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Life Satisfaction and Quality of Life in Adolescents with Severe Microtia: The Effect of Improved Body Image Disturbance After Ear Reconstructive Surgery with Costal Cartilage
Basim A. Awan , Osama SamargandiA , Saleh M. Aldaqal , Mohammad G. Sehlo
Department of Surgery, Faculty of Medicine, King Abdulaziz University
Abstract:   (92 Views)
BACKGROUND
Children with severe microtia who reach adolescence without having ear reconstruction may have already endured serious psychological problems that subsequently affect their mental health. We evaluated how life satisfaction and health related quality of life change with time after ear reconstruction with costal cartilage on in adolescents with severe microtia.
METHODS
In a prospective cohort study, 20 adolescents with microtia (group I), who presented for reconstructive surgery using modified Brent technique, were compared to 20 matched healthy adolescents (group II) with regard to life satisfaction using the Students’ Life Satisfaction Scale (SLSS), health related quality of life Inventory (HRQL), and Body Image Disturbance Questionnaire (BIDQ) preoperatively and at 12 months.
RESULTS
There were significantly higher BIDQ, lower SLSS, lower total psychosocial health summary, lower emotional functioning, and lower social functioning mean scores in group I, when compared to group II, before surgery. There was a significant improvement one year after the surgery in life satisfaction, psychosocial health, and body image disturbance reflected by the lower BIDQ, higher SLSS, higher psychosocial health summary, emotional functioning, and social functioning mean scores in group I, compared to their scores obtained before the surgery. The improvement in body image disturbance was the only significant predictor for the improvement in life satisfaction and psychosocial health.
CONCLUSION
In adolescence, ear reconstruction surgery with costal cartilage with multiple stages is still a valid option. It can reverse the psychological distress and significantly HRQL and SLSS.
Keywords: Ear reconstruction, Microtia, Body image, Quality of life, Life satisfaction
Full-Text [PDF 674 kb]   (27 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2015/03/26 | Accepted: 2018/01/27 | Published: 2018/01/27
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A. Awan B, SamargandiA O, M. Aldaqal S, G. Sehlo M. Life Satisfaction and Quality of Life in Adolescents with Severe Microtia: The Effect of Improved Body Image Disturbance After Ear Reconstructive Surgery with Costal Cartilage. wjps. 2018; 7 (1)
URL: http://wjps.ir/article-1-153-en.html


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مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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