title: [Psychosocial aspects in total external ear reconstruction in patients with severe microtia].
abstract: BACKGROUND
  The aim of this study was to identify the psychosocial problems and expectation of patients with severe microtia and to investigate possible changes in psychosocial profile of patients after surgical reconstruction of the pinna.
  
  
  METHODS
  Interviews were performed with 65 patients before and 39 patients after auricular reconstruction. They consisted of a questionnaire involving open and closed questions relating to the reconstruction and a personality test.
  
  
  RESULTS
  The most frequently mentioned reasons for surgery were: personal dissatisfaction with patients own appearance, lack of self-confidence, and for younger age groups, parental anxiety about the future psychosocial development of their children. More than 90% of the patients with surgically reconstructed auricles were satisfied with the postoperative results and showed a more open and fearless personality profile.
  
  
  CONCLUSIONS
  Auricular reconstruction enhances the development of a stable personality.
authors.affiliation: Klinik für Hals-, Nasen- und Ohrenheilkunde, Medizinischen Universität zu Lübeck.
authors.forename: R
authors.initials: R
authors.lastname: Siegert
authors.forename: U
authors.initials: U
authors.lastname: Knölker
authors.forename: E
authors.initials: E
authors.lastname: Konrad
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image; D002648:Child; D002657:Child Development; D002675:Child, Preschool; D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010290:Parents / Q000523:psychology; D017060:Patient Satisfaction; D010556:Personality Tests; D012649:Self Concept; D013518:Surgery, Plastic / Q000523:psychology*