Validation and Comparative Assessment of Patient Satisfaction and Quality of Life Questionnaires Among Indonesian Nasal Fracture Patients Post-rhinoplasty

Abstract Successful nasal reconstruction requires both aesthetic and functional restoration. Evaluating outcomes necessitates validated instruments that capture patient satisfaction, functional improvement, and quality of life, including the Rhinoplasty Outcome Evaluation (ROE) questionnaire, Functional Rhinoplasty Outcome Inventory (FROI-17) questionnaire, Nasal Obstruction Symptom Evaluation (NOSE) scale, and EuroQol 5-Dimension (EQ-5D) questionnaire. This study aims to validate the Indonesian versions of the ROE and FROI-17 questionnaires and to assess the correlation of ROE, FROI-17, and NOSE scores with EQ-5D in patients undergoing nasal fracture reconstruction. A two-phase cross-sectional study was conducted. Phase 1 included 30 outpatients for questionnaire validation. Phase 2 involved 40 patients who underwent nasal fracture reconstruction and completed pre- and postoperative assessments using ROE, FROI-17, NOSE, and EQ-5D. The Indonesian ROE and FROI-17 demonstrated strong item-level validity (Spearman's ρ = 0.522–0.861; p < 0.05) and high internal consistency (Cronbach's α > 0.7). All questionnaires showed significant postoperative improvements (p < 0.05), with no significant associations with outcome measures and patient baseline characteristics (p > 0.05). ROE scores showed a moderate positive correlation with EQ-5D at all time points (ρ = 0.464–0.542; p < 0.05). FROI-17 and NOSE scores demonstrated moderate negative correlations with EQ-5D, significant only postoperatively (FROI-17: ρ = –0.46; NOSE: ρ = –0.40; p < 0.05). The Indonesian versions of ROE and FROI-17 are valid and reliable instruments for outcome evaluation after nasal reconstruction. ROE showed the strongest correlation with EQ-5D, supporting its use as a comprehensive measure of postoperative quality of life.