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Plastic & Reconstructive Surgery:
doi: 10.1097/01.prs.0000434403.83692.95
Cosmetic: Outcomes Article

Benefits of a Short, Practical Questionnaire to Measure Subjective Perception of Nasal Appearance after Aesthetic Rhinoplasty

Lohuis, Peter J. F. M. M.D., Ph.D.; Hakim, Sara M.D.; Duivesteijn, Wouter M.Sc., Ph.D.; Knobbe, Arno Ph.D.; Tasman, Abel-Jan M.D.

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Abstract

Background: The authors tested a short, practically designed questionnaire to assess changes in subjective perception of nasal appearance in patients before and after aesthetic rhinoplasty.

Methods: A prospective cohort study was conducted in a group of 121 patients who desired aesthetic rhinoplasty and were operated on by one surgeon. The questionnaire contained five questions (E1-E5) based on a five-point Likert scale and a visual analogue scale (range, 0 to 10). Two questions were designed as trick questions to help the surgeon screen for signs of body dysmorphic disorder.

Results: All patients rated the appearance of their nose as improved after surgery. The visual analogue scale revealed a Gaussian curve of normal distribution (range, 0.5 to 10) around a significant improvement (mean, 4.36 points, p = 0.018). Also, question E1, question E2, and the sum of questions E1 through E5 showed a statistically significant improvement after surgery (p = 1.74 × 10–36, p = 4.29 × 10–33, and p = 9.23 × 10–31, respectively). The authors found a linear relationship between preoperative score on the trick questions and postoperative increase in visual analogue scale score. Test-retest reliability could be investigated in 74 of 121 patients (61 percent) and showed a positive correlation between postoperative (1 year after surgery) and repostoperative response (2 to 4 years after surgery).

Conclusions: The authors concluded that a surgeon performing aesthetic rhinoplasty can benefit from using this questionnaire. It is simple, takes no more than 2 minutes to complete, and provides helpful subjective information regarding patients’ preoperative nasal appearance and postoperative surgical outcome.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

©2013American Society of Plastic Surgeons

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