Satisfaction and health-related quality of life of patients with microtia following reconstructive surgery using the Nagata technique

Abstract

Objective This study aimed to investigate the functional outcomes, satisfaction, and quality of life of patients with microtia following reconstructive surgery. Methods This cross-sectional study was conducted using retrospective data of patients with microtia following reconstructive surgery using the Nagata technique. Data were obtained from the medical records of patients who underwent reconstructive surgery at the Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology, Head and Neck Surgery, Dr. Cipto Mangunkusumo Hospital between 2014 and 2018. All eligible patients were referred to participate in this study between November 2018 and March 2019. The hearing function was assessed by a professional audiologist after surgery. Patient satisfaction was evaluated by interview using a previously developed questionnaire, while quality of life was assessed using the EuroQol-5D-Young questionnaire. Results Thirty-one eligible subjects were included in the study. Pain and discomfort were the most commonly reported factors related to the quality of life following surgery. Approximately 67.7% of the patients were satisfied; 19.4% were very satisfied, and 12.9% reported acceptance of their surgical outcomes. The most common complication was infection (n = 8). Most patients did not experience any problems in their lives after microtia surgery. Conclusions The highest rate of satisfactory outcomes was observed for the lobule subunit, which was assumed to be associated with the use of the Z-plasty technique. The most common complication was infection, as environmental hygiene was the most important factor. Thus, further concern for maintaining good hygiene is necessary to improve the quality of reconstructive surgery. The level of satisfaction with microtia reconstructive surgery was adequate. Most patients had a good health-related quality of life without experiencing any problems.

Intelligence among ear deformities and cleft lip and/or alveolus and/or cleft palate patients during 50 years in Israel

“…Some subsequently undergo several surgical interventions 36 . This compares with individuals with auricle anomalies reconstruction who report favourable quality of life outcomes for various techniques, which usually require only one or two stages 37 . The overall well‐being of individuals after reconstruction for auricle anomalies can be related to better academic achievements, as reported in numerous previous studies 38 .…”

Brent Technique of Repair Versus Nagata Auricular Reconstruction for Microtia Reconstruction: A Systematic Review and Meta-Analysis

“…After screening titles for relevancy to the topic, 88 articles remained. Twelve of those studies met the inclusion criteria 3–14 . Four studies utilized the Brent method of repair with inclusion of 563 ear reconstructions.…”

“…Twelve of those studies met the inclusion criteria. [3][4][5][6][7][8][9][10][11][12][13][14] Four studies utilized the Brent method of repair with inclusion of 563 ear reconstructions. Nine studies implemented the Nagata technique in 2304 reconstructions.…”

Outcomes of Autologous Reconstruction in Comparison with Alloplastic in Microtia Patients

“…In the literature search, no study comparing the quality of life between patients receiving autologous and alloplastic reconstruction. Some have studied the quality-of-life following ear reconstruction using a certain technique, such as Widodo et al 6 who found many patients have good health-related quality of life (HRQoL) after ear reconstruction using the Nagata technique (autologous) and Braun et al 11 who found that alloplastic reconstruction using MedPor® significantly increase patient's HRQoL. These findings are supported by a systematic review stating that both autologous and alloplastic reconstruction has good outcomes in HRQoL.…”

“…The questions evaluate the aesthetic outcomes, functional outcomes, psychosocial outcomes, and clinic-related outcomes. 6,7 This paper aims to discover through literature whether autologous or alloplastic material is a better choice for auricular reconstruction.…”