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February 1978

A Self-administered History Questionnaire For Cosmetic Facial Surgery Candidates

Author Affiliations

From the Department of Otolaryngology and Maxillofacial Surgery, Tulane University School of Medicine, New Orleans.

Arch Otolaryngol. 1978;104(2):89-98. doi:10.1001/archotol.1978.00790020031008

• The collection of information concerning a patient's history is every bit as important in the evaluation of candidates for cosmetic surgery as it is in any other branch of medicine. Consequently, a self-administered questionnaire was developed to save time and to ensure thoroughness. The questionnaire helps elicit a patient's motivations and expectations, and also satisfies some of the requirements of the legal doctrine of informed consent. A particularly noteworthy feature of the form is the "Personal Inventory" section, which attempts to "red flag" patterns of psychogenic conditions in prospective patients.

(Arch Otolaryngol 104:89-98, 1978).

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