The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Psychosocial Outcome of Patients After Ear Reconstruction: A Retrospective Study of 62 Patients
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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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
Citations
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Ear Reconstruction Simulation: From Handcrafting to 3D Printing
Mussi, E., Furferi, R., Volpe, Y., Facchini, F., McGreevy, K. S., & Uccheddu, F. (2019) · Bioengineering · doi:10.3390/bioengineering6010014 · Cited by 145
Visible difference amongst children and adolescents: Issues and interventions
Rumsey, N., & Harcourt, D. M. (2007) · Developmental Neurorehabilitation · doi:10.1080/13638490701217396 · Cited by 143
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Metadata
- 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
- Venue
- Annals of Plastic Surgery
- Published
- 2005-05
- Volume
- 54
- Issue
- 5
- Pages
- 517-524
- ISSN
- 0148-7043 (ISSN-L)
- 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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