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Alsanea M, Alshaalan YJ, Alkraidees M, Alramyan R, Waheed SK. Facial Assessment and Cosmetic Enhancement Quality of Life Questionnaire ( FACE-Q) Arabic Validation. Cureus 2023; 15:e51135. [PMID: 38283495 PMCID: PMC10811412 DOI: 10.7759/cureus.51135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2023] [Indexed: 01/30/2024] Open
Abstract
Background Rhinoplasty, a common cosmetic surgery, improves aesthetic appearance and nasal function. Outcomes are typically measured by patient satisfaction and quality of life impact. However, a gap exists in validated non-English assessment tools, especially in Arabic, which hinders accurately capturing patient experiences in Arabic-speaking populations. To fill this gap, this study aims to translate and validate the "Rhinoplasty" module of the Facial Assessment and Cosmetic Enhancement Quality of Life Questionnaire (FACE-Q) self-questionnaire into Arabic. Methods A cross-sectional study was conducted at the Otorhinolaryngology Department of the National Guard Health Affairs in Riyadh, Saudi Arabia. Adults who underwent rhinoplasty from 2017 to 2021 were included if they had at least one year of follow-up and were contactable. A sample size of 109 was determined, and the participants were selected using probability cluster sampling. A 33-item FACE-Q scale was administered via telephone, with scores converted to a 0-100 scale for analysis. Translation involved a two-way process with independent translations and back-translations, followed by review and pilot testing. Results The study included 137 participants (mean age, 32.5 years; 53 men, 84 women), predominantly electing cosmetic surgery, with an average of four years post-surgery. The internal consistency of the scales varied, with the self-acceptance/love scale showing acceptable reliability (Cronbach's alpha = 0.73) and other scales suggesting item redundancy (Cronbach's alpha for aesthetic scales > 0.94). The self-rated complications scale did not meet the acceptability threshold, indicating a need for scale revision. Conclusions The Arabic translation of the FACE-Q Rhinoplasty module shows potential as a reliable tool for evaluating patient satisfaction and quality of life after rhinoplasty in Arabic-speaking patients. Further refinement is necessary to address item redundancy and enhance cultural specificity. This work underscores the importance of culturally sensitive tools for global applicability in cosmetic surgery outcomes research.
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Affiliation(s)
- Mohammd Alsanea
- Otolaryngology - Head and Neck Surgery, King Abdulaziz Medical City, Riyadh, SAU
- Otolaryngology - Head and Neck Surgery, King Abdullah International Medical Research Center, Riyadh, SAU
- Otolaryngology, Ministry of National Guard Health Affairs, Riyadh, SAU
- Otolaryngology - Head and Neck Surgery, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Yazeed J Alshaalan
- General Practice, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
- General Practice, King Abdullah International Medical Research Center, Riyadh, SAU
| | - Mohammad Alkraidees
- Otolaryngology, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
- Otolaryngology, King Abdullah International Medical Research Center, Riyadh, SAU
| | - Rana Alramyan
- Otolaryngology, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Riyadh, SAU
- Otolaryngology - Head and Neck Surgery, King Abdullah International Medical Research Center, Riyadh, SAU
| | - Shaikh K Waheed
- Otolaryngology - Head and Neck Surgery, King Abdulaziz Medical City, Riyadh, SAU
- Otolaryngology - Head and Neck Surgery, King Abdullah International Medical Research Center, Riyadh, SAU
- Otolaryngology - Head and Neck Surgery, Ministry of National Guard Health Affairs, Riyadh, SAU
- Otolaryngology - Head and Neck Surgery, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
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Maassarani D, Challita R, Zeaiter N, Chbib D, Chamy J, Farfour I, Ghanime G, Sleiman Z. Ethnic Rhinoplasty: A Middle East-Centered Patient Satisfaction Survey Using the FACE-Q Questionnaire. Cureus 2023; 15:e40048. [PMID: 37425578 PMCID: PMC10324984 DOI: 10.7759/cureus.40048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/06/2023] [Indexed: 07/11/2023] Open
Abstract
Background Rhinoplasty is a common and complex plastic surgery procedure. The evaluation of surgical success in rhinoplasty is primarily based on patient satisfaction. The purpose of the study is to assess the characteristics of patients who underwent rhinoplasty and their satisfaction using the FACE-Q questionnaire. Methodology This was a retrospective, cross-sectional study of patients who underwent primary rhinoplasty, septorhinoplasty, or a revision rhinoplasty from 2010 to 2020 at a single center. Patients were asked to complete the FACE-Q nose score pre and postoperatively. Patients also provided information on their sociodemographic characteristics, smoking status, alcohol consumption, number of rhinoplasty procedures, cause of revision, and respiratory symptoms before rhinoplasty. Results This study included 183 patients who underwent rhinoplasty between 2010 and 2020. The mean (SD) age of patients at surgery was 25.92 (8.69) years. There were 156 female respondents (85.2%) and 27 male respondents (14.8%). FACE-Q nose satisfaction scores increased significantly after surgery with a mean of 67.21 ± 22.3 (p = 0.000). The most common reason for revision surgery was tip dissatisfaction. Conclusions The findings of this study show that ethnic rhinoplasty, although a complex procedure, can lead to aesthetically pleasing outcomes in a complex population such as the Middle Eastern population.
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Affiliation(s)
- Deoda Maassarani
- Plastic and Reconstructive Surgery, Grenoble Alpes University Hospital, Grenoble, FRA
| | - Raymond Challita
- Plastic and Reconstructive Surgery, Grenoble Alpes University Hospital, Grenoble, FRA
- Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN
| | - Nancy Zeaiter
- Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN
| | - Diala Chbib
- Obstetrics and Gynecology, Faculty of Medicine, Lebanese University, Beirut, LBN
| | - Joanne Chamy
- Vascular and Endovascular Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN
| | - Imadeddine Farfour
- Otolaryngology - Head and Neck Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN
| | - George Ghanime
- Plastic and Reconstructive Surgery, Lebanese Hospital Geitaoui-University Medical Center, Achrafieh, LBN
- Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN
| | - Ziad Sleiman
- Plastic and Reconstructive Surgery, Lebanese Hospital Geitaoui-University Medical Center, Ashrafieh, LBN
- Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN
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