“…13e15 It has been described that psychosocial problems begin in microtia patients around eight to ten years of age, consistent with the belief that the psychological issues become greater as the child enters school and enters adolescence. 16 It has been shown that the prevalence of mood disorders, including depression, interpersonal sensitivity/social difficulties, and hostility/aggression, increases with age in patients who have not had reconstructive surgery. 17 As a point of comparison, reviews of psychosocial functioning in children with cleft lip/palate have found generally adaptive adjustment and selfesteem, with specific concerns with behavioral problems, dissatisfaction with facial appearance, and some aspects of social functioning.…”