Page 119 - Craniomaxillofacial Implant Surgery - Jeroen P.J. Dings

APPENDIX: Questionnaire
1. Overall appearance (VAS 0–100)
1. Does the nose/ear fit the patient’s face?
2. What do you think of the colour of the nose/ear? 3. Do you think the nose/ear has a natural shape?
2. General questions (Likert 1–5)
1. What do you think of the position of the nose/ear on the face? 2. What do you think of the length of the nose/ear?
3. What do you think of the width of the nose/ear?
3. Anatomical subunits (Likert 1–5)
a. Ear
1. 2. 3. 4.
5. 6.
7. 8.
9.
What do you think of the outer edge of the ear (helix)?
What do you think of the central fold of the ear (anti-helix)?
What do you think of the pit between the helix and anti-helix (scapha)?
What do you think of the pit between the foothills of the central fold (antihelix) in the ear (fossa triangularis)?
What do you think of the pit next to the ear canal (concha)?
What do you think of the narrow depression between the antihelix and root of the helix, above the concha (cymba)?
What do you think of the projection on the anterior side of the ear canal (tragus)? What do you think of the projection on the inside of the ear above the earlobe (anti-tragus)?
What do you think of the earlobe (lobulus)?
b. Nose
1. What do you think of the nose root (nasion)?
2. What do you think of the nose bridge (dorsum)?
3. What do you think of the nose tip?
4. What do you think of the right nose wing?
5. What do you think of the left nose wing?
6. What do you think of the skin below the nose between both nostrils (columella)? 7. What do you think of the nostrils?