Otoplasty is a common procedure performed on children with ear deformity defects to improve the appearance of the ear and reduce its psychosocial effects. The literature reveals three themes: physiological effects of otoplasty in children, psychological effects after otoplasty in children, and social participation and support after otoplasty in children. Social isolation, academic performance decline. Otoplasty can significantly improve these psychological problems, enhancing children's self-confidence In conclusion, otoplasty positively affects improving the quality of life of children with ear deformity, especially at the psychological level. Future studies should focus more on the psychological experience and family support system of children after surgery while considering the influence of economic and cultural background on surgical satisfaction. Research in this field in China is still insufficient, necessitating further studies to fill this gap.

Jiang Li, Fuyan Yang, Jiansen Yang, Deming Kong. Effects of otoplasty on quality of life in children: a literature review. International Journal of Frontiers in Medicine (2024), Vol. 6, Issue 6: 68-74. https://doi.org/10.25236/IJFM.2024.060610.

[1] Papadopulos, N.A., Niehaus, R., Keller, E., Henrich, G., Papadopoulos, O.N., Staudenmaier, R., Kovacs, L., Peter Herschbach, Pototschnig, H. and Machens, H.-G., 2015. The Psychologic and Psychosocial Impact of Otoplasty on Children and Adults. Journal of Craniofacial Surgery, [online] 26(8), pp.2309–2314. https://doi.org/10.1097/SCS.0000000000001990.

[2] Hope, N., Smith, C.P., Cullen, J.R. and McCluney, N., 2016. A retrospective study of patient outcomes and satisfaction following pinnaplasty. Patient Related Outcome Measures, [online] 7, pp.49–53. https://doi.org/10.2147/PROM.S99622.

[3] Carvalho, C., Marinho, A.S., Barbosa-Sequeira, J., Correia, M.R., Banquart-Leitão, J. and Carvalho, F., 2023. Quality of life after otoplasty for prominent ears in children. Acta Otorrinolaringologica (English Edition), [online] 74(4), pp.226–231. https://doi.org/10.1016/j.otoeng.2022.11.004.

[4] Van Dalen, M., Pasmans, S.G.M.A., Aendekerk, M.-L., Mathijssen, I., Koudstaal, M., Timman, R., Williamson, H., Hillegers, M., Utens, E.M.W.J. and Okkerse, J., 2021. Investigating online psychological treatment for adolescents with a visible difference in the Dutch YP Face IT study: protocol of a randomised controlled trial. BMJ Open, [online] 11(1), p.e041449. https://doi.org/10.1136/bmjopen-2020-041449.

[5] Dias-Vaz, M., Morgado, H., Severo, M. and Estevão-Costa, J., 2018. Measuring otoplasty outcome: Expanding the validity to caregivers’ perspective and to Portuguese-speaking children. Clinical Otolaryngology, [online] 43(6), pp.1513–1521. https://doi.org/10.1111/coa.13198.

[6] Widodo, D.W., Mars, R., Suwento, R., Alviandi, W., Oriza, I.I.D. and Bardosono, S., 2021. Satisfaction and health-related quality of life of patients with microtia following reconstructive surgery using the Nagata technique. PLoS ONE, [online] 16(9), p.e0256652. https://doi.org/10.1371/journal.pone.0256652.

[7] Hartman, L.R., McPherson, A.C., Maxwell, J. and Lindsay, S., 2018. Exploring the ICF-CY as a framework to inform transition programs from pediatric to adult healthcare: developmental neurorehabilitation. Developmental Neurorehabilitation, [online] 21(5), pp.312–325. https://doi.org/10.1080/17518423.2017.1323969.

[8] Burak, M. and Kavlak, E., 2019. Investigation of the relationship between quality of life, activity participation and environmental factors in adolescents with cerebral palsy: NeuroRehabilitation. Neurorehabilitation, [online] 45(4), pp.555–565. https://doi.org/10.3233/NRE-191288.

[9] Aalykkja, A., Larsen, E.H., Larsen, M.H., Ruud, E., Puhr, A. and Lie, H.C., 2024. Life after paediatric brain tumour; the perspectives of the survivors and their parents: journal of advanced nursing (john wiley & sons, inc.). Journal of Advanced Nursing (John Wiley & Sons, Inc.), [online] 80(2), pp.550–565. https://doi.org/10.1111/jan.15812.

[10] Mandelbaum, R.S., Volpicelli, E.J., Martins, D.B., Park, S.H., Dubina, E., Ishiyama, A., Bradley, J.P. and Lee, J.C., 2017. Evaluation of 4 Outcomes Measures in Microtia Treatment: Exposures, Infections, Aesthetics, and Psychosocial Ramifications. Plastic and Reconstructive Surgery Global Open, [online] 5(9), p.e1460. https://doi.org/10.1097/GOX.0000000000001460.

[11] Smets, T., Gordts, F. and Foulon, I., 2023. Pediatric Otoplasty: An Evaluation of the Surgical Technique, Results, Patient Satisfaction, and Influence of a Medical Fee. B-ENT, [online] 19(1), pp.24–31. https://doi.org/10.5152/B-ENT.2023.22858.

[12] Fu, Y., Li, C., Zhang, J. and Zhang, T., 2019. Autologous cartilage microtia reconstruction: Complications and risk factors. International Journal of Pediatric Otorhinolaryngology, [online] 116, pp.1–6. https://doi.org/10.1016/j.ijporl.2018.09.035.

[13] Cuccolo, N.G., Zwierstra, M.J., Ibrahim, A.M.S., Peymani, A., Afshar, S. and Lin, S.J., 2019. Reconstruction of Congenital Microtia and Anotia: Analysis of Practitioner Epidemiology and Postoperative Outcomes. Plastic and Reconstructive Surgery Global Open, [online] 7(6), p.e2318. https://doi.org/10.1097/GOX.0000000000002318.

[14] Toplu, Y., Sapmaz, E., Firat, C. and Toplu, S.A., 2014. Clinical results and health-related quality of life in otoplasty patients using cartilage resection and suturing methods. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 271(12), pp.3147–3153. https://doi.org/10.1007/s00405-013-2799-z.

[15] Mierau, J.O., Kann-Weedage, D., Hoekstra, P.J., Spiegelaar, L., Jansen, D.E.M.C., Vermeulen, K.M., Reijneveld, S.A., Van Den Hoofdakker, B.J., Buskens, E., Van Den Akker-van Marle, M.E., Dirksen, C.D. and Groenman, A.P., 2020. Assessing quality of life in psychosocial and mental health disorders in children: a comprehensive overview and appraisal of generic health related quality of life measures. BMC Pediatrics, [online] 20(1), p.329. https://doi.org/10.1186/s12887-020-02220-8.

[16] Gómez Sánchez, A., Redondo Sedano, J.V., Martí Carrera, M.E., Caro Teller, J.M., Gómez Fraile, A. and Delgado Muñoz, M.D., 2023. Otoplasty in patients with helix valgus: quality of life and satisfaction. Annals of Pediatric Surgery, [online] 19(1), p.32. https://doi.org/10.1186/s43159-023-00263-x.

[17] Prabhu, N., MacNevin, W., Wheelock, M., Hong, P. and Bezuhly, M., 2020. Understanding child anxiety before otoplasty: A qualitative study. International Journal of Pediatric Otorhinolaryngology, [online] 139, p.110489. https://doi.org/10.1016/j.ijporl.2020.110489.

[18] Songu, M. and Kutlu, A., 2014b. Long-term psychosocial impact of otoplasty performed on children with prominent ears. The Journal of Laryngology and Otology, 128(9), pp.768–771. https://doi.org/10.1017/S0022215114001662.

[19] Falder, S. and Hampson, J., 2019. Pinnaplasty (Otoplasty): Clinical effectiveness & clinical commissioning policy.

[20] Songu, M. and Kutlu, A., 2014a. Health-related quality of life outcome of children with prominent ears after otoplasty. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 271(6), pp.1829–1832. https://doi.org/10.1007/s00405-014-2989-3.

[21] Jovic, T.H., Gibson, J.A.G., Jovic, M., Dobbs, T.D., Griffiths, R., Akbari, A. and Whitaker, I.S., 2023. The psychosocial impact of microtia and ear reconstruction: A national data-linkage study. Frontiers in Pediatrics, 11, p.1148975. https://doi.org/10.3389/fped.2023.1148975.

[22] De Queiroz Herkrath, A.P.C., Herkrath, F.J., Rebelo, M.A.B. and Vettore, M.V., 2015. Measurement of health-related and oral health–related quality of life among individuals with nonsyndromic orofacial clefts: a systematic review and meta-analysis. Cleft Palate-Craniofacial Journal, [online] 52(2), pp.157–172. https://doi.org/10.1597/13-104.

[23] Johns, A.L., Im, D.D. and Lewin, S.L., 2018. Early Familial Experiences With Microtia: Psychosocial Implications for Pediatric Providers. Clinical Pediatrics, [online] 57(7), pp.775–782. https://doi.org/10.1177/0009922817734358.

[24] Volpicelli, E.J., Pfaff, M.J., Hakimi, K., Bradley, J.P., Solem, R.C. and Lee, J.C., 2017. Age-related differences in psychosocial function of children with craniofacial anomalies. Plastic and Reconstructive Surgery, [online] 140(4), pp.776–784. https://doi.org/10.1097/PRS.0000000000003687.

[25] Jones, E.S., Gibson, J.A.G., Dobbs, T.D. and Whitaker, I.S., 2020. The psychological, social and educational impact of prominent ears: A systematic review. Journal of Plastic, Reconstructive & Aesthetic Surgery, [online] 73(12), pp.2111–2120. https://doi.org/10.1016/j.bjps.2020.05.075.

[26] Parahoo, K., 2014. Nursing research: principles, process and issues. Third edition ed. Basingstoke: Palgrave Macmillan.

[27] Chester, K.L., Spencer, N.H., Whiting, L. and Brooks, F.M., 2017. Association between experiencing relational bullying and adolescent health-related quality of life. Journal of School Health, [online] 87(11), pp.865–872. https://doi.org/10.1111/josh.12558.

[28] Johns, A.L., Lucash, R.E., Im, D.D. and Lewin, S.L., 2015. Pre and post-operative psychological functioning in younger and older children with microtia. Journal of Plastic, Reconstructive & Aesthetic Surgery, [online] 68(4), pp.492–497. https://doi.org/10.1016/j.bjps.2014.12.019.

[29] Creswell, J.W., 2014. Research design: qualitative, quantitative, and mixed methods approaches. 4th ed ed. Thousand Oaks: SAGE Publications.