Spiekermann Christoph, Rudack Claudia, Stenner Markus
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Münster, Münster, Germany.
Institute of Immunology, University Hospital Münster, Münster, Germany.
Eur Arch Otorhinolaryngol. 2017 Nov;274(11):3893-3898. doi: 10.1007/s00405-017-4706-5. Epub 2017 Aug 16.
The outcome of aesthetic rhinoplasty is determined by the patient's subjective satisfaction with the nasal appearance which is difficult to assess. The Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty (OAR) is a brief and reliable instrument to assess the influence of the subjective nasal appearance on quality of life in patients undergoing aesthetic rhinoplasty. Preoperative application of this questionnaire reveals important aspects and possible disturbances of the body image which could be negative predictors concerning the result. On the other hand, it represents an appropriate tool to assess the postoperative outcome. The aim of this study was to determine the validity, reliability and responsiveness of the adapted German version of the OAR (D-OAR). The adaption of the OAR to German language was performed by a forward and backward translation process. Patients undergoing rhinoplasty were asked to complete the D-OAR preoperatively, 1, 3 and 12 months after procedure and healthy volunteers without any nasal complaints served as controls to test validity, reliability and responsiveness. An excellent internal consistency, a good test-retest reliability and good inter-item and item-total correlations demonstrated a good reliability of the D-OAR. The convincing validity of the adapted version was proven by an excellent discriminant and a sufficient content validity. Significant differences between pre- and postoperative D-OAR scores revealed a good responsiveness of the instrument. Hence, with a sufficient validity, reliability and sensitivity to changes, the D-OAR is a short and helpful instrument to assess the subjective perception of the nasal appearance in German patients.
鼻整形术的效果取决于患者对鼻部外观的主观满意度，而这很难评估。《乌得勒支鼻整形术结果评估问卷》（OAR）是一种简短且可靠的工具，用于评估主观鼻部外观对接受鼻整形术患者生活质量的影响。术前使用该问卷可揭示身体形象的重要方面以及可能存在的干扰因素，这些因素可能是手术结果的负面预测指标。另一方面，它也是评估术后效果的合适工具。本研究的目的是确定改编后的德语版OAR（D-OAR）的有效性、可靠性和反应性。OAR的德语改编是通过正向和反向翻译过程完成的。接受鼻整形术的患者被要求在术前、术后1个月、3个月和12个月完成D-OAR，没有任何鼻部问题的健康志愿者作为对照组，以测试其有效性、可靠性和反应性。良好的内部一致性、良好的重测信度以及良好的项目间和项目与总分的相关性表明D-OAR具有良好的可靠性。改编版出色的区分效度和充分的内容效度证明了其令人信服的有效性。术前和术后D-OAR评分的显著差异表明该工具具有良好的反应性。因此，D-OAR具有足够的有效性、可靠性和对变化的敏感性，是评估德国患者对鼻部外观主观感受的一种简短且有用的工具。
