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

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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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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 (clinical) › Congenital Ear and Nasal Anomalies
Health Sciences › Medicine › Surgery › 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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Psychosocial Outcome of Patients After Ear Reconstruction: A Retrospective Study of 62 Patients

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