Rhinoplasty: French validation of the MiRa scale - 17/05/20

Doi : 10.1016/j.anorl.2019.12.001

T. Radulesco ^a,^b,⁎ , D. Hazbri ^a, M. Penicaud ^a, P. Dessi ^a,^b, J. Michel ^a,^b
^a AP–HM, La conception university hospital, Aix Marseille University, 13005 Marseille, France
^b Aix Marseille Université, CNRS, IUSTI, Marseille, France

^⁎Corresponding author. Department of Oto-Rhino-Laryngology and Head and Neck Surgery, La Conception University Hospital, 147, boulevard Baille, 13005 Marseille, France.Department of Oto-Rhino-Laryngology and Head and Neck Surgery, La Conception University Hospital147, boulevard BailleMarseille13005France

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Abstract

Aims

The aim of this study was to translate the MiRa scale into French and validate its use for French-speaking surgeons.

Material and methods

ISPOR and WHO recommendations were used to carry out the translation process from English to French in five steps. The MiRa scale is a validated analysis scale of nasal dysmorphoses. Few tools are available in French for French-speaking surgeons. ISPOR and WHO recommendations were used to complete the five-step translation process from English into French. To assess the reliability of the MiRa scale–French version, we statistically compared intra-observer repeatability (comparison of scores obtained when one observer assessed each patient twice at a one-month interval) and inter-observer repeatability (comparison of scores obtained when 2 observers assessed the same patient) using the Wilcoxon test and the intraclass correlation coefficient (ICC) (α=5%).

Objectives

Our goal was to obtain a translation of the idea or concept rather than a literal translation to enable good intra- and inter-observer repeatability.

Results

Each step allowed us to make changes gradually working towards a conceptual translation equivalent to the original version.

Conclusion

The MiRa scale is the only aesthetic analysis scale validated in the literature for nasal dysmorphoses. The combined use of two sets of translation recommendations, with a five-step translation-back-translation process, made it possible to obtain a French version perfectly in line with the original. This version is usable by French-speakers.

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Keywords : Questionnaire, Rhinoplasty, Aesthetic analysis, Linguistic adaptation, French