Prospective evaluation of psychological healing in adults who underwent otoplasty for prominent ear.
Abstract
Background Otoplasty is performed to heal the psychological discomfort caused by the appearance of prominent ear by bringing the ear to its anatomical position. However, there have been few studies with limited numbers of patients that have prospectively evaluated psychosocial recovery following otoplasty in adults. The purpose of this prospective study was to evaluate the versatile psychological recovery that can be achieved in adults following otoplasty.Methods In this prospective cohort study, a single-group, pretest-posttest model was used as the experimental research model. Patient satisfaction status was measured, and the Beck Depression Inventory (BDI), State-Trait Anxiety Inventory I-II (STAI I-II), Rosenberg Self-Esteem (RSES), and Body Cathexis Scale (BCS) tests were performed on patients before and after surgery.Results A total of 66 patients with a mean age of 20.7 ± 3.1 years, 66.7% of whom were women, were included in the study. While 97% of the patients were satisfied with the results of the operation, 3% were undecided. The mean values of the BDI, STAI-I, STAI-II, and BCS before and after surgery were 11.4 ± 5.7, 40.9 ± 6.7, 43 ± 9.4, 74.2 ± 20.5, and 8.5 ± 5.5, 38.6 ± 7.4, 39.5 ± 9.2, 63.5 ± 17.6, respectively. While the proportion of patients with a high RSES score before surgery was 42.42%, the proportion after surgery was 96.96%. The differences in the mean scores of all tests before and after surgery were also statistically significant (p < 0.05).Conclusion Our study demonstrated that otoplasty made positive contributions to body perception, self-esteem, anxiety, and depression in adults. Otoplasty is as beneficial in adults as it is in pediatric patients.Level of evidence iv This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Otoplasty improves emotional, physical, and social well-being in children and adults alike, enhancing body image and reducing social anxiety.
“Otoplasty improves emotional, physical, and social well-being in children and adults alike, enhancing body image and reducing social anxiety.75–79”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [79]
Cites
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
(1970) · Cited by 24,983 · see citing works
Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies.
Sowislo, J. F., & Orth, U. (2013) · Psychological Bulletin · doi:10.1037/a0028931 · Cited by 2,123 · see citing works
On the Validity of the Beck Depression Inventory
Richter, P., Werner, J., Heerlein, A., Kraus, A., & Sauer, H. (1998) · Psychopathology · doi:10.1159/000066239 · Cited by 1,113 · see citing works
The appraisal of body-cathexis: body-cathexis and the self.
Secord, P. F., & Jourard, S. M. (1953) · Journal of Consulting Psychology · doi:10.1037/h0060689 · Cited by 1,061 · see citing works
The Six Pillars of Self-Esteem
Branden, N. (1994) · Medical Entomology and Zoology · Cited by 395 · see citing works
Psychosocial Outcome of Patients After Ear Reconstruction: A Retrospective Study of 62 Patients
Horlock, N., V??gelin, E., Bradbury, E. T., Grobbelaar, A. O., & Gault, D. T. (2005) · Annals of Plastic Surgery · doi:10.1097/01.sap.0000155284.96308.32 · Cited by 228 · see citing works
THE GROWTH PATTERN OF THE EXTERNAL EAR
ADAMSON, J. E., HORTOX, C. E., & CRAWFORD, H. H. (1965) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-196510000-00008 · Cited by 164 · see citing works
The Effect on Quality of Life and Body Image of Mastectomy Among Breast Cancer Survivors
Türk, K. E., & Yılmaz, M. (2018) · European Journal of Breast Health · doi:10.5152/ejbh.2018.3875 · Cited by 134 · see citing works
The benefits of otoplasty for children: Further evidence to satisfy the modern NHS
Cooper-Hobson, G., & Jaffe, W. (2007) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2007.09.020 · Cited by 82 · see citing works
Psychosocial Effects of Otoplasty in Children with Prominent Ears
Gasques, J. Á. L., de Godoy, J. M. P., & Cruz, E. M. T. N. (2008) · Aesthetic Plastic Surgery · doi:10.1007/s00266-008-9179-x · Cited by 73 · see citing works
The Protruding Ear: Cosmetic and Reconstruction
Ali, K., Meaike, J. D., Maricevich, R., & Olshinka, A. (2017) · Seminars in Plastic Surgery · doi:10.1055/s-0037-1604241 · Cited by 46 · see citing works
Hao, W., Chorney, J. M., Bezuhly, M., Wilson, K., & Hong, P. (2013) · Plastic and Reconstructive Surgery · doi:10.1097/prs.0b013e3182a3c133 · Cited by 45 · see citing works
Long-term psychosocial impact of otoplasty performed on children with prominent ears
Songu, M., & Kutlu, A. (2014) · The Journal of Laryngology & Otology · doi:10.1017/s0022215114001662 · Cited by 38 · see citing works
Body-image dissatisfaction is strongly associated with chronic dysphoria
Rosenström, T. H., Jokela, M. M., Hintsanen, M., Josefsson, K., Juonala, M., Mika Kivimaki, B., Pulkki-Råbäck, L., Viikari, J. S. A., Hutri‐Kähönen, N., Heinonen, E., et al. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.04.003 · Cited by 34 · see citing works
The psychologic and psychosocial impact of otoplasty on children and adults.
Papadopulos, N. A., Niehaus, R., Keller, E., Henrich, G., Papadopoulos, O. N., Staudenmaier, R., Kovacs, L., Herschbach, P., Pototschnig, H., & Machens, H.-G. (2015) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000001990 · Cited by 33 · see citing works
The big five and self-esteem among overweight dieting and non-dieting women
Rubinstein, G. (2005) · Eating Behaviors · doi:10.1016/j.eatbeh.2005.11.010 · Cited by 32 · see citing works
Psychosocial Considerations in Craniofacial Deformity
Pertschuk, M. J., & Whitáker, L. A. (1987) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)30707-0 · Cited by 32 · see citing works
Cihandide, E., Kayiran, O., Aydin, E. E., & Uzunismail, A. (2016) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000002607 · Cited by 25 · see citing works
Stewart, K. J., & Lancerotto, L. (2017) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2017.09.002 · Cited by 25 · see citing works
Otoplasty for prominent ears—demographics and surgical timing in different populations.
Kajosaari, L., Pennanen, J., & Klockars, T. (2017) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2017.06.014 · Cited by 21 · see citing works
Çalışır, S., Çalışır, A., Arslan, M. T., İnanlı, İ., Çalışkan, A. M., & Eren, İ. (2019) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-019-00785-7 · Cited by 19 · see citing works
Psychosocial effects of otoplasty in adult patients: a prospective cohort study
Şirin, S., Abaci, F., Selçuk, A., Findik, O. B., & Yildirim, A. (2019) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-019-05391-y · Cited by 18 · see citing works
Choi, J. Y., Jung, S. C., & Sykes, J. M. (2017) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000003744 · Cited by 15 · see citing works
Albayrak, Y., Çakir, C., Albayrak, A., & Aylu, B. (2011) · Turkish Journal of Trauma and Emergency Surgery · doi:10.5505/tjtes.2011.18094 · Cited by 13 · see citing works
Kaplan, J. B. (2015) · Plastic and Aesthetic Nursing · doi:10.1097/psn.0000000000000085 · Cited by 7 · see citing works
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Kibar, S., Çetin, Z. E., & Uslu, P. (2026) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000013451 · Cited by 1 · see citing works
Aliyeva, A. (2024) · Aesthetic Plastic Surgery · doi:10.1007/s00266-024-04601-1 · Cited by 1 · see citing works
Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review
Kaleeny, J. D., & Janis, J. E. (2026) · Plastic and Reconstructive Surgery - Global Open · doi:10.1097/gox.0000000000007404
“75–79 Overall, it provides lasting quality-of-life benefits.”
Bat Ear Correction Steps and Outcomes for Better Life Support
Shawky, M. A., Shawky, M. A., Zaghloul, A. I., & Zakaria, N. Z. (2024) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-024-04872-9
- Authors
- Kurt Ozkaya, N., Mert, D. G., Bitgen, M., & Çepni, M.
- Affiliations
- Sivas Cumhuriyet Üniversitesi (TR)
- ORCID
- Kurt Ozkaya, Nese
- Venue
- Aesthetic Plastic Surgery
- Published
- 2020-05-18
- Volume
- 44
- Issue
- 5
- Pages
- 1537-1544
- ISSN
- 0364-216X (ISSN-L)
- 1432-5241
- OpenAlex
- W3026896094
- Cited by
- 4
- References
- 27
- Citations by year
- 2026: 2 · 2024: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aesthetic Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Keywords
- otoplasty, prominent ears, psychosocial recovery, body image, self-esteem, anxiety, depression, patient satisfaction, adults, body cathexis
- MeSH terms
- Adolescent, Adult, Child, Ear, External, Esthetics, Female, Humans, Prospective Studies, Self Concept, Patient Satisfaction, Plastic Surgery Procedures, Young Adult
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