title: Can otoplasty impact hearing? A prospective randomized controlled study examining the effects of pinna position on speech reception and intelligibility.
abstract: OBJECTIVE
  Otoplasty is a commonly performed surgical procedure that restores the ideal position of the pinna. Although the pinna is a well-recognized component of the auditory apparatus, no studies have assessed the audiological effects of this procedure. We sought to quantify the impact of pinna repositioning on speech intelligibility and reception.
  
  
  METHODS
  Eighteen adults with normal hearing and pinnae were recruited and the pinna positions were randomized in each participant. Intracanal acoustical analysis was performed to calculate the Speech Intelligibility Index (SII). Hearing In Noise Test (HINT) with two azimuth speaker arrangement was also performed. The outcome measures were compared using paired t-tests for both pinna positions.
  
  
  RESULTS
  The SII significantly improved with the pinna in forward position (49.3 vs. 45.8, p<0.001). HINT thresholds also improved with the pinna forward (-6.43 dB vs. -5.08 dB, p=0.0003).
  
  
  CONCLUSIONS
  Pinna position affects audiological performance, in both speech intelligibility and speech reception in noise. These are novel findings that may impact the informed consent process and decision to treat for patients undergoing otoplasty.
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada. Paul.Hong@iwk.nshealth.ca.
authors.forename: Michael L
authors.initials: ML
authors.lastname: McNeil
authors.forename: Steve J
authors.initials: SJ
authors.lastname: Aiken
authors.forename: Manohar
authors.initials: M
authors.lastname: Bance
authors.forename: Jeff R
authors.initials: JR
authors.lastname: Leadbetter
authors.forename: Paul
authors.initials: P
authors.lastname: Hong
mesh_terms: D000328:Adult; D001299:Audiometry; D004423:Ear / Q000002:abnormalities; D054644:Ear Auricle / Q000502:physiology* / Q000601:surgery*; D005260:Female; D006309:Hearing; D006801:Humans; D008297:Male; D013506:Otologic Surgical Procedures; D011446:Prospective Studies; D013065:Speech Intelligibility; D055815:Young Adult