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Cited by 228Reconstructive Facial Surgery TechniquesCongenital Ear and Nasal AnomaliesCraniofacial Disorders and Treatments

Psychosocial Outcome of Patients After Ear Reconstruction: A Retrospective Study of 62 Patients

Horlock, Nigel, V??gelin, Esther, Bradbury, Eileen T., Grobbelaar, Adriaan O., Gault, David T.·2005·Annals of Plastic Surgery
DOI 10.1097/01.sap.0000155284.96308.32
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Abstract

This was a retrospective study examining the psychosocial morbidity of patients before and after ear reconstruction. Semistructured questionnaires were sent to 90 patents with significant congenital or acquired auricular deformity 2.2 years (range 3 months to 5 years) following autogenous or osteointegrated reconstruction. Sixty-two patients (69%) responded. Twenty-two of the patients below 12 years, who had undergone reconstructive surgery, also completed the Childhood Experience Questionnaire. These were compared with a cohort of 362 normal patients. There was significant psychosocial morbidity in both children and adults with auricular deformity. Seventy-one percent of patients reported reduced self-confidence that affected both social life and leisure activity. Teasing was a prominent symptom in both children (88%) and adults (85%) but was a motivational factor for surgery in children only. Dissatisfaction with the appearance (73.1%), on the other hand, was the main reason for treatment in adults. Following ear reconstruction, 74% of adults and 91% of children reported an improvement in self-confidence resulting in enhanced social life and leisure activities in both adults and children. There was no difference between osteointegrated and autogenous reconstruction. Sixty percent of patients reported their result as excellent. The patients scored their result better than the surgeon. We conclude that auricular reconstruction has significant psychosocial benefit in the majority of children and adults despite donor-site morbidity and a range of technical result.

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  • By intervening during the newborn period, psychosocial morbidity, pain, and surgical correction costs are avoided.

    “By intervening during the newborn period, psychosocial morbidity, pain, and surgical correction costs are avoided (3–6).”

    From Using Ear Molding to Treat Congenital Auricular Deformities (2021) · cites this paper as [5]

  • Ear molding during the neonatal period offers a window of opportunity for correcting auricular deformities and less severe malformations.

    “Ear molding during the neonatal period offers a window of opportunity for correcting auricular deformities and less severe malformations.”

    From Using Ear Molding to Treat Congenital Auricular Deformities (2021) · cites this paper as [5]

  • Congenital ear anomalies can cause lasting psychosocial consequences for children.

    “Congenital ear anomalies have been known to cause lasting psychosocial consequences for children.”

    From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [19]

  • Psychosocial consequences of ear anomalies are mitigated but not always fully disappear after otoplasty.

    “Furthermore, psychosocial consequences will be mitigated, but will not always fully disappear by performing an otoplasty.18,19”

    From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [19]

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Authors
Horlock, N., V??gelin, E., Bradbury, E. T., Grobbelaar, A. O., & Gault, D. T.
Affiliations
  • Mount Vernon Hospital (GB)
  • Withington Community Hospital (GB)
  • University of Manchester (GB)
Corresponding author
Horlock, Nigel
ORCID
Grobbelaar, Adriaan O.
Venue
Annals of Plastic Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2005-05
Volume
54
Issue
5
Pages
517-524
ISSN
0148-7043 (ISSN-L)
DOI
10.1097/01.sap.0000155284.96308.32
OpenAlex
W2030894590
Cited by
228
References
28
Citations by year
2026: 10 · 2025: 12 · 2024: 19 · 2023: 26 · 2022: 15 · 2021: 16 · 2020: 19 · 2019: 12 · 2018: 15 · 2017: 11 · 2016: 13 · 2015: 5 · 2014: 12 · 2013: 11 · 2012: 7
FWCI
3.82
Type
journal article
Language
en
Open access
closed
Locations
  • Annals of Plastic Surgery (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
Keywords
ear reconstruction, psychosocial outcomes, ear deformity, congenital ear anomalies, self-confidence, teasing, appearance dissatisfaction, donor site morbidity, patient satisfaction
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Ear Deformities, Acquired, Ear, External, Female, Humans, Interpersonal Relations, Leisure Activities, Male, Middle Aged, Motivation, Surveys and Questionnaires, Retrospective Studies, Self Concept, Patient Satisfaction, Plastic Surgery Procedures

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