European Archives of Oto-Rhino-Laryngology

, Volume 276, Issue 5, pp 1533–1539 | Cite as

Psychosocial effects of otoplasty in adult patients: a prospective cohort study

  • Seher SirinEmail author
  • Figen Abaci
  • Adin Selcuk
  • Oykum Bilge Findik
  • Abdullah Yildirim



This prospective study investigated changes in psychosocial status following otoplasty.


All patients who participated in the study filled a sociodemographic form that included age, gender, educational status and job preoperatively. Body Image Scale (BIS), Social Appearance Anxiety Scale (SAAS) and Rosenberg Self-Esteem scale (RSES) were completed prior to surgery and 6 months postoperatively.


A total of 20 patients completed psychometric measures of body image, social appearance anxiety, and self-esteem. Of the patients (6 males, 14 females) whose charts were reviewed, the mean age was 24.05 ± 8.25 years (median 22 years: range 18–49) years. Six months post operatively BIS total scores were increased significantly relative to that of the baseline values (p = 0.005).SAAS scores were decreased significantly relative to that of the baseline values (p = 0.003). Although the postoperative RSES score tended to improve, it was not significantly different from the baseline value. The RSES scores showed significantly strong correlation with the SAAS scores (p < 0.001) and moderate correlation with the BIS scores at baseline (p = 0.013). None of the patients admitted for surgery had low self-esteem at baseline, with all patients categorized as having either moderate (n = 10, 50%) or high (n = 10, 50%) self-esteem. Following surgery, only one patient improved from moderate to high self-esteem. The baseline and postoperative BIS, SAAS, and RSES scores did not significantly differ between women and men. None of the other sociodemographic characteristics showed significant relationships with the three scales.


Otoplasty can provide significant positive psychosocial benefits, even in an adult population. Therefore, this type of surgery should be offered to any patient seeking a solution to prominent ear-related psychosocial problems regardless of age.


Psychosocial effect Otoplasty Prominent ear Bat ear 



The authors would like to thank Firdevs Aliyeva for statistical support, Aslihan Polat for her valuable discussions about statistical analysis of the results as well as Jeremy Jones for his linguistic revision.

Compliance with ethical standards

Conflict of interest

The authors declare no competing interest. No financial support was received for this paper.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards (KOU/GOAEK-2012/5).

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology-Head and Neck SurgeryUniversity of Kocaeli School of MedicineKocaeliTurkey
  2. 2.Department of Psychiatry, Derince Training and Research HospitalUniversity of Health SciencesKocaeliTurkey
  3. 3.Department of Otorhinolaryngology, Derince Training and Research HospitalUniversity of Health SciencesKocaeliTurkey
  4. 4.Department of Plastic Surgery, Derince Training and Research HospitalUniversity of Health SciencesKocaeliTurkey

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