VALIDATION OF THE KURDISH LANGUAGE VERSION OF THE STANDARDIZED COSMESIS AND NASAL OUTCOMES SURVEY (SCHNOS), APPLICATION FOR SEPTORHINOPLASTY HEALTH

Volume 13 , Issue 3 , March 2025 , Pages 261-268

Authors

Kurdo A. Qaradaxi 1 ; Haidar N. Mohammed 2 ; Hawree Abdul Sattar Hasan 3 ; Zana Hussein Aziz 4 ; Hiwa Mohammed Khan 5 ; Kazim Abdulla Kakways 6 ; Kawa M. Marof 7

1 Department of Surgery, College of Medicine, University of Duhok, Kurdistan Region, Iraq.

2 Department of Anesthesia, College of Health Sciences, University of Duhok, Kurdistan Region, Iraq

3 Sulaimani Emergency Hospital, Ministry of Health, Kurdistan Region, Iraq

4 Emergency Center, Ministry of Health, Kurdistan Region, Iraq

5 Kirkuk Azadi Hospital, Ministry of Health, Iraq

6 Soran Hospital, Ministry of Health, Kurdistan Region, Iraq

7 Community Medicine, Duhok University, Kurdistan Region, Iraq

DOI logo 10.17656/jsmc.10419

Keywords

Abstract

Background
The Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) questionnaire is a recent tool
for evaluating patient satisfaction in both functional and cosmetic components of rhinoplasty. It is a reliable,
steady, and corroborated patient-reported outcome measure that is not available in Kurdish
Objectives
To evaluate the application of the Kurdish version of the Standardized Cosmesis and Health Nasal Outcomes
Survey (SCHNOS) scale for Septorhinoplasty surgery and research
Materials and Methods
conducted four centre studies to validate The Kurdish version of the scale We adhered to a strict translation
procedure, including a forward and back translation and reconciliation interviews, to ensure the original
content and concepts were preserved compared for patients and control groups and tailored to the demographic
the instrument was intended for.
Results
showed that the Kurdish version of the SCHNOS was conceptually comparable to the original English version
and demonstrated high internal consistency for nasal function as an aesthetic postoperative outcome. The
Spearman rank correlation analysis indicated a weak to moderate correlation between the different items,
indicating that the different items measure somewhat distinct aspects of nasal function and appearance.
However, the high Cronbach’s alpha values suggested that the different items measure similar aspects of nasal
function and appearance and can be considered a reliable scale for assessing SCHNOSE.
The results of the paired samples t-test showed significant differences between the preoperative and
postoperative obstructive and aesthetic SCHNOSE scores, indicating that the observed differences are likely
to be real and not simply due to random variation in the data.
Conclusion
The Kurdish form of the SCHNOS demonstrates virtuous reliability and validity, coherent with the original
version. Thus, it can be used as a validated questionnaire for outcome measurements for rhinoplasty. This
version should be recommended to evaluate both functional and cosmetic outcomes in daily practice and
rhinoplasty-related examinations.

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  • Published at7 March 2025

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