Psychosocial effects of otoplasty in adult patients: a prospective cohort study
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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.
KeywordsPsychosocial 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.
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 was obtained from all individual participants included in the study.
- 1.Nachlas NE (2002) Otoplasty. In: Papel ID (ed) Facial plastic and reconstructive surgery, 2nd edn. Thieme Medical Publishers, New York, pp 309–321Google Scholar
- 14.First MB, Gibbon M (2004) The structured clinical interview for DSM-IV axis I disorders (SCID-I) and the structured clinical interview for DSM-IV axis II disorders (SCID-II). In: Hilsenroth MJ, Segal DL (eds) Comprehensive handbook of psychological assessment. Personality assessment, vol 2. Wiley, Hoboken, pp 134–143Google Scholar
- 17.Hovardaoglu S, Ozdemir YD (1990) Vücut Algısı Ölçeği’nin güvenirlik ve geçerlik çalışması/Şizofrenik ve major depresif hastaların beden imgelerinden doyum düzeyleri. Unpublished Thesis, Article in Turkish. Ankara: Gazi Üniversitesi Sosyal Bilimler EnstitüsGoogle Scholar
- 19.Dogan T (2010) Adaptation of the social appearance anxiety scale (SAAS) to Turkish: a validity and reliability study. HU J Educ 39:151–159Google Scholar
- 21.Çuhadaroglu F (1986) Adolesanlarda Benlik Saygıs. Unpublished Thesis, Article in Turkish. Ankara: Hacettepe Üniversitesi Tıp FakultesiGoogle Scholar
- 22.Gilbert S, Thompson J (2002) Body shame in childhood and adolescence. In: Gilbert P, Miles J (eds) Body shame. Brunner-Routledge, Hove, pp 55–74Google Scholar
- 23.Rumsey N (2002) Body image & congenital conditions with visible differences. In: Cash TF, Pruzinsky T (eds) Body image: a handbook of theory, research, and clinical practice. Guilford, New York, pp 226–233Google Scholar
- 24.Rumsey N (2002) Optimizing body image in disfiguring congenital conditions. In: Cash TF, Pruzinsky T (eds) Body image: a handbook of theory, research, and clinical practice. Guilford, New York, pp 431–439Google Scholar
- 26.Newell R (2000) Body image and disfigurement care. Routledge, LondonGoogle Scholar
- 30.Rutter M, Rutter M (1992) Developing minds: challenge and continuity across the life span. Penguin, LondonGoogle Scholar