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1 results

  • Rating the aesthetic results after auricular reconstructive surgery for congenital aural atresia with microtia

  • Njima Schläpfer, Livia Papp, Dirk Lehnick, Meike Harder, Daniel Simmen, Thomas Linder
  • Journal:
    The Journal of Laryngology & Otology / Volume 138 / Issue 10 / October 2024
    Published online by Cambridge University Press:
    16 May 2024, pp. 1024-1029
    Print publication:
    October 2024
    • Article
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  • Objective

    This retrospective study aimed to establish a robust rating system for assessing post-operative outcomes in congenital aural atresia patients undergoing auricular reconstruction. The newly introduced EAR scale, a weighted grading system, not only considers anatomical landmarks but also factors such as ear alignment. In addition, the outer-ear cartilage scale and the visual analogue scale (VAS) were introduced. These scales were compared among themselves and against two established scales.

    Methods

    Nine raters assessed 17 eligible patients who underwent auricular reconstruction between 2001 and 2020.

    Results

    The study compared inter-rater agreement among scales, with the EAR scale proving the most reliable (Krippendorff's alpha coefficient, α = 0.45), outperforming existing measures. The outer-ear cartilage scale and the VAS exhibited lower inter-rater agreement, indicating inferiority in assessing aesthetic outcomes.

    Conclusion

    The EAR scale emerged as an effective tool for evaluating post-operative outcomes in congenital aural atresia auricular reconstruction.