ANALYSIS OF PATIENT SATISFACTION AND QUALITY OF LIFE AFTER MICROTIA RECONSTRUCTION IN 2 YEARS

ABSTRACT Background. Microtia is a congenital malformation of the external and middle ear that may lead to hearing impairment and psychosocial challenges. Surgical reconstruction using autologous costal cartilage remains the gold standard for treatment. Evaluating patient satisfaction and quality of life after reconstruction is essential in assessing surgical success. Method. This descriptive-analytic, cross-sectional study included microtia patients who underwent two-stage reconstruction at Universitas Airlangga Hospital between August 2022 and August 2024. Data were collected through an online questionnaire distributed via WhatsApp groups. A total of 28 eligible participants were analyzed using bivariate statistical tests. Result. Most participants were male (75%) with unilateral right-side microtia (57.1%) and the most common severity was grade 3 microtia (67.9%). The majority had isolated microtia without other congenital anomalies (67.9%). Overall satisfaction was classified as “moderate” (39.3%), while quality of life was rated as “very good” (57.1%). No significant association was found between the severity of microtia or the presence of congenital anomalies with patient satisfaction or quality of life (p > 0.05). Conclusion: The majority of microtia patients in Indonesia were male (75%), had right-sided unilateral microtia (57.1%), isolated cases (67.9%), and were classified as third-degree based on Hunter’s Classification (67.9%). Overall, 39.3% of patients reported being moderately satisfied with their surgical outcomes. Severity of the condition and the presence of congenital anomalies did not significantly influence satisfaction or quality of life post-reconstruction