Evidence map›Paper›PMID 39947979›Full record

ArticleJournal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery2025

Surgical decision-making regarding hearing and ear reconstruction in craniofacial microsomia: Exploring caregiver narratives.

Nicola M Stock, Beth Herring, Leanne Magee, Alexis L Johns, Canice E Crerand, Carrie L Heike, Amy Schefer, Amelia F Drake, Melissa Tumblin, Kristin Billaud Feragen

Abstract read
In one paragraph

Article in Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nicola M StockCentre for Appearance Research, University of the West of England, Bristol, United Kingdom. Electronic address: Nicola2.Stock@uwe.ac.uk.
Beth HerringCentre for Appearance Research, University of the West of England, Bristol, United Kingdom.
Leanne MageeChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Alexis L JohnsDivision of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Canice E CrerandDepartments of Pediatrics and Plastic Surgery, The Ohio State University College of Medicine, Columbus, OH, USA.
Carrie L HeikeCenter for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA, USA.
Amy ScheferAdvocate Angel, Seattle, WA, USA.
Amelia F DrakeUniversity of North Carolina at Chapel School of Medicine, Chapel Hill, NC, USA.
Melissa TumblinEar Community, Inc. 280 E. 1st. Ave., Unit 704, Broomfield, CO, USA.
Kristin Billaud FeragenCentre for Rare Disorders, Oslo University Hospital, Oslo, Norway.

Funding

Craniofacial microsomia: Accelerating Research and Education (CARE)R01DE029510 · NIDCR · SEATTLE CHILDREN'S HOSPITAL · PI HEIKE, CARRIE LYN, STOCK, NICOLA · 2020 to 2024
$3.2M
NIDCR NIH HHS R01 DE029510
6 · The paper itself

Abstract

Treatment decision-making is an integral but complex part of healthcare, particularly in the context of craniofacial surgeries. The aim of the current study was to explore caregiver narratives to inform future surgical care delivery and best practice. 'Life Story' narrative interviews were conducted with US English- and Spanish-speaking caregivers (n = 62) of children aged 3-17 years with craniofacial microsomia (CFM). Extracts relating to treatment decision-making were inductively coded using Reflexive Thematic Analysis. Four themes were identified: 1) 'Grappling with Difference' exemplifies how participants dealt with having a child who was different; 2) 'Seeking Authoritative Guidance' illustrates how participants proactively pursued information about treatment options over several years; 3) 'In the Driving Seat' describes participants' beliefs about whether and how much to involve their child in treatment decisions; and 4) 'Post-Treatment Reflections' depicts participants' reflections of the decision-making experience. Surgeons and other healthcare providers are encouraged to use neutral and accessible language, to ensure families and children have a thorough understanding of all treatment pathways, and to engage in effective shared decision-making practices. Content predominantly focused on surgeries for ear reconstruction and hearing amplification. Future studies would benefit from examining other treatment decisions that caregivers are required to make.

Indexed as

CaregiversDecision MakingEarGoldenhar SyndromePlastic Surgery ProceduresAdolescentAdultChildChild, PreschoolFemaleHumansInterviews as TopicMaleNarrationGoldenharHemifacial microsomiaMicrotiaOAVSPsychosocialSurgery

Identifiers

PMID39947979
PMCPMC12225972

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.