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The psychosocial impact of microtia and ear reconstruction: A national data-linkage study

Thomas Jovic, John Gibson, Matt Jovic, Thomas Dobbs, Rowena Griffiths, Ashley Akbari Orcid Logo, Iain Whitaker

Frontiers in Pediatrics, Volume: 11

Swansea University Authors: Thomas Jovic, John Gibson, Matt Jovic, Thomas Dobbs, Rowena Griffiths, Ashley Akbari Orcid Logo, Iain Whitaker

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DOI (Published version): 10.3389/fped.2023.1148975

Abstract

Introduction: Children with visible facial differences are believed to be at increased risk of negative psychosocial behaviours which may manifest as affective disorders. The aim of this study was to determine whether a diagnosis of microtia, and the associated surgical intervention, is associated w...

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Published in: Frontiers in Pediatrics
ISSN: 2296-2360
Published: Frontiers Media SA 2023
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The aim of this study was to determine whether a diagnosis of microtia, and the associated surgical intervention, is associated with psychosocial implications including impaired educational attainment and a diagnosis of an affective disorder.Methods: A retrospective case-control study was conducted using data linkage to identify patients in Wales with a diagnosis of microtia. Matched controls were sought on the basis of age, gender and socioeconomic deprivation status to yield a total sample size of 709. incidence was calculated using annual and geographic birth rates. Surgical operation codes were used to classify patients into those that had no surgery, autologous reconstruction or prosthetic reconstruction. Educational attainment at 11 years of age, plus a diagnosis of depression or anxiety were used as markers of adverse psychosocial outcomes and the relative risk was attained using logistic regression analyses.Results: There were no significant associations between a diagnosis of microtia and an increased risk of adverse educational attainment or a risk of an affective disorder diagnosis. Male gender and higher deprivation scores were significantly associated with poorer educational attainment, irrespective of a diagnosis of microtia. Surgical intervention of any nature was also not associated with any increased risk of adverse educational or psychosocial outcomes in microtia patients.Discussion: Microtia patients in Wales do not appear to be at greater risk of developing affective disorders or impaired academic performance as a result of their diagnosis or associated surgical intervention. Whilst reassuring, the need for appropriate support mechanisms to maintain positive psychosocial wellbeing and academic achievement in this patient cohort is reinforced.</abstract><type>Journal Article</type><journal>Frontiers in Pediatrics</journal><volume>11</volume><journalNumber/><paginationStart/><paginationEnd/><publisher>Frontiers Media SA</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2296-2360</issnElectronic><keywords/><publishedDay>18</publishedDay><publishedMonth>4</publishedMonth><publishedYear>2023</publishedYear><publishedDate>2023-04-18</publishedDate><doi>10.3389/fped.2023.1148975</doi><url>http://dx.doi.org/10.3389/fped.2023.1148975</url><notes/><college>COLLEGE NANME</college><department>Biomedical Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>BMS</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>TJ would like to acknowledge funding from the VTCT Foundation and Action Medical Research (GN2782), Microtia UK and BAPRAS. TD and TJ would like to acknowledge funding from the Welsh Clinical Academic Training Programme. IW, MJ, TJ and TD would like to acknowledge funding from the Scar Free Foundation and Health and Care Research Wales. The Scar Free Foundation &amp; Health and Care Research Wales Programme of research in Reconstructive Surgery &amp; Regenerative Medicine has been established in the ReconRegen Research Centre at Swansea University in partnership with Swansea Bay University Health Board.</funders><projectreference/><lastEdited>2024-01-08T13:33:08.5815926</lastEdited><Created>2023-04-28T08:36:42.0150215</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Thomas</firstname><surname>Jovic</surname><order>1</order></author><author><firstname>John</firstname><surname>Gibson</surname><order>2</order></author><author><firstname>Matt</firstname><surname>Jovic</surname><order>3</order></author><author><firstname>Thomas</firstname><surname>Dobbs</surname><order>4</order></author><author><firstname>Rowena</firstname><surname>Griffiths</surname><order>5</order></author><author><firstname>Ashley</firstname><surname>Akbari</surname><orcid>0000-0003-0814-0801</orcid><order>6</order></author><author><firstname>Iain</firstname><surname>Whitaker</surname><orcid/><order>7</order></author></authors><documents><document><filename>63272__27563__357a21844f7249958da2d2c00b26bc91.pdf</filename><originalFilename>63272.pdf</originalFilename><uploaded>2023-05-22T14:50:35.7571944</uploaded><type>Output</type><contentLength>501756</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© 2023 Jovic, Gibson, Jovic, Dobbs, Griffiths, Akbari and Whitaker. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling v2 63272 2023-04-28 The psychosocial impact of microtia and ear reconstruction: A national data-linkage study 7d95ed2bceb18fc0fdfd4048277c6eed Thomas Jovic Thomas Jovic true false 681cf87df3796a68ef3da257db7a0a3f John Gibson John Gibson true false c7bbcd83338d226f4c6157a682694a6d Matt Jovic Matt Jovic true false d18101ae0b4e72051f735ef68f45e1a8 Thomas Dobbs Thomas Dobbs true false 381464f639f98bd388c29326ca7f862c Rowena Griffiths Rowena Griffiths true false aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false 830074c59291938a55b480dcbee4697e Iain Whitaker Iain Whitaker true false 2023-04-28 BMS Introduction: Children with visible facial differences are believed to be at increased risk of negative psychosocial behaviours which may manifest as affective disorders. The aim of this study was to determine whether a diagnosis of microtia, and the associated surgical intervention, is associated with psychosocial implications including impaired educational attainment and a diagnosis of an affective disorder.Methods: A retrospective case-control study was conducted using data linkage to identify patients in Wales with a diagnosis of microtia. Matched controls were sought on the basis of age, gender and socioeconomic deprivation status to yield a total sample size of 709. incidence was calculated using annual and geographic birth rates. Surgical operation codes were used to classify patients into those that had no surgery, autologous reconstruction or prosthetic reconstruction. Educational attainment at 11 years of age, plus a diagnosis of depression or anxiety were used as markers of adverse psychosocial outcomes and the relative risk was attained using logistic regression analyses.Results: There were no significant associations between a diagnosis of microtia and an increased risk of adverse educational attainment or a risk of an affective disorder diagnosis. Male gender and higher deprivation scores were significantly associated with poorer educational attainment, irrespective of a diagnosis of microtia. Surgical intervention of any nature was also not associated with any increased risk of adverse educational or psychosocial outcomes in microtia patients.Discussion: Microtia patients in Wales do not appear to be at greater risk of developing affective disorders or impaired academic performance as a result of their diagnosis or associated surgical intervention. Whilst reassuring, the need for appropriate support mechanisms to maintain positive psychosocial wellbeing and academic achievement in this patient cohort is reinforced. Journal Article Frontiers in Pediatrics 11 Frontiers Media SA 2296-2360 18 4 2023 2023-04-18 10.3389/fped.2023.1148975 http://dx.doi.org/10.3389/fped.2023.1148975 COLLEGE NANME Biomedical Sciences COLLEGE CODE BMS Swansea University TJ would like to acknowledge funding from the VTCT Foundation and Action Medical Research (GN2782), Microtia UK and BAPRAS. TD and TJ would like to acknowledge funding from the Welsh Clinical Academic Training Programme. IW, MJ, TJ and TD would like to acknowledge funding from the Scar Free Foundation and Health and Care Research Wales. The Scar Free Foundation & Health and Care Research Wales Programme of research in Reconstructive Surgery & Regenerative Medicine has been established in the ReconRegen Research Centre at Swansea University in partnership with Swansea Bay University Health Board. 2024-01-08T13:33:08.5815926 2023-04-28T08:36:42.0150215 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Thomas Jovic 1 John Gibson 2 Matt Jovic 3 Thomas Dobbs 4 Rowena Griffiths 5 Ashley Akbari 0000-0003-0814-0801 6 Iain Whitaker 7 63272__27563__357a21844f7249958da2d2c00b26bc91.pdf 63272.pdf 2023-05-22T14:50:35.7571944 Output 501756 application/pdf Version of Record true © 2023 Jovic, Gibson, Jovic, Dobbs, Griffiths, Akbari and Whitaker. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. true eng http://creativecommons.org/licenses/by/4.0/
title The psychosocial impact of microtia and ear reconstruction: A national data-linkage study
spellingShingle The psychosocial impact of microtia and ear reconstruction: A national data-linkage study
Thomas Jovic
John Gibson
Matt Jovic
Thomas Dobbs
Rowena Griffiths
Ashley Akbari
Iain Whitaker
title_short The psychosocial impact of microtia and ear reconstruction: A national data-linkage study
title_full The psychosocial impact of microtia and ear reconstruction: A national data-linkage study
title_fullStr The psychosocial impact of microtia and ear reconstruction: A national data-linkage study
title_full_unstemmed The psychosocial impact of microtia and ear reconstruction: A national data-linkage study
title_sort The psychosocial impact of microtia and ear reconstruction: A national data-linkage study
author_id_str_mv 7d95ed2bceb18fc0fdfd4048277c6eed
681cf87df3796a68ef3da257db7a0a3f
c7bbcd83338d226f4c6157a682694a6d
d18101ae0b4e72051f735ef68f45e1a8
381464f639f98bd388c29326ca7f862c
aa1b025ec0243f708bb5eb0a93d6fb52
830074c59291938a55b480dcbee4697e
author_id_fullname_str_mv 7d95ed2bceb18fc0fdfd4048277c6eed_***_Thomas Jovic
681cf87df3796a68ef3da257db7a0a3f_***_John Gibson
c7bbcd83338d226f4c6157a682694a6d_***_Matt Jovic
d18101ae0b4e72051f735ef68f45e1a8_***_Thomas Dobbs
381464f639f98bd388c29326ca7f862c_***_Rowena Griffiths
aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
830074c59291938a55b480dcbee4697e_***_Iain Whitaker
author Thomas Jovic
John Gibson
Matt Jovic
Thomas Dobbs
Rowena Griffiths
Ashley Akbari
Iain Whitaker
author2 Thomas Jovic
John Gibson
Matt Jovic
Thomas Dobbs
Rowena Griffiths
Ashley Akbari
Iain Whitaker
format Journal article
container_title Frontiers in Pediatrics
container_volume 11
publishDate 2023
institution Swansea University
issn 2296-2360
doi_str_mv 10.3389/fped.2023.1148975
publisher Frontiers Media SA
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
url http://dx.doi.org/10.3389/fped.2023.1148975
document_store_str 1
active_str 0
description Introduction: Children with visible facial differences are believed to be at increased risk of negative psychosocial behaviours which may manifest as affective disorders. The aim of this study was to determine whether a diagnosis of microtia, and the associated surgical intervention, is associated with psychosocial implications including impaired educational attainment and a diagnosis of an affective disorder.Methods: A retrospective case-control study was conducted using data linkage to identify patients in Wales with a diagnosis of microtia. Matched controls were sought on the basis of age, gender and socioeconomic deprivation status to yield a total sample size of 709. incidence was calculated using annual and geographic birth rates. Surgical operation codes were used to classify patients into those that had no surgery, autologous reconstruction or prosthetic reconstruction. Educational attainment at 11 years of age, plus a diagnosis of depression or anxiety were used as markers of adverse psychosocial outcomes and the relative risk was attained using logistic regression analyses.Results: There were no significant associations between a diagnosis of microtia and an increased risk of adverse educational attainment or a risk of an affective disorder diagnosis. Male gender and higher deprivation scores were significantly associated with poorer educational attainment, irrespective of a diagnosis of microtia. Surgical intervention of any nature was also not associated with any increased risk of adverse educational or psychosocial outcomes in microtia patients.Discussion: Microtia patients in Wales do not appear to be at greater risk of developing affective disorders or impaired academic performance as a result of their diagnosis or associated surgical intervention. Whilst reassuring, the need for appropriate support mechanisms to maintain positive psychosocial wellbeing and academic achievement in this patient cohort is reinforced.
published_date 2023-04-18T13:33:10Z
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