Validation of a questionnaire assessing patient's aesthetic and functional outcome after nasal reconstruction: the patient NAFEQ-score

Summary In determining patient satisfaction with functional and aesthetic outcome after reconstructive surgery, including nasal reconstruction, standardised assessment instruments are very important. These standardised tools are needed to adequately evaluate and compare outcome results. Since no suc...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2009-05, Vol.62 (5), p.656-662
Main Authors: Moolenburgh, S.E, Mureau, M.A.M, Duivenvoorden, H.J, Hofer, S.O.P
Format: Article
Language:English
Subjects:
Adult
Aesthetic outcome
Aged
Aged, 80 and over
Biological and medical sciences
Esthetics
Female
Functional outcome
Humans
Male
Medical sciences
Middle Aged
Nasal reconstruction
Nose - physiopathology
Nose Deformities, Acquired - surgery
Patient Satisfaction
Plastic Surgery
Psychometrics
Questionnaire
Reproducibility of Results
Rhinoplasty - adverse effects
Rhinoplasty - rehabilitation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surveys and Questionnaires
Treatment Outcome
Validation
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Summary:Summary In determining patient satisfaction with functional and aesthetic outcome after reconstructive surgery, including nasal reconstruction, standardised assessment instruments are very important. These standardised tools are needed to adequately evaluate and compare outcome results. Since no such instrument existed for nasal reconstruction, a standardised evaluation questionnaire was developed to assess aesthetic and functional outcome after nasal reconstruction. Items of the Nasal Appearance and Function Evaluation Questionnaire (NAFEQ) were derived from both the literature and experiences with patients. The NAFEQ was validated on 30 nasal reconstruction patients and a reference group of 175 people. A factor analysis confirmed the arrangement of the questionnaire in two subscales: functional and aesthetic outcome. High Cronbach's alpha values (>0.70) for both subscales showed that the NAFEQ was an internally consistent instrument. This study demonstrated that the NAFEQ can be used as a standardised questionnaire for detailed evaluation of aesthetic and functional outcome after nasal reconstruction. Its widespread use would enable comparison of results achieved by different techniques, surgeons and centres in a standardised fashion.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2007.07.024