. L., Worsham, M. J., Dyke, D. L. V., & Carey, T. E. (1996) · Head & Neck · doi:10.1002/(sici)1097-0347(199611/12)18:6 · Cited by 21
The Functionality of Facial Appearance and Its Importance to a Korean Population
Kim, Y. J., Park, J. W., Kim, J., et al. (2013) · Archives of Plastic Surgery · doi:10.5999/aps.2013.40.6.715 · Cited by 20
Mast, B. A. (1999) · Annals of Plastic Surgery · doi:10.1097/00000637-199901000-00007 · Cited by 13
Js, L. (1999) · PubMed · Cited by 9
Skin scarring: new insights may make adjustment easier
Partridge, J., & Rumsey, N. (2003) · BMJ · doi:10.1136/bmj.326.7392.765/a · Cited by 6
Durani, P. (2011) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e31820a667c · Cited by 3
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Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases
Bittner, G. C., Kubo, E. M., Fantini, B. D. C., & Cerci, F. B. (2021) · Anais Brasileiros de Dermatologia · doi:10.1016/j.abd.2020.12.008 · Cited by 14
“Auricular reconstruction should prioritize function before aesthetics, but without leaving the latter aside, since postoperative distortions can have a significant psychological impact.(7) It is important to mention that the ear is essential for the support of prescription glasses and the ‘‘fitting’’ of hearing aids,…”
Background
Metadata
- Authors
- Sobanko, J. F., Sarwer, D. B., Zvargulis, Z., & Miller, C. J.
- Affiliations
- Thomas Jefferson University (US)
- University of Pennsylvania (US)
- Corresponding author
- Sobanko, Joseph F.
- Miller, Christopher J.
- Venue
- Dermatologic Surgery
- Published
- 2015-02
- Volume
- 41
- Issue
- 2
- Pages
- 183-188
- ISSN
- 1076-0512 (ISSN-L)
- OpenAlex
- W1992371043
- Cited by
- 105
- References
- 65
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 10 · 2023: 10 · 2022: 12 · 2021: 17 · 2020: 5 · 2019: 9 · 2018: 13 · 2017: 9 · 2016: 4 · 2015: 4
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Dermatologic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Health Sciences › Medicine › Dermatology › Nonmelanoma Skin Cancer Studies
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- skin cancer, facial scars, psychosocial impact, physical appearance, head and neck surgery, patient-reported outcomes, surgical reconstruction, patient counseling
- MeSH terms
- Anxiety, Body Image, Cicatrix, Humans, Postoperative Complications, Quality of Life, Skin Neoplasms, Stress, Psychological, Patient Satisfaction
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