Psychic Stakes of Reconstructive Plastic Surgery in Children With Ear Aplasia (EPCHIRPRORL)

Assistance Publique - Hôpitaux de Paris

Status: Completed

Conditions: Ear Aplasia

Treatments: Behavioral: Psychological monitoring

Study type: Observational

Funder types: Other

Identifiers

NCT04063020

2019-A00908-49 (Other Identifier)

APHP190363

Details and patient eligibility

About

The objective of the study is to analyse :

• Psychic experience of ear aplasia in children ;
• the modalities of their psychic functioning ;
• and the psychological repercussions of the plastic reconstruction surgery

Full description

Children with an ear aplasia have various cares (ENT, speech therapy, hearing aids and tomodensiometry) up to the proposal of the plastic reconstruction surgery at 9/10 years old.

The surgical technique used and preferred within Necker Hospital for these children is that of Saturo Nagata (1994).

This surgical protocol takes place in two times, spaced by 9 months. This surgery does not allow hearing better since it targets is only a reconstruction of the pinna. To date, no research has highlighted the subjective experience of a child with an aplasia of ear and of what this surgery engages and demands on the side of psychological work.

The purpose of this research is to interrogate the children's subjective experience with an unilateral ear aplasia and who wishes a plastic reconstruction surgery for their aplase ear.

Enrollment: 12 patients

Sex: All

Ages: 10 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Minors of 10 to 16 years old
• Unilateral ear aplasia with or without articulatory disorders, followed and engaged in reconstruction surgery procedure within the ENT service of cervico-facial surgery of the Necker Hospital
• Children wishing a plastic reconstruction surgery and having received the approval of the medical team
• Francophone children
• Holders of parental authority and child voluntary for the research

Exclusion criteria

• Illiterate children
• Severe intellectual deficit
• Bilateral aplasia
• Syndromic impairment

Trial design

12 participants in 1 patient group

Reconstructive plastic surgery procedure

Description:

Minors with ear aplasia and initiating a reconstructive plastic surgery procedure

Treatment:

Behavioral: Psychological monitoring