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Background <p>Otoplasty is a common childhood procedure to correct prominent ears, often intended to protect children from bullying and improve self-esteem. While short-term cosmetic and psychological benefits are well established, long-term decision regret has not been sufficiently studied.</p> Methods <p>A retrospective cross-sectional study was conducted at King Khalid University Hospital and King Abdulaziz University Hospital. Adults aged ≥ 18 years with documented primary otoplasty before 18 years were eligible. Surgical data were retrieved from medical records, while demographics, socioeconomic factors, and regret were assessed using phone interviews and the validated Decision Regret Scale (DRS). Statistical analysis was performed with JASP 0.19.03 using chi-square and independent t-tests.</p> Results <p>A total of 101 participants were included (50.5% female). Most underwent otoplasty between 18 and 29 years (86.1%). While demographic distributions were statistically uneven (<i>p</i> &lt; 0.001), no structured analysis demonstrated statistically significant associations between these variables and regret scores. No significant difference was observed by gender (<i>p</i> = 1.000).</p> Conclusions <p>Otoplasty during Childhood is generally associated with long-term satisfaction, but a subset of adults experience decision regret was generally low, with no statistically significant differences across surgical techniques or key demographic variables. These findings emphasize the importance of thorough preoperative counseling and shared decision-making to reduce regret and enhance long-term psychological outcomes. Level of Evidence: not gradable.</p>

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Determinants of long-term decision regret following childhood otoplasty: a comparative study of surgical technique and decisional context

  • 期刊论文

  • 发表日期：

    2026年6月18日

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  • Mohammed Naif Alsubhi,
  • Bandar Nawaf M Alshammari,
  • Reem Hassan Kholisi,
  • Hisham Alghamdi,
  • Dania Abdullah Albader,
  • Yusef Hamzh Albog,
  • Abdullah S. AlDughaither

摘要

Background

Otoplasty is a common childhood procedure to correct prominent ears, often intended to protect children from bullying and improve self-esteem. While short-term cosmetic and psychological benefits are well established, long-term decision regret has not been sufficiently studied.

Methods

A retrospective cross-sectional study was conducted at King Khalid University Hospital and King Abdulaziz University Hospital. Adults aged ≥ 18 years with documented primary otoplasty before 18 years were eligible. Surgical data were retrieved from medical records, while demographics, socioeconomic factors, and regret were assessed using phone interviews and the validated Decision Regret Scale (DRS). Statistical analysis was performed with JASP 0.19.03 using chi-square and independent t-tests.

Results

A total of 101 participants were included (50.5% female). Most underwent otoplasty between 18 and 29 years (86.1%). While demographic distributions were statistically uneven (p < 0.001), no structured analysis demonstrated statistically significant associations between these variables and regret scores. No significant difference was observed by gender (p = 1.000).

Conclusions

Otoplasty during Childhood is generally associated with long-term satisfaction, but a subset of adults experience decision regret was generally low, with no statistically significant differences across surgical techniques or key demographic variables. These findings emphasize the importance of thorough preoperative counseling and shared decision-making to reduce regret and enhance long-term psychological outcomes. Level of Evidence: not gradable.