title: Analysis of health-related quality-of-life outcomes and their predictive factors in pediatric patients who undergo otoplasty.
abstract: BACKGROUND
  There are limited data on the effect of otoplasty on health-related quality of life in children with prominent ears. Predictors of health-related quality-of-life outcomes in otoplasty have not been well studied.
  
  
  METHODS
  In this retrospective cohort study, 79 patients aged 18 years and younger who underwent otoplasty, and their parents, were asked to complete a survey, which included the Glasgow Children's Benefit Inventory and the Pediatric Quality of Life Inventory, to assess the parent-reported health-related quality-of-life changes and the current health-related quality of life, respectively. Other collected data included demographics, medical history, preoperative psychosocial experiences, motivations and expectations for surgery, postoperative complications, and general satisfaction.
  
  
  RESULTS
  Fifty patients (63 percent) replied. Of those, 88 percent reported being more satisfied with the appearance of their ears after otoplasty and 93 percent would choose to have this procedure again if given a second chance. The mean Glasgow Children's Benefit Inventory total score was 24.4 and the mean Pediatric Quality of Life Inventory total score was 94.3 for the Child Self-Report and 93.3 for the Parent Proxy-Report, indicating a positive health-related quality-of-life outcome. Linear regression analysis showed that history of teasing and expectations of a "life-changing" event were significant predictors of the Glasgow Children's Benefit Inventory total score (p<0.01).
  
  
  CONCLUSIONS
  In this study, parents reported a significant improvement in their children's health-related quality of life following otoplasty. The children themselves also reported having a generally high health-related quality of life after surgery. Possible positive predictive factors to consider include preoperative psychosocial status and expectations.
  
  
  METHODS
  Risk, II.
authors.affiliation: London, Ontario; and Halifax, Nova Scotia, Canada From the Schulich School of Medicine and Dentistry, University of Western Ontario; and the Department of Anesthesia, Izaak Walton Killam Health Center, Dalhousie Pediatric Craniofacial Group, Department of Surgery, and the School of Human Communication Disorders, Dalhousie University.
authors.forename: Weibo
authors.initials: W
authors.lastname: Hao
authors.forename: Jill M
authors.initials: JM
authors.lastname: Chorney
authors.forename: Michael
authors.initials: M
authors.lastname: Bezuhly
authors.forename: Kenneth
authors.initials: K
authors.lastname: Wilson
authors.forename: Paul
authors.initials: P
authors.lastname: Hong
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004423:Ear / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011788:Quality of Life; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies