Teasing in younger and older children with microtia before and after ear reconstruction

Abstract

This study prospectively measured teasing and emotional adjustment before and after ear reconstruction in younger and older children with microtia. Participants with isolated microtia (n = 28) were divided into two groups by age at surgery, with a younger group aged 3–5 years (n = 13) with a mean age of 4.0 (0.71) years at the time of surgery and an older group aged 6–10 years old (n = 15) with a mean age of 7.87 (1.30) years. Children and their parents were interviewed preoperatively and a year after surgery about teasing and emotions about their ear(s). Teasing began between the ages of 2.4–4.8 years. A third of the younger group and all of the older group reported preoperative teasing. Before surgery, the older group reported higher rates of negative emotions about their ear(s) and teasing was correlated for all ages with feeling sad, worried, and mad about their ear(s). After surgery, teasing and negative emotions significantly decreased with increased happiness about their ear(s). Postoperative teasing was correlated with trying to hide their ear(s). There were significant interactions from before to after surgery based on surgery age for frequency of teasing, sadness, and feeling mad, with the older group showing relatively greater change postoperatively. Teasing and negative emotions about their ear(s) decreased for all ages after surgery, with a potential protective factor seen in younger surgery age.

Keywords:

• Ear
• plastic surgery
• microtia
• teasing
• surgery age

Acknowledgements

We would like to acknowledge the data management assistance of Phung Pham, MS, and Ashley Karatsonyi, BA. We thank Mark Urata, MD, DDS, for his support of this study. Preliminary results from this study were presented at the 12th International Congress on Cleft Lip/Palate and Related Craniofacial Anomalies, Orlando, FL, May 2013.

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.