Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, Stanford, California, U.S.A.
Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Laryngoscope. 2021 Jan;131(1):195-200. doi: 10.1002/lary.28619. Epub 2020 Apr 10.
To examine the social perception of microtia and quantify the effect of reconstruction on socially perceived attributes.
Parental consent was obtained for peri-reconstruction photographs in a patient with unilateral grade 3 microtia without an underlying craniofacial syndrome. With computer simulation, the normal, preoperative microtia, and postoperative reconstruction ear were isolated and blended into the oblique and lateral views of that volunteer's face to isolate ear morphology as a variable against a constant facial baseline. These photographs were embedded into Web-based surveys with visual analogue scales to capture social perception data and then were sourced to general population adults.
Survey respondents totaled 631. On average, the face with the microtia ear was perceived to be less friendly (P = .015), less healthy (P = .022), and less successful (P = .005) than the same face with the "normal" ear. There were no statistically significant differences in socially perceived attributes between the face with the normal ear and the face with the reconstructed ear.
This is the first study to examine the social perception consequences of microtia and microtia reconstruction in children. These findings may explain the significant psychosocial distress experienced by these patients by exploring the social perception of specific attributes perceived. Lastly, this study may better inform microtia patients and their physicians on the impact of auricular reconstruction on third party's perception of social attributes.
N/A Laryngoscope, 131:195-200, 2021.
研究小耳畸形的社会认知，并量化重建对社会感知属性的影响。
征得一位单侧 3 级小耳畸形（无颅面综合征）患者家长同意，在其术前及术后获取重建耳的正侧位照片。利用计算机模拟，将正常耳、术前小耳畸形耳和术后重建耳分别与该志愿者的面部侧位和斜位照片进行分离和融合，从而将耳部形态作为变量，以固定的面部基线作为参照。这些照片被嵌入基于网络的问卷调查中，使用视觉模拟量表来获取社会感知数据，然后从一般人群成年人中获取调查结果。
共有 631 名调查对象参与了本次研究。平均而言，带有小耳畸形耳的面部被认为不如（P =.015）具有正常耳的面部友善，不够健康（P =.022），也不够成功（P =.005）。具有正常耳和重建耳的面部之间在社会感知属性上没有统计学上的显著差异。
这是第一项研究小耳畸形和儿童耳部重建后社会认知后果的研究。这些发现通过探索感知到的特定属性的社会认知，可能可以解释这些患者经历的重大心理困扰。最后，这项研究可以让小耳畸形患者及其医生更好地了解耳部重建对第三方社会属性感知的影响。
无。《喉镜》，131：195-200，2021。
