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Comment & Response
Jan/Feb 2018

Mental Health and Nasal Function—Reply

Author Affiliations
  • 1Rhinology and Skull Base Research Group, St Vincent’s Centre for Applied Medical Research, University of New South Wales, Sydney, Australia
  • 2Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia
JAMA Facial Plast Surg. 2018;20(1):87. doi:10.1001/jamafacial.2017.2046

In Reply Mental health is complex, and there may be various domains that influence perception of nasal function. For instance, our research suggests that there is an association between mental well-being and self-esteem, but not between mental well-being and body dysmorphia. Dr Bartley’s suggestion about the association between anxiety and a worse perception of nasal function is well worth consideration, especially given that patients with anxiety often experience symptoms of dyspnoea.1 Our study2 did not evaluate anxiety as a factor influencing perception of nasal function, nor was hyperventilation assessed during the objective nasal function testing, and this makes it difficult for us to comment on the association.