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Long-term psychosocial impact of otoplasty performed on children with prominent ears

Published online by Cambridge University Press:  13 August 2014

M Songu  and
A Kutlu
M Songu*
Affiliation:
Department of Otorhinolaryngology, Dr Behcet Uz Children's Hospital, Izmir, Turkey Department of Otorhinolaryngology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Turkey
A Kutlu
Affiliation:
Department of Child and Adolescent Psychiatry, Dr Behcet Uz Children's Hospital, Izmir, Turkey
*
Address for correspondence: Dr Murat Songu, Department of Otorhinolaryngology, Dr Behcet Uz Children's Hospital, Izmir, Turkey Fax: 0090 232 489 2315 E-mail: [email protected]
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Abstract

Objectives:

To investigate the psychosocial impact of prominent ears on children, and evaluate the outcomes of otoplasty two years after surgery, using the Child Behavior Checklist to comparatively evaluate patients' psychosocial profiles.

Method and results:

A total of 198 otoplasty procedures were performed in 107 patients (85 per cent bilateral procedures). Otoplasty was performed solely in 86 patients and concurrently with other procedures in 21 patients. All children who underwent surgery obtained good post-operative results, with satisfactory correction of the deformity reported by the patients and their parents or guardians. There were statistically significant decreases in Child Behavior Checklist scores in the domains of: anxiety and depression (p = 0.028), social problems (p = 0.018), difficulties in thinking (p = 0.012), total behavioural problems (p = 0.012), internalising problems (p = 0.020) and externalising problems (p = 0.044), and near-significant decreases in scores for attention problems (p = 0.055) and aggressive behaviour (p = 0.078). There was a statistically significant increase in the score for total social competence (p = 0.031).

Conclusion:

Psychological problems associated with anatomical deformities such as prominent ears can be reduced by means of appropriate corrective surgery. Psychological support is necessary for the patient.

Keywords

SurgeryAdolescent PsychologyEar, ExternalCongenital Abnormalities
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 9 , September 2014 , pp. 768 - 771
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Songu, M, Négrevergne, M, Portmann, D. Négrevergne otoplasty technique. Ann Otol Rhinol Laryngol 2010;119:27–31CrossRefGoogle ScholarPubMed
2Songu, M, Adibelli, H. Otoplasty in children younger than five years of age. Int J Pediatr Otorhinolaryngol 2010;74:292–6CrossRefGoogle Scholar
3Bradbury, ET, Hewison, J, Timmons, MJ. The psychological and social outcome of prominent ear correction in children. Br J Plast Surg 1992;45:97–100Google Scholar
4Sarwer, DB, Pertschuk, MJ, Wadden, TA, Whitaker, LA. Psychological investigation in cosmetic surgery: a look back and a look ahead. Plast Reconstr Surg 1998;101:1136–42CrossRefGoogle Scholar
5Gasques, JA, Pereira de Godoy, JM, Cruz, EM. Psychosocial effects of otoplasty in children with prominent ears. Aesthetic Plast Surg 2008;32:910–14CrossRefGoogle ScholarPubMed
6Cooper-Hobson, G, Jaffe, W. The benefits of otoplasty for children: further evidence to satisfy the modern NHS. J Plast Reconstr Aesthet Surg 2009;62:190–4Google Scholar
7Achenbach, TM. Manual for Child Behavior Checklist 4–18, 1991 Profile. Burlington: University of Vermont, Department of Psychiatry, 1991Google Scholar
8Erol, N, Arslan, BL, Akçakin, M. The adaptation and standardization of the Child Behavior Checklist among 6–18 year-old Turkish children. In: Sergeant, J, ed. Eunethydis: European Approaches to Hyperkinetic Disorder. Zurich: Fotoratar, 1995;97–113Google Scholar
9Erol, N, Şimsek, Z. Mental health of Turkish children: behavioral and emotional problems reported by parents, teachers and adolescents. In: Singh, N, Leung, JP, Singh, AN, eds. International Perspectives on Child and Adolescent Mental Health. Oxford: Elsevier Science, 2000;223–47Google Scholar
10Sarwer, DB. Plastic surgery in children and adolescents. In: Thompson, JK, Smolak, L, eds. Body Image, Eating Disorders and Obesity in Children and Adolescents. Washington, DC: APA Press, 2001;341–66Google Scholar
11Songu, M. The surgical technique of otoplasty. In: Hathiram, BT, Khattar, VS, eds. The International Atlas of Operative ENT and Head & Neck Surgery. New Delhi: Jaypee Brothers Medical Publishers, 2013;3–21Google Scholar
12Songu, M. Négrevergne otoplasty technique. In: Shiffman, MA, ed. Advanced Cosmetic Otoplasty: Art, Science, and New Clinical Techniques. Berlin: Springer, 2013;149–62CrossRefGoogle Scholar
13Keery, H, Boutelle, K, van den Berg, P, Thompson, JK. The impact of appearance-related teasing by family members. J Adolesc Health 2005;37:120–7CrossRefGoogle ScholarPubMed
14Gois, A, Mena, F, Werneck, G. Amiguinho da Onca. Sao Paulo: Folha-Teen Folha de Sao Paulo, 2003;6–7Google Scholar
15Malta, DC, Silva, MA, Mello, FC, Monteiro, RA, Sardinha, LM, Crespo, C et al. Bullying in Brazilian schools: results from the National School-based Health Survey (PeNSE), 2009 [in Portuguese]. Cien Saude Colet 2010;15 (suppl 2):3065–76CrossRefGoogle ScholarPubMed
16Sheerin, D, MacLeod, M, Kusumakar, V. Psychosocial adjustment in children with port-wine stains and prominent ears. J Am Acad Child Adolesc Psychiatry 1995;34:1637–47Google Scholar
17Horlock, N, Vögelin, E, Bradbury, ET, Grobbelaar, AO, Gault, DT. Psychosocial outcome of patients after ear reconstruction: a retrospective study of 62 patients. Ann Plast Surg 2005;54:517–24CrossRefGoogle ScholarPubMed
18Schwentner, I, Schmutzhard, J, Deibl, M, Sprinzl, GM. Health-related quality of life outcome of adult patients after otoplasty. J Craniofac Surg 2006;17:629–35CrossRefGoogle ScholarPubMed
19McCormick, MC, Athreya, BH, Bernbaum, JC, Charney, EB. Preliminary observations on maternal rating of health of children: data from three subspecialty clinics. J Clin Epidemiol 1988;41:323–9CrossRefGoogle ScholarPubMed