German Translation and Validation of the FACE-Q Nose and Nostrils Subscales

Background:. Septorhinoplasty addresses both functional and aesthetic concerns, and patient satisfaction is a critical outcome. The FACE-Q rhinoplasty module is a validated tool used to assess patient satisfaction in aesthetic procedures, but a German version was previously unavailable. This study a...

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Main Authors: Nadia Sadok, MD, PhD, Marius Mischke, Tobias Bastian, MD, Stefan Mattheis, MD, Stephan Lang, MD, Kerstin Stähr, MD
Format: Article
Language:English
Published: Wolters Kluwer 2025-08-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007021
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author Nadia Sadok, MD, PhD
Marius Mischke
Tobias Bastian, MD
Stefan Mattheis, MD
Stephan Lang, MD
Kerstin Stähr, MD
author_facet Nadia Sadok, MD, PhD
Marius Mischke
Tobias Bastian, MD
Stefan Mattheis, MD
Stephan Lang, MD
Kerstin Stähr, MD
author_sort Nadia Sadok, MD, PhD
collection DOAJ
description Background:. Septorhinoplasty addresses both functional and aesthetic concerns, and patient satisfaction is a critical outcome. The FACE-Q rhinoplasty module is a validated tool used to assess patient satisfaction in aesthetic procedures, but a German version was previously unavailable. This study aimed to translate and validate the FACE-Q nose and nostrils subscales into German to ensure their reliability and cultural relevance for German-speaking patients. Methods:. This study was conducted in 2 phases: translation and statistical validation. Following international guidelines, the FACE-Q was translated into German using a backward–forward translation process, expert review, and cognitive debriefing interviews with patients. In the second phase, 20 patients with septorhinoplasty and 30 control participants, both fluent in German and English, completed questionnaires. Internal consistency was assessed using Cronbach alpha, and test–retest reliability was evaluated in the control group using intraclass correlation coefficients (ICCs). Results:. The translated FACE-Q demonstrated excellent internal consistency, with Cronbach alpha values ranging between 0.888 and 0.918. The test–retest reliability was excellent for the nose subscale (ICC = 0.938) and good for the nostrils subscale (ICC = 0.819). The minimal clinically important difference values of 9.82 and 13.96 were calculated for the nose and nostrils subscales. Conclusions:. The German version of the FACE-Q rhinoplasty module was a reliable tool for assessing patient satisfaction during septorhinoplasty. Its strong internal consistency and test–retest reliability align with other European translations, making it a valuable resource for clinicians and researchers.
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spelling doaj-art-e87ec3f03b5d4c8fb9fcb44280e7b3f52025-08-26T03:24:29ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-08-01138e702110.1097/GOX.0000000000007021202508000-00008German Translation and Validation of the FACE-Q Nose and Nostrils SubscalesNadia Sadok, MD, PhD0Marius Mischke1Tobias Bastian, MD2Stefan Mattheis, MD3Stephan Lang, MD4Kerstin Stähr, MD5From the Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, University of Duisburg, Essen, Germany.From the Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, University of Duisburg, Essen, Germany.From the Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, University of Duisburg, Essen, Germany.From the Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, University of Duisburg, Essen, Germany.From the Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, University of Duisburg, Essen, Germany.From the Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, University of Duisburg, Essen, Germany.Background:. Septorhinoplasty addresses both functional and aesthetic concerns, and patient satisfaction is a critical outcome. The FACE-Q rhinoplasty module is a validated tool used to assess patient satisfaction in aesthetic procedures, but a German version was previously unavailable. This study aimed to translate and validate the FACE-Q nose and nostrils subscales into German to ensure their reliability and cultural relevance for German-speaking patients. Methods:. This study was conducted in 2 phases: translation and statistical validation. Following international guidelines, the FACE-Q was translated into German using a backward–forward translation process, expert review, and cognitive debriefing interviews with patients. In the second phase, 20 patients with septorhinoplasty and 30 control participants, both fluent in German and English, completed questionnaires. Internal consistency was assessed using Cronbach alpha, and test–retest reliability was evaluated in the control group using intraclass correlation coefficients (ICCs). Results:. The translated FACE-Q demonstrated excellent internal consistency, with Cronbach alpha values ranging between 0.888 and 0.918. The test–retest reliability was excellent for the nose subscale (ICC = 0.938) and good for the nostrils subscale (ICC = 0.819). The minimal clinically important difference values of 9.82 and 13.96 were calculated for the nose and nostrils subscales. Conclusions:. The German version of the FACE-Q rhinoplasty module was a reliable tool for assessing patient satisfaction during septorhinoplasty. Its strong internal consistency and test–retest reliability align with other European translations, making it a valuable resource for clinicians and researchers.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007021
spellingShingle Nadia Sadok, MD, PhD
Marius Mischke
Tobias Bastian, MD
Stefan Mattheis, MD
Stephan Lang, MD
Kerstin Stähr, MD
German Translation and Validation of the FACE-Q Nose and Nostrils Subscales
Plastic and Reconstructive Surgery, Global Open
title German Translation and Validation of the FACE-Q Nose and Nostrils Subscales
title_full German Translation and Validation of the FACE-Q Nose and Nostrils Subscales
title_fullStr German Translation and Validation of the FACE-Q Nose and Nostrils Subscales
title_full_unstemmed German Translation and Validation of the FACE-Q Nose and Nostrils Subscales
title_short German Translation and Validation of the FACE-Q Nose and Nostrils Subscales
title_sort german translation and validation of the face q nose and nostrils subscales
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007021
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