Effectiveness and Safety of Non-Surgical Otoplasty Using APTOS Threads: A Retrospective Study.

[IMPORTANCE] Prominent ear deformities can negatively impact self-esteem and social well-being. Surgical otoplasty is effective but is associated with complications, longer recovery, and altered ear contours.

[OBJECTIVE] To evaluate the effectiveness and safety of non-surgical otoplasty using Aptos threads for the correction of prominent ear deformities and other auricular deformities.

[DESIGN] Retrospective observational study.

[SETTING] Single-center study conducted at AL-GOUSOUS Medical Center, Amman, Jordan.

[PARTICIPANTS] A total of 250 patients (500 ears) aged 7-67 years (mean age: 30.6 ± 12.9 years), including 41 participants under 18. Inclusion criteria were prominent ears, asymmetry, congenital deformities, or complications from previous surgery. Exclusion criteria included pregnancy, keloid history, skin disorders, infections, or allergy to thread materials.

[INTERVENTION OR EXPOSURES] Thread-based otoplasty using the Aptos Sole Otoplasty Kit under local anesthesia, guided by pre-marked Π-shaped and U-shaped paths along the auricular cartilage.

[MAIN OUTCOME MEASURES] Patient satisfaction was assessed via EAR-Q modules (Appearance, Appearance Distress, Psychological and Social Function), and safety was evaluated using the EAR-Q Adverse Effects module. Aesthetic outcomes were evaluated with the Global Aesthetic Improvement Scale (GAIS). Follow-ups were conducted at 1 month and 1 year.

[RESULTS] Significant improvements were observed in all EAR-Q domains from baseline to 1 month and 1 year (p < 0.001), with the Appearance Distress score continuing to improve between the 1-month and 1-year follow-up. GAIS scores indicated exceptional or very good aesthetic results in 90% of patients at 1 month and 87% at 1 year. Adverse effects were minimal, with no reports of hematoma, infection, or scarring. Pain and numbness resolved by 1 year post-procedure.

[CONCLUSIONS] Aptos thread-based otoplasty is a safe and effective alternative to surgery for correcting prominent ears and auricular asymmetry, offering high patient satisfaction, minimal complications, and natural aesthetic results.

[RELEVANCE] This non-surgical approach offers a reliable, minimally invasive treatment option for patients seeking ear correction without the risks and downtime of traditional otoplasty.