Protruding ears. evaluation of outcomes and patient satisfaction. The portuguese reality in a retrospective analysis of 209 otoplasties

  • Ana Correia-Oliveira General Practice and Family Medicine, Unidade de Saúde Familiar São João do Porto, Agrupamento de Centros de Saúde do Porto Ocidental
  • Maria João Peixoto General Practice and Family Medicine, Unidade de Saúde Familiar Espaço Saúde, Agrupamento de Centros de Saúde do Porto Ocidental
  • Catarina Sousa Department of Pediatric Surgery, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • Ana Coelho Department of Pediatric Surgery, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • Sofia Marinho Department of Pediatric Surgery, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • José Lopes dos Santos Department of Pediatric Surgery, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • Fátima Carvalho Department of Pediatric Surgery, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
Keywords: Children, protruding ear, quality of life, otoplasty

Abstract

Introduction: Protruding ears are a very common esthetical problem, with 5% prevalence. Otoplasty is a universally accepted surgical procedure, taking into account the psychological issues related to this deformity.
Materials and methods: A retrospective study of 111 children, who underwent otoplasty to correct protruding ears in a Portuguese Hospital Center, for the last 4 years, was performed. A telephonic questionnaire to assess patients satisfaction related to the procedure and its impact in quality of life was applied to the parents.
Results: A population of 75 (68%) male and 36 (32%) female children was analyzed. The procedure was performed, in average, between seven and eight years of age, and 36% were operated in pre-school age. The type of otoplasty was a combined technique, with 98 bilateral cases and 13 unilateral, making a total of 209 corrective otoplasties. Complication rate was low (3.8%). The questionnaire was performed in 98 patients, with a median of 4-5 (scale 1-5) in all items evaluated, reporting an overall satisfaction and positive influence of the procedure in quality of life.
Discussion and conclusion: Corrective otoplasty of protruding ears had a direct positive impact in quality of life and self-esteem in patients; this underlies the relevance of referring these children to a specialized surgical center.

References

Braun T, Hempel JM, Berghaus A. Developmental disorders of the ear in children and adolescents: conservative and surgical treatment options. Deutsches Arzteblatt international. 2014;111:92-8.

Handler EB, Song T, Shih C. Complications of otoplasty. Facial plastic surgery clinics of North America. 2013; 21:653-62.

Hao W, Chorney JM, Bezuhly M, Wilson K, Hong P. Analysis of health-related quality-of-life outcomes and their predictive factors in pediatric patients who undergo otoplasty. Plastic and reconstructive surgery. 2013; 132:811-7e.

Naumann A. Otoplasty - techniques, characteristics and risks. GMS current topics in otorhinolaryngology, head and neck surgery. 2007; 6:Doc04.

Songu M, Kutlu A. Long-term psychosocial impact of otoplasty performed on children with prominent ears. The Journal of laryngology and otology. 2014;128:768-71.

Sands NB, Adamson PA. Pediatric esthetic otoplasty. Facial plastic surgery clinics of North America. 2014; 22:611-21.

Graham ME, Bezuhly M, Hong P. A long-term morphometric analysis of auricular position post-otoplasty. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2013; 66:1482-6.

Driessen JP, Borgstein JA, Vuyk HD. Defining the protruding ear. The Journal of craniofacial surgery. 2011; 22:2102-8.

AKI F, SAKAE E, Cruz DP, KAMAKURA L, Ferreira MC. Complicações em otoplastia: revisão de 508 casos. Rev Soc Bras Cir Plást. 2006; 21:140-4.

Niemela BJ, Hedlund A, Andersson G, Wahlsten VS. Prominent ears: the effect of reconstructive surgery on selfesteem and social interaction in children with a minor defect compared to children with a major orthopedic defect. Plastic and reconstructive surgery. 2008; 122:1390-8.

Songu M, Kutlu A. Health-related quality of life outcome of children with prominent ears after otoplasty. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2014; 271:1829-32.

Fioramonti P, Serratore F, Tarallo M, Ruggieri M, Ribuffo D. Otoplasty for prominent ears deformity. European review for medical and pharmacological sciences. 2014; 18:3156-65.

Limandjaja G, Breugem C, van der Molen AM, Kon M. Complications of otoplasty: a literature review. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2009; 62:19-27.

Scharer SA, Farrior EH, Farrior RT. Retrospective analysis of the Farrior technique for otoplasty. Archives of facial plastic surgery. 2007; 9:167-73.

Garcia M, Rohlfs I, Vila J, Sala J, Pena A, Masia R, et al. Comparison between telephone and self-administration of Short Form Health Survey Questionnaire (SF-36). Gaceta sanitaria / SESPAS. 2005; 19:433-9.

Gasques JA, Pereira de Godoy JM, Cruz EM. Psychosocial effects of otoplasty in children with prominent ears. Aesthetic plastic surgery. 2008;32:910-4.

Braun T, Hainzinger T, Stelter K, Krause E, Berghaus A, Hempel JM. Health-related quality of life, patient benefit, and clinical outcome after otoplasty using suture techniques in 62 children and adults. Plastic and reconstructive surgery. 2010;126:2115-24.

Meningaud JP, Benadiba L, Servant JM, Herve C, Bertrand JC, Pelicier Y. Depression, anxiety and quality of life: outcome 9 months after facial cosmetic surgery. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 2003;31:46-50.

Rankin M, Borah GL, Perry AW, Wey PD. Quality-of-life outcomes after cosmetic surgery. Plastic and reconstructive surgery. 1998;102:2139-45; discussion 46-7.

Likert R. A technique for the measurement of attitudes. Archives of psychology. 1932

Published
2017-12-27
Section
Original Articles