Prominent Ears: The Effect of Reconstructive Surgery on Self-Esteem and Social Interaction in Children with a Minor Defect Compared to Children with a Major Orthopedic Defect

Niemelä, Birgitta Johansson; Hedlund, Anders; Andersson, Gerhard; Wahlsten, Viveka Sundelin

doi:10.1097/prs.0b013e3181881fb0

Cited by 17 publications

(14 citation statements)

References 14 publications

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“…Another study concerned children with prominent ears who underwent otoplasty. Follow-up measurements showed reduced psychological problems post-operative and improved QoL [ 20 ] and improved self-esteem [ 21 ]. Young transplant patients showed variation in their developed self-esteem where long waiting lists, health status and female sex can negatively influence self-esteem [ 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Early Consequences of Pectus Excavatum Surgery on Self‐Esteem and General Quality of Life

et al. 2018

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BackgroundAn early observation after chest wall correction is direct inspection from the PE patient of their “new” thorax. Changes in self-perception may give raise to other psychological adaptations. The aim of this study was to evaluate the early changes in the fields of self-esteem, body image and QoL.MethodsProspective observational longitudinal multicenter cohort study. Self-esteem, emotional limitations and general health were assessed using the Child Health Questionnaire (CHQ) in patients under 18 and the World Health Organization Quality of Life Questionnaire-bref (WHOQOL-bref) was used for body image, psychological domain and overall QoL in patients over 16 years of age. Measurements were taken before surgery (T1) and 6 weeks (T2), and 6 months thereafter (T3).ResultsScores on post-operative self-esteem were significantly higher compared with scores pre-operatively (p < 0.007). Also body image, psychological domain and emotional limitations showed significant improvement, respectively p < 0.001, p < 0.001, and p < 0.016. Significant improvement in the first three components was mainly achieved in the first 6 weeks post-operative. In emotional limitation, however, the largest change was between 6 weeks and 6 months. Overall quality of life in the WHOQOL-bref and general health domain in the CHQ showed no significant improvement in relation to the pre-operative scores.ConclusionPost-operative PE patients after Nuss procedure showed an improved body image, increased self-esteem and increased psychological resilience in the first 6 months, with the most marked change in the first 6 weeks. Also emotional limitations changed significantly over time. The changes were not large enough to influence general QoL or general health significantly.

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Section: Discussionmentioning

confidence: 99%

Early Consequences of Pectus Excavatum Surgery on Self‐Esteem and General Quality of Life

et al. 2018

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“…Prominent ears are the most common congenital abnormality of the head and neck, occurring in 5% of the Caucasian population. [1][2][3][4][5][6][7][8][9][10] Consequently, surgical correction for prominent ears is the most frequently performed aesthetic operation in children and adolescents. 1 , 5 , 8 The aim of surgical treatment is to address the cosmetic appearance and improve the patient's health-related quality of life (HRQoL).…”

Section: Introductionmentioning

confidence: 99%

The psychological, social and educational impact of prominent ears: A systematic review

Jones

Gibson

Dobbs

et al. 2020

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…Children and young adults with ear conditions, such as microtia or prominent ears, report teasing and bullying and that they feel self-conscious and/or embarrassed about the appearance of their ears. 1 , 2 Ear reconstruction to create a normal-looking ear for patients with microtia can be complex and expensive, with different approaches taken to achieve the same goal. 3 – 7 As surgical techniques continue to evolve, a carefully developed, valid, and reliable patient-reported outcome (PRO) measure is needed.…”

Section: Introductionmentioning

confidence: 99%

Development of a New Patient-reported Outcome Measure for Ear Conditions: The EAR-Q

Klassen

Longmire

Bulstrode

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Background:Patient-reported outcome measures are widely used to improve health services and patient outcomes. The aim of our study was to describe the development of 2 ear-specific scales designed to measure outcomes important to children and young adults with ear conditions, such as microtia and prominent ears.Methods:We used an interpretive description qualitative approach. Semi-structured qualitative and cognitive interviews were performed with participants with any type of ear condition recruited from plastic surgery clinics in Canada, Australia, United States, and United Kingdom. Participants were interviewed to elicit new concepts. Interviews were audio-recorded, transcribed, and coded using the constant comparison approach. Experts in ear reconstruction were invited to provide input via an online Research Electronic Data Capture survey.Results:Participants included 25 patients aged 8–21 years with prominent ears (n = 9), microtia (n = 14), or another condition that affected ear appearance (n = 2). Analysis of participant qualitative data, followed by cognitive interviews and expert input, led to the development and refinement of an 18-item ear appearance scale (eg, size, shape, look up close, look in photographs) and a 12-item adverse effects scale (eg, itchy, painful, numb).Conclusions:The EAR-Q in currently being field-tested internationally. Once finalized, we anticipate the EAR-Q will be used in clinical practice and research to understand the patient’s perspective of outcomes following ear surgery.

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Prominent Ears: The Effect of Reconstructive Surgery on Self-Esteem and Social Interaction in Children with a Minor Defect Compared to Children with a Major Orthopedic Defect

Cited by 17 publications

References 14 publications

Early Consequences of Pectus Excavatum Surgery on Self‐Esteem and General Quality of Life

Early Consequences of Pectus Excavatum Surgery on Self‐Esteem and General Quality of Life

The psychological, social and educational impact of prominent ears: A systematic review

Development of a New Patient-reported Outcome Measure for Ear Conditions: The EAR-Q

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