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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

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The purpose of this study was to evaluate life satisfaction and health-related quality of life (HRQL) after ear reconstruction with costal cartilage in adolescents with severe microtia.

Participants and methods

This is a prospective cohort study on 20 adolescents with microtia (group I), who presented for reconstructive surgery between 1 April 2010 and 1 January 2012 at King Abdulaziz University Hospital. The patients were followed up 12 months after the last operation (till 1 January 2013). The patients were compared with 20 matched healthy adolescents (group II) with regard to life satisfaction, HRQL, and body image disturbance preoperatively and after 12 months. An assessment was done using the Students’ Life Satisfaction Scale (SLSS), Pediatric Quality of Life Inventory, version 4.0 (self and parent reports), and Body Image Disturbance Questionnaire (BIDQ).


There were significantly higher BIDQ, lower SLSS, lower total psychosocial health summary, lower emotional functioning, and lower social functioning (self and parent) mean scores in group I, when compared with group II, before surgery. There was a significant improvement 1 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 (self and parent) mean scores in group I, compared with 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.


In adolescence, ear reconstruction surgery with costal cartilage with multiple stages is still a valid option. It can reverse the psychological distress and significantly improves HRQL and SLSS.
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Keywords: adolescents; life satisfaction; microtia; quality of life

Document Type: Research Article

Affiliations: 1: Department of Surgery, Division of Plastic and Reconstructive Surgery 2: Department of Surgery 3: Psychiatry Unit, Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia, Department of Psychiatry, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Publication date: April 1, 2018

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