Analysis of health-related quality-of-life outcomes and their predictive factors in pediatric patients who undergo otoplasty.
Abstract
BACKGROUND: There are limited data on the effect of otoplasty on health-related quality of life in children with prominent ears. Predictors of health-related quality-of-life outcomes in otoplasty have not been well studied. METHODS: In this retrospective cohort study, 79 patients aged 18 years and younger who underwent otoplasty, and their parents, were asked to complete a survey, which included the Glasgow Children's Benefit Inventory and the Pediatric Quality of Life Inventory, to assess the parent-reported health-related quality-of-life changes and the current health-related quality of life, respectively. Other collected data included demographics, medical history, preoperative psychosocial experiences, motivations and expectations for surgery, postoperative complications, and general satisfaction. RESULTS: Fifty patients (63 percent) replied. Of those, 88 percent reported being more satisfied with the appearance of their ears after otoplasty and 93 percent would choose to have this procedure again if given a second chance. The mean Glasgow Children's Benefit Inventory total score was 24.4 and the mean Pediatric Quality of Life Inventory total score was 94.3 for the Child Self-Report and 93.3 for the Parent Proxy-Report, indicating a positive health-related quality-of-life outcome. Linear regression analysis showed that history of teasing and expectations of a "life-changing" event were significant predictors of the Glasgow Children's Benefit Inventory total score (p<0.01). CONCLUSIONS: In this study, parents reported a significant improvement in their children's health-related quality of life following otoplasty. The children themselves also reported having a generally high health-related quality of life after surgery. Possible positive predictive factors to consider include preoperative psychosocial status and expectations. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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 [75]
Cites
Varni, J. W., Seid, M., & Kurtin, P. S. (2001) · Medical Care · doi:10.1097/00005650-200108000-00006 · Cited by 5,131 · 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
Kubba, H., Swan, I. R. C., & Gatehouse, S. (2004) · Annals of Otology Rhinology & Laryngology · doi:10.1177/000348940411301208 · Cited by 160 · see citing works
Psychological and social outcome of prominent ear correction in children
Bradbury, E. T., Hewison, J., & Timmons, M. J. (1992) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(92)90165-t · Cited by 145 · see citing works
Adamson, P., & Strecker, H. (1995) · Facial Plastic Surgery · doi:10.1055/s-2008-1064545 · Cited by 96 · cited 4× · see citing works
“Depending on the cause of the prominent ear, four different surgical techniques were used: (1) underdeveloped or absent antihelical folds were treated with Mustardé suture placement with 4-0 clear nylon (Ethicon, Inc.”
InfluentialThe 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
Braun, T., Hainzinger, T., Stelter, K., Krause, E., Berghaus, A., & Hempel, J. M. (2010) · Plastic and Reconstructive Surgery · doi:10.1097/prs.0b013e3181f449c7 · Cited by 74 · 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
Otoplasty in children younger than 5 years of age
Songu, M., & Adibelli, H. (2010) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2009.12.010 · Cited by 25 · see citing works
Thorne, C. H. M. (2008) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e31817879d3 · Cited by 17 · see citing works
McNeil, M. L., Aiken, S. J., Bance, M., Leadbetter, J. R., & Hong, P. (2013) · Journal of Otolaryngology - Head & Neck Surgery · doi:10.1186/1916-0216-42-10 · Cited by 15 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Lu, P. L., Koppen, I. J. N., Orsagh-Yentis, D. K., Leonhart, K. L., Ambeba, E. J., Deans, K. J., Minneci, P. C., TEICH, S. A., Diefenbach, K. A., Alpert, S. A., et al. (2017) · Neurogastroenterology & Motility · doi:10.1111/nmo.13184 · Cited by 72 · see citing works
Hong, P., Gorodzinsky, A. Y., Taylor, B. A., & Chorney, J. M. L. (2016) · The Laryngoscope · doi:10.1002/lary.26071 · Cited by 66 · see citing works
The psychological, social and educational impact of prominent ears: a systematic review
Jones, E. S., Gibson, J. A. G., Dobbs, T. D., & Whitaker, I. S. (2020) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2020.05.075 · Cited by 65 · see citing works
Treatment of Prominent Ears and Otoplasty: A Contemporary Review
Pawar, S. S., Koch, C. A., & Murakami, C. (2015) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2015.0783 · Cited by 48 · see citing works
Complications after prominent ear correction: a systematic review of the literature.
Sadhra, S. S., Motahariasl, S., & Hardwicke, J. T. (2017) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2017.05.033 · Cited by 40 · see citing works
Development of a New Patient-reported Outcome Measure for Ear Conditions: The EAR-Q
Klassen, A. F., Longmire, N. M., Bulstrode, N., Fisher, D. M., Kasrai, L., O’Hara, J., Panchapakesan, V., Pusic, A. L., Stewart, K. J., Tsangaris, E., et al. (2018) · Plastic & Reconstructive Surgery Global Open · doi:10.1097/gox.0000000000001842 · Cited by 31 · see citing works
Health-related quality of life outcome of children with prominent ears after otoplasty.
Songu, M., & Kutlu, A. (2014) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-014-2989-3 · Cited by 29 · see citing works
Aesthetic Otoplasty: Principles, Techniques and an Integrated Approach to Patient-Centric Outcomes
Ordon, A., Wolfswinkel, E., Shauly, O., & Gould, D. J. (2019) · Aesthetic Plastic Surgery · doi:10.1007/s00266-019-01441-2 · Cited by 24 · see citing works
Logjes, R. J. H., Mermans, J. F., Paes, E. C., Muradin, M. S. M., Griot, J. P. W. D., & Breugem, C. C. (2019) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000005510 · Cited by 24 · see citing works
Effect of Protruding Ears on Visual Fixation Time and Perception of Personality
Litschel, R., Majoor, J., & Tasman, A.-J. (2015) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2015.0078 · Cited by 23 · see citing works
Pediatric otoplasty and informed consent: Do information handouts improve parental risk recall?
Papsin, E., Haworth, R., Chorney, J. M. L., Bezuhly, M., & Hong, P. (2014) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2014.10.028 · Cited by 23 · see citing works
The impact of septoplasty on health‐related quality of life in paediatric patients
Anderson, K., Ritchie, K., Chorney, J. M. L., Bezuhly, M., & Hong, P. (2015) · Clinical Otolaryngology · doi:10.1111/coa.12485 · Cited by 22 · see citing works
Mattei, V. E. D., Bagliacca, E. P., Ambrosi, A., Lanfranchi, L. A., Preis, F. B., & Sarno, L. (2015) · International Journal of Psychology & Behavior Analysis · doi:10.15344/2455-3867/2015/103 · Cited by 21 · see citing works
Khamseh, L. E., & Nodargahfard, M. (2020) · WORLD JOURNAL OF PLASTIC SURGERY · doi:10.29252/wjps.9.2.153 · Cited by 18 · see citing works
Measuring attentional bias in children with prominent ears: A prospective eye-tracking study
Haworth, R., Sobey, S., Chorney, J. M. L., Bezuhly, M., & Hong, P. (2015) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2015.08.009 · Cited by 18 · 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
Bhatti, S. L., Daly, L. T., Mejia, M., & Perlyn, C. (2021) · Pediatrics In Review · doi:10.1542/pir.2019-0167 · Cited by 16 · see citing works
Binet, A., El Ezzi, O., & De Buys Roessingh, A. (2020) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2020.110302 · Cited by 15 · 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
Vaz, M. D., Morgado, H., Severo, M., & Estevão-Costa, J. M. (2018) · Clinical Otolaryngology · doi:10.1111/coa.13198 · Cited by 10 · see citing works
Validation of a family‐centred outcome questionnaire for pinnaplasty: a cross‐sectional pilot study
Fraser, L., Montgomery, J., James, H., Wynne, D. M., MacGregor, F. B., Clement, W. A., Morrissey, M. S. C., & Kubba, H. (2015) · Clinical Otolaryngology · doi:10.1111/coa.12553 · Cited by 8 · see citing works
A Bibliometric Analysis of the 100 Most-Cited Articles on Otoplasty
Arif, F., Rehman, S. U., Shahzad, Z., Rahman, M. F., & Shaikh, S. A. (2024) · Aesthetic Surgery Journal · doi:10.1093/asj/sjae157 · Cited by 6 · see citing works
Gallo, L., Churchill, I. F., Riff, K. W. Y. W., Bulstrode, N., Berenguer, B., Cui, C., Li, Y., Zhang, R., Klassen, A. F., & Rae, C. S. (2024) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2024.04.002 · Cited by 6 · see citing works
Quality of life after otoplasty for prominent ears in children
Carvalho, C., Marinho, A. S., Barbosa-Sequeira, J., Correia, M. R., Leitão, J. B., & Carvalho, F. (2023) · Acta Otorrinolaringológica Española · doi:10.1016/j.otorri.2022.07.004 · Cited by 5 · see citing works
Prospective evaluation of psychological healing in adults who underwent otoplasty for prominent ear.
Kurt Ozkaya, N., Mert, D. G., Bitgen, M., & Çepni, M. (2020) · Aesthetic Plastic Surgery · doi:10.1007/s00266-020-01758-3 · Cited by 4 · see citing works
The Psychological Benefits of Plastic Surgery
Pinto, L., Danko, D., Katz, J. L., Kaslow, N. J., & D, A. L. M. (2025) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2025.02.007 · Cited by 4 · see citing works
Ohranlegung und Lebensqualität
Braun, T. W., & Berghaus, A. (2014) · HNO · doi:10.1007/s00106-014-2957-7 · Cited by 4 · see citing works
Otoplasty: The case for skin incision by higher volume operators
Arkoulis, N., Reid, J., Neill, C. O. A., & Stewart, K. J. (2014) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2014.10.022 · Cited by 4 · see citing works
Quality of life after otoplasty for prominent ears in children
Carvalho, C., Marinho, A. S., Barbosa-Sequeira, J., Correia, M. R., Leitão, J. B., & Carvalho, F. (2022) · Acta Otorrinolaringologica (English Edition) · doi:10.1016/j.otoeng.2022.11.004 · Cited by 3 · see citing works
Notini, L., Gillam, L. H., Spriggs, M. P., & Penington, A. (2019) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2019.04.012 · Cited by 3 · see citing works
Otoplasty in patients with helix valgus: quality of life and satisfaction.
Gómez Sánchez, A., Redondo Sedano, J. V., Martí Carrera, M. E., Caro Teller, J. M., Gómez Fraile, A., & Delgado Muñoz, M. D. (2023) · Annals of Pediatric Surgery · doi:10.1186/s43159-023-00263-x · Cited by 1 · see citing works
Question mark ear deformity: a case study and surgical technique
Jadeedi, S. A., Alawi, K. A., & Al-busaidi, S. (2024) · Archives of Aesthetic Plastic Surgery · doi:10.14730/aaps.2024.01095 · Cited by 1 · see citing works
Novel antihelix instrument guided folding technique: A modification of Mustarde otoplasty
Ginty, O. K., Pundaky, G., Dzioba, A., & Strychowsky, J. E. (2025) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2025.112550 · Cited by 1 · see citing works
“How I Do It”. How to correct prominent ears in children: Pediatric otoplasty video
Aldaihani, A., & Hong, P. (2021) · European Annals of Otorhinolaryngology Head and Neck Diseases · doi:10.1016/j.anorl.2021.01.007 · Cited by 1 · see citing works
An Assessment of Quality-of-Life Following Tissue Expansion in Pediatric Patients
Rykiss, D., Courtemanche, R. J. M., & Hynes, S. L. (2023) · Plastic Surgery · doi:10.1177/22925503231217516 · Cited by 1 · see citing works
Gosain, A. K. (2019) · Aesthetic Plastic Surgery · doi:10.1007/s00266-019-01456-9 · 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.”
The Discrete Scar in Prominent Ear Correction
Tekin, F., Tezcan, S., & Sürmeli, M. (2015) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000000606
Hong, P. (2014) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2014.05.002
Digital diagnosis of protruding ears
Almeida, A. (2017) · Acta paediatrica · doi:10.1111/apa.13951
Correia-Oliveira, A., Peixoto, M. J., Sousa, C., Coelho, A., Marinho, S., dos Santos, J. L., & Carvalho, F. (2017) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · doi:10.25753/birthgrowthmj.v26.i4.13682
Brazo‐Sayavera, J., Parejo-Cabezas, I. M., Gusi, N., & Olivares, P. R. (2018) · Gaceta Médica de México · doi:10.24875/gmm.17002767 · Cited by 1 · see citing works
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
Quality of Life After Mustardé Otoplasty for Prominent Ears
Baek, S. R., Courtemanche, R. J. M., Boroditsky, M., & Arneja, J. S. (2026) · Plastic Surgery · doi:10.1177/2292550326140493
- Authors
- Hao, W., Chorney, J. M., Bezuhly, M., Wilson, K., & Hong, P.
- Affiliations
- Western University (CA)
- Venue
- Plastic and Reconstructive Surgery
- Published
- 2013-11
- Volume
- 132
- Issue
- 5
- Pages
- 811e-817e
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2315659186
- Cited by
- 45
- References
- 11
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 1 · 2015: 7 · 2014: 5
- FWCI
- 4.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
- Keywords
- otoplasty, prominent ears, health-related quality of life, pediatric patients, PedsQL, parental satisfaction, peer teasing, surgical expectations, predictors of quality of life, postoperative complications
- MeSH terms
- Adolescent, Child, Child, Preschool, Ear, Female, Humans, Male, Quality of Life, Retrospective Studies, Patient Satisfaction, Plastic Surgery Procedures
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
