Piezosurgery: Ten Years' Experience of Percutaneous Osteotomies in Rhinoplasty

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Massimo RobionyLeonardo Franz

Abstract

The possibility to obtain precise osteotomies without major soft tissue damage represents a key point in modern approaches to rhinoplasty. In 2007, the authors first described their ultrasonic approach for percutaneous nasal bone osteotomies with minimal periosteal detachment. In this article, they retrospectively analyze the results of their piezo-surgical rhinoplasty technique through their 10-year experience and describe new perspectives of this technique. A series of 183 patients was retrospectively evaluated. Surgical technique was based on piezoelectric external nasal osteotomies, performed percutaneously, without periosteal detachment. For the last patients, the piezoelectric instrument also was tracked with a navigator (piezo-navigated approach). Data on surgery, hospitalization, ecchymosis, edema, and postoperative complications were evaluated. Of the 183 patients, 168 (91.8%) showed grade 0 or 1 edema. Grade 2 edema was noticed in only 15 of 183 patients (8.2%). In 6 of the 183 procedures (3.3%), postoperative complications potentially related to the piezoelectric osteotomy system occurred. The piezoelectric external approach can be considered a safe and reliable technique. Preliminary data suggest the possibility of ...Continue Reading

Citations

Jan 30, 2020·Aesthetic Surgery Journal·Prateush SinghAfshin Mosahebi
Dec 7, 2021·Frontiers in Surgery·Yueying LiShusen Cui

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