Ear Molding Therapy: Laypersons’ Perceptions, Preferences, and Satisfaction with Treatment Outcome

• Published in: Plastic and reconstructive surgery. Global open Vol. 8; no. 7; p. e2902
• Main Authors: Vu, Giap H, Azzolini, Anthony, Humphries, Laura S, Mazzaferro, Daniel M, Kalmar, Christopher L, Zimmerman, Carrie E, Swanson, Jordan W, Taylor, Jesse A, Bartlett, Scott P
• Format: Journal Article
• Language: English
• Published: United States Copyright The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved 01.07.2020; Lippincott Williams & Wilkins; Wolters Kluwer
• Subjects: Original; Pediatric/Craniofacial
• ISSN: 2169-7574; 2169-7574
• DOI: 10.1097/GOX.0000000000002902

BACKGROUND:This study investigates laypersons’ perceptions of congenital ear deformities and preferences for treatment, particularly with ear molding therapy—an effective, noninvasive, yet time-sensitive treatment. METHODS:Laypersons were recruited via crowdsourcing to view photographs of normal ears or one of the following ear deformities, pre- and post-moldingconstricted, cryptotia, cupped/lopped, helical rim deformity, prominent, and Stahl. Participants answered questions regarding perceptions and treatment preferences for the ear. Statistical analyses included multiple linear and logistic regressions and Wilcoxon signed-rank tests. RESULTS:A total of 983 individuals participated in the study. All deformities were perceived as significantly abnormal, likely to impair hearing, and associated with lower psychosocial quality of life (all P < 0.001). For all deformities, participants were likely to choose ear molding over surgery despite the logistical and financial implications of ear molding (all P < 0.02). Participants were significantly more satisfied with the outcome of ear molding in all deformities compared with control, except constricted ears (all P < 0.002, except Pconstricted = 0.073). Concern for hearing impairment due to ear deformity was associated with increased likelihoods of seeing a physician (P < 0.001) and choosing ear molding despite treatment logistics and costs (all P < 0.001). CONCLUSIONS:Laypersons perceived all ear deformities as abnormal and associated with low psychosocial quality of life. Despite logistical and financial implications, laypersons generally desired molding therapy for ear deformities; treatment outcomes were satisfactory for all deformities except constricted ears. Timely diagnosis of this condition is crucial to reaping the benefits of ear molding therapy.