{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T20:46:49Z","timestamp":1766436409577,"version":"3.48.0"},"reference-count":10,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Importance<\/jats:title>\n Prominent ear deformities can negatively impact self\u2010esteem and social well\u2010being. Surgical otoplasty is effective but is associated with complications, longer recovery, and altered ear contours.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To evaluate the effectiveness and safety of non\u2010surgical otoplasty using Aptos threads for the correction of prominent ear deformities and other auricular deformities.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective observational study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Single\u2010center study conducted at AL\u2010GOUSOUS Medical Center, Amman, Jordan.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n A total of 250 patients (500 ears) aged 7\u201367\u2009years (mean age: 30.6\u2009\u00b1\u200912.9\u2009years), 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.<\/jats:p>\n <\/jats:sec>\n \n Intervention or Exposures<\/jats:title>\n Thread\u2010based otoplasty using the Aptos Sole Otoplasty Kit under local anesthesia, guided by pre\u2010marked \u03a0\u2010shaped and U\u2010shaped paths along the auricular cartilage.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n Patient satisfaction was assessed via EAR\u2010Q modules (Appearance, Appearance Distress, Psychological and Social Function), and safety was evaluated using the EAR\u2010Q Adverse Effects module. Aesthetic outcomes were evaluated with the Global Aesthetic Improvement Scale (GAIS). Follow\u2010ups were conducted at 1\u2009month and 1\u2009year.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Significant improvements were observed in all EAR\u2010Q domains from baseline to 1\u2009month and 1\u2009year (\n p<\/jats:italic>\n \u2009<\u20090.001), with the Appearance Distress score continuing to improve between the 1\u2010month and 1\u2010year follow\u2010up. GAIS scores indicated exceptional or very good aesthetic results in 90% of patients at 1\u2009month and 87% at 1\u2009year. Adverse effects were minimal, with no reports of hematoma, infection, or scarring. Pain and numbness resolved by 1\u2009year post\u2010procedure.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Aptos thread\u2010based 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.<\/jats:p>\n <\/jats:sec>\n \n Relevance<\/jats:title>\n This non\u2010surgical approach offers a reliable, minimally invasive treatment option for patients seeking ear correction without the risks and downtime of traditional otoplasty.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocd.70581","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:24:54Z","timestamp":1765358694000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness and Safety of Non\u2010Surgical Otoplasty Using\n APTOS<\/scp>\n Threads: A Retrospective Study"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6498-9962","authenticated-orcid":false,"given":"Haidar Nabeeh","family":"Algousous","sequence":"first","affiliation":[{"name":"AL\u2010GOUSOUS Medical Center Amman Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7864-0668","authenticated-orcid":false,"given":"Mariam","family":"Nikolaishvili","sequence":"additional","affiliation":[{"name":"School of Natural Sciences and Medicine Ilia State University Tbilisi Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6097-6873","authenticated-orcid":false,"given":"Marlen","family":"Sulamanidze","sequence":"additional","affiliation":[{"name":"Clinic of Plastic and Aesthetic Surgery and Cosmetology \u201cTotal Charm Orbeliani\u201d Tbilisi Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001665\u2010200309000\u201000008"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2020.05.075"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102008\u20101064545"},{"volume-title":"UpToDate","year":"2024","author":"Isaacson G. C.","key":"e_1_2_10_5_1"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0b013e3182326dfb"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000155284.96308.32"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2013.08.001"},{"volume-title":"Transactions of the International Society of Plastic Surgeons, Second Congress, AB Wallace","year":"1960","author":"Mustard\u00e9 J. C.","key":"e_1_2_10_9_1"},{"volume-title":"R: A Language and Environment for Statistical Computing. Version 4.4.1","year":"2024","author":"R Core Team","key":"e_1_2_10_10_1"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2017.05.033"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70581","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T18:28:45Z","timestamp":1766428125000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.70581"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/jocd.70581"],"URL":"https:\/\/doi.org\/10.1111\/jocd.70581","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"type":"print","value":"1473-2130"},{"type":"electronic","value":"1473-2165"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-06-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70581"}}