Comparison of piezosurgery, percutaneous osteotomy, and endonasal continuous osteotomy techniques with a caprine skull model

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Sevgi Kurt YazarMemet Yazar

Abstract

Osteotomy is a crucial step in rhinoplasty, which can have a significant impact on the outcome. In addition to previous percutaneous (external perforating) and endonasal (internal) approaches, piezosurgery has been used in rhinoplasty practice since 2007. This experimental model was planned to compare the three osteotomy techniques. This study was performed on a caprine skull osteotomy model. Three groups were created from 12 animals, namely, endonasal continuous, external perforating, and piezosurgery groups. All the groups were evaluated for bone gaps, comminuted fractures, and nasal mucosa damage. There were no comminuted fractures and mucosal defects in any of the samples in the piezo osteotomy group. The average amount of bone gap at the osteotomy site and the nasal mucosa damage was lower in the piezo group than in the other groups. The time required for the osteotomy was shorter in the endonasal group, similar to that in the external and piezo groups. New techniques are constantly being developed to achieve better results in rhinoplasty. As a natural consequence to technological developments, new devices are being introduced to rhinoplasty practice. Piezo is one such device. We have found that piezo osteotomy has resulte...Continue Reading

Citations

May 7, 2019·The Journal of Craniofacial Surgery·Nevzat Demirbilek, Cenk Evren
Jul 7, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Holger G GassnerAbel-Jan Tasman
Jul 4, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Holger G GassnerAbel-Jan Tasman
Apr 25, 2021·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Léo LamassoureGuillaume Haïat
Dec 23, 2021·Plastic and Reconstructive Surgery·Connor McGuireMichael Bezuhly

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