Analyse psychosozialer Parameter nach Ohrrekonstruktionen mit Rippenknorpel – Entwicklung eines Kurztests

Steffen, Armin; Natrup, C Meyer Zu; König, Inke R.; Frenzel, H; Rotter, Nicole

doi:10.1055/s-0028-1100386

Cited by 7 publications

(5 citation statements)

References 9 publications

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“…In zahlreichen Untersuchungen wurden die Testg ü tekriterien (Validit ä t, Stabilit ä t und Objektivit ä t) gepr ü ft [7] . Die Itemreduktion auf 13 (KurzFSKN) [10] erfolgte unter der potenziellen Bedeutung f ü r plastisch-rekonstruktive Eingriff e im Kopf-Hals-Bereich. Eine nachtr ä gliche Analyse ergab, dass ü berwiegend Fragen aus dem psychosozialen Kompetenzbereich generiert wurden.…”

Section: Materials Und Methoden ▼unclassified

“…Eine anschlie ß ende Reduktion der Itemanzahl (KurzFSKN) erfolgte unter der Ma ß -gabe, die Items zu extrahieren, die eine potenzielle Bedeutung f ü r ä u ß ere Ver ä nderungen im Kopf-Hals-Bereich haben k ö nnten. Dabei ergab sich in einer Nachuntersuchung der Mikrotiedatens ä tze eine unver ä nderte Aussagekraft, sodass f ü r den klinischen Alltag ein weniger umst ä ndliches Instrument zur Verf ü gung stehen k ö nnte [10] . Ziel unserer Untersuchung war es, diesen KurzFSKN bei einer gel ä ufi geren Kopf-Hals-Fehlbildung wie Nasendeformit ä ten hinsichtlich seiner Ver ä nderungssensitivit ä t, diskriminativen Eigenschaften und Inhaltsvalidit ä t in einem prospektiven Studienansatz mit Vergleichsgruppe zu pr ü fen, um bei positiven Tendenzen eine ausf ü hrliche Kennwertanalyse der Test-Items in gr ö ß eren Patientenzahlen durchzuf ü hren.…”

Section: Psychosoziale Leistungseinsch ä Tzung Bei Patienten Mit Naseunclassified

“…Da f ü r die operierten SRP-Patienten keine zus ä tzlichen Kosten f ü r die ä u ß ere Korrektur anfi elen, ist es denkbar, dass in einem anderen Kollektiv mit rein ä sthetischen Rhinoplastiken und vornehmlich pers ö nlich getragenen fi nanziellem Aufwand ein unterschiedliches Ergebnis darzustellen gewesen w ä re. Die Gr ü nde f ü r die fehlende Best ä tigung der vorherigen guten Daten aus der FSKN-Verk ü rzung bei seltenen h ö hergradigen Ohrmuschelfehlbildungen [10] bleiben spekulativ; andere psychologische Kompensationsmechanismen bei gel ä ufi geren Gesichtsfehlbildungen wie Nasendeformit ä ten sind genauso denkbar wie die Ü berlegung, dass speziell SRP-Kandidaten ein spezifi sches Klientel darstellen.…”

Section: Septorhinoplastik-gruppeunclassified

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Psychosoziale Leistungseinschätzung bei Patienten mit Nasendeformitäten

Steffen

Rotter²,

Meyer³

et al. 2010

Laryngo-Rhino-Otol

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Section: Materials Und Methoden ▼unclassified

Section: Psychosoziale Leistungseinsch ä Tzung Bei Patienten Mit Naseunclassified

Section: Septorhinoplastik-gruppeunclassified

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Psychosoziale Leistungseinschätzung bei Patienten mit Nasendeformitäten

Steffen

Rotter²,

Meyer³

et al. 2010

Laryngo-Rhino-Otol

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“…7 Together, these factors necessitate the treatment of microtia with an interdisciplinary team composed of craniofacial surgeons, psychiatrists, speech therapists, and counselors for the patients and their parents. 8,9 Despite the evolution of current reconstructive options, the intricacies of the auricular anatomy make it challenging to achieve a satisfactory esthetic outcome. Certainly, the advent of tissue engineering has furthered efforts toward fabricating cartilaginous frameworks tailored to individual patient needs.…”

mentioning

confidence: 99%

“…In addition, microtia patients exhibit considerable psychosocial consequences, including depression, interpersonal sensitivity, social difficulties, hostility, and aggression 7 . Together, these factors necessitate the treatment of microtia with an interdisciplinary team composed of craniofacial surgeons, psychiatrists, speech therapists, and counselors for the patients and their parents 8,9 …”

mentioning

confidence: 99%

Tissue Engineering Auricular Cartilage: A Review of Auricular Cartilage Characteristics and Current Techniques for Auricular Reconstruction

Khan,

Zaki,

Brown

et al. 2024

Journal of Craniofacial Surgery

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Microtia and anotia are congenital auricular anomalies that negatively impact the psychosocial development of those affected. Because auricular cartilage is a type of elastic cartilage that lacks regenerative capacity, any notable defect in its structure requires a surgical approach to reconstructing the auricle. While there are several reconstructive options available between alloplastic and prosthetic implants, autologous rib cartilage grafts remain the most commonly used treatment modality. Still, this widely used technique is accompanied by significant patient discomfort in a young child and carries additional risks secondary to the traumatic process of rib cartilage extraction, such as pneumothorax and chest wall deformities, and the final esthetic results may not be ideal. To circumvent these limitations, tissue engineering approaches have been used to create a realistic-looking ear that mirrors the complex anatomy of the normal ear. This article reviews the biochemical and biomechanical properties of human auricular cartilage as they relate to design criteria. In addition, a variety of cell sources, biocompatible scaffolds, scaffold-free techniques, and mechanical and biological stimuli are discussed. This review aims to identify knowledge gaps in the literature related to auricular cartilage characteristics and make recommendations to drive the field of auricular tissue engineering.

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Effect of Protruding Ears on Visual Fixation Time and Perception of Personality

Litschel

Majoor

Tasman

2015

JAMA Facial Plast Surg

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rotruding ears continue to be perceived as a negative physical attribute in many cultural settings, with affected children frequently being ridiculed and adolescents experiencing reduced self-esteem. 1 Protruding ears have been associated with inferior cognitive performance at school, immaturity, less favorable personality traits, diminished selfconfidence, and social avoidance. 2,3 Media often select a person with large, prominent, or oddly shaped ears when wishing to depict an odd character or a less-intelligent individual. Few, if any, features are believed to elicit such negative responses as prominent or overly large ears. Prominent ears have been found to be significantly larger than normal ears. 4 From this perspective, protruding ears may be perceived as a stigma, defined as "an attribute or characteristic that conveys a social identity that is devalued in a particular social context," which includes "being the target of negative stereotypes, being rejected socially, being discriminated against, and being economically disadvantaged." 5(p505) Facial stigmata, such as scars, acne, strabismus, nasal deformities, and protruding ears are the most common reasons for a request for surgical revision. Persons with these facial stigmata provoke a negative reaction in the observer, with facial deformities having a negative effect on the perception of honesty, trustworthiness, and employability and, thereby, social functionality. 6 The relationship between visual deformities and high psychological distress was demonstrated to be close. 7 Several studies have IMPORTANCE Protruding ears are often thought to be a stigma, supposedly drawing attention and negatively influencing the perception of personality. These purported negative effects that may indicate corrective aesthetic otoplasty in patients too young to provide informed consent have not been quantified. OBJECTIVE To quantify attention directed toward protruding ears and its effect on the perception of selected personality traits. DESIGN, SETTING, AND PARTICIPANTS In this observational study conducted from August 1, 2013, to October 31, 2013, visual scan paths were recorded of 20 lay observers looking at photographs of faces of 20 children (age range, 5-19 years) with either protruding ears or ears morphed via computer software to appear nonprotruding. Subsequently, the observers rated 10 perceived personality traits based on the same photographs. MAIN OUTCOMES MEASURES Visual fixation time on protruding vs nonprotruding ears was compared and correlated with observers' scores for personality traits. RESULTS Fixation time on protruding ears was significantly longer compared with that for morphed nonprotruding ears (mean [SD], 9.6% [5.6%] vs 5.8% [3.2%] of total fixation time, P = .04). The difference between the overall personality questionnaire scores and between individual scores for assiduousness, intelligence, and likeability was not significant for protruding and nonprotruding ears. Faces in which the protruding auricles received the highest percentage of vis...

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Analyse psychosozialer Parameter nach Ohrrekonstruktionen mit Rippenknorpel – Entwicklung eines Kurztests

Cited by 7 publications

References 9 publications

Psychosoziale Leistungseinschätzung bei Patienten mit Nasendeformitäten

Psychosoziale Leistungseinschätzung bei Patienten mit Nasendeformitäten

Tissue Engineering Auricular Cartilage: A Review of Auricular Cartilage Characteristics and Current Techniques for Auricular Reconstruction

Effect of Protruding Ears on Visual Fixation Time and Perception of Personality

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