{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T04:35:45Z","timestamp":1791606945288,"version":"4.3.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T00:00:00Z","timestamp":1594252800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T00:00:00Z","timestamp":1594252800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Microtia UK"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Microtia is a medically complex condition, with the option of surgery to address hearing and reconstruct the ear. The current study explored adults\u2019 experiences of microtia, with a particular focus on the psychosocial impact and experiences of ear reconstruction. The ultimate aim was to identify areas for support and future research that could improve patient care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Fifteen adults (12 females) aged between 20 and 62 years took part in semi-structured interviews. Interviews were audio-recorded, transcribed verbatim, and analyzed using inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three main themes were identified in the data: microtia as an invisible difference, surgery as a welcome opportunity, and living well with microtia. Participants had incorporated microtia into their self-concept and did not report a lasting negative impact on their lives. However, some psychosocial challenges were reported, including anxiety about showing their ears (even after reconstruction), disclosing their diagnosis to romantic partners, surgical decision-making, and feeling unsupported in the work environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Individuals with microtia may benefit from psychosocial interventions to increase confidence, access to support for treatment decision-making, and guidance around disclosing microtia to employers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620931611","type":"journal-article","created":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T05:19:41Z","timestamp":1594271981000},"page":"1230-1237","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Exploring the Experiences of Adults With Microtia: A Qualitative Study"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9198-0053","authenticated-orcid":false,"given":"Claire","family":"Hamlet","sequence":"first","affiliation":[{"name":"Centre for Appearance Research, University of the West of England, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4285-5678","authenticated-orcid":false,"given":"Diana","family":"Harcourt","sequence":"additional","affiliation":[{"name":"Centre for Appearance Research, University of the West of England, Bristol, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,9]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181ef2a5b"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1597\/11-127"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2011.647701"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2016.06.011"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(01)00013-X"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-16387-7_5"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105310390246"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2001_038_0236_uoapca_2.0.co_2"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618768542"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-308"},{"key":"e_1_3_4_13_1","unstructured":"Henderson R Moffatt C. UK care standards for the management of patients with microtia and atresia. Published 2019. Accessed 5 November 2019. http:\/\/www.microtiauk.org\/wp-content\/uploads\/MICROTIA-and-ATRESIA-CARE-STANDARDS-final-May-2019-004.pdf"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.09.002"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922817734358"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.12.019"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001892"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-010-9502-1"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.34352"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.176.2.177"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1239448"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1740-1445(03)00005-6"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2018.08.002"},{"key":"e_1_3_4_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2011.588963"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619830884"},{"key":"e_1_3_4_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/2055102915619092"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-008-9249-0"},{"key":"e_1_3_4_28_1","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2019.7383"},{"key":"e_1_3_4_29_1","doi-asserted-by":"publisher","DOI":"10.1597\/16-115"},{"key":"e_1_3_4_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2019.12.002"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620931611","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665620931611","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620931611","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:20:15Z","timestamp":1777393215000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665620931611"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,9]]},"references-count":29,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1177\/1055665620931611"],"URL":"https:\/\/doi.org\/10.1177\/1055665620931611","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,9]]}}}