Ultrasound Piezoelectric Vibrations to Perform Osteotomies in Rhinoplasty

Robiony, Massimo; Polini, Francesco; Costa, Fabio; Toro, Corrado; Politi, Massimo

doi:10.1016/j.joms.2005.11.082

Cited by 47 publications

(30 citation statements)

References 12 publications

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“…In contrast with other authors who claimed that the PMD necessarily creates a greenstick fracture [5,6], in our pilot study the osteotomies performed with the PMD appeared to be more precise, linear and efficient than those performed with the traditional osteotome. It was seen especially when a thick bony component required a complete detachment from the nasal process of the maxilla and any greenstick fracture occurred.…”

Section: Discussioncontrasting

confidence: 99%

“…Consistent with the literature [5,6], the experimental group reported fewer complications such as edema and periorbital ecchymosis as well as a substantial reduction in postoperative pain.…”

Section: Discussionsupporting

confidence: 88%

“…Authors skilled in maxillofacial surgery and rhinoplasty have performed lateral osteotomies and removal of the bonycartilaginous hump by using piezoelectric technology rather than the classic osteotome [5,6]. Our literature research however failed to find a study in which a control group was enrolled.…”

Section: Introductionmentioning

confidence: 99%

“…In our past experience, external osteotomy has proved to result in unnoticeable cutaneous scars one month after surgery, limited bleeding and edema and minimal periorbital ecchymosis with the preservation of the nasal mucosa [1]. A breakthrough in osteotomy was provided by the advent of the Mectron Piezosurgery Medical Device (PMD), an innovative instrument based on piezoelectric ultrasonic vibrations which has successfully been used to perform both closed and open rhinoplasty procedures, with fewer related complications [5,6]. The main benefits of this device are the harmless effect on soft tissues, the minimal bleeding and bruising, and the small pressure required to create bony cuts, which can destabilize the bony and the cartilaginous parts of the nose.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

External osteotomy in rhinoplasty: Piezosurgery vs osteotome

Tirelli

Tofanelli

Bullo

et al. 2015

American Journal of Otolaryngology

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

External osteotomy in rhinoplasty: Piezosurgery vs osteotome

Tirelli

Tofanelli

Bullo

et al. 2015

American Journal of Otolaryngology

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“…A careful surgical approach can help decrease this injury, but it may not be possible to prevent it completely. Recently, piezoelectric osteotomy was introduced as an alternative osteotomy method, including external percutaneous osteotomy in various countries . The piezoelectric effect, first described by Jean and Marie Curie in 1880, occurs when certain mineralised tissues deform when an electric current is passed across them by oscillations of ultrasonic frequency.…”

Section: Introductionmentioning

confidence: 99%

Effect of piezoelectric osteotomy on postoperative oedema and ecchymosis after rhinoplasty

Kim

Kang

Jin

et al. 2019

Clinical Otolaryngology

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Objectives This study evaluated the efficacy of piezoelectric osteotomy in reducing oedema and ecchymosis during rhinoplasty via a systematic review with meta‐analysis. Design and setting Two authors independently searched the referenced databases. PubMed, Embase, SCOPUS, the Web of Science, the Cochrane library and Google Scholar databases were systematically searched from inception to January 2019. Participants Sufficient data were retrieved for a meta‐analysis of six trials with a total of 327 patients. Main outcome measures They included studies that compared piezoelectric osteotomy (treatment groups) with conventional osteotomy (control group). The outcomes of interest were operative time, mucosal injury, oedema, ecchymosis and postoperative pain. Baseline study characteristics, quality of study, numbers of patients in the treatment and control groups and outcomes were extracted. Results Intraoperative mucosal injury was significantly lower in the treatment group vs the control group, but operative time was longer in the treatment group. Eyelid oedema and ecchymosis in the first seven days postoperatively were statistically decreased in the treatment group vs the control group. In addition, pain in the first three days postoperatively was statistically decreased in the treatment group vs the control group. However, in a subgroup analysis according to osteotomy visibility in the control group (blind osteotomy vs osteotomy under direct vision), there was no significant difference in oedema and ecchymosis between treatment and osteotomy under direct vision. Conclusions Piezoelectric osteotomy during rhinoplasty can reduce eyelid oedema and eyelid ecchymosis compared to conventional osteotomy. However, piezoelectric osteotomy had no significant advantages in terms of postoperative oedema and ecchymosis compared to osteotomy under direct vision.

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Osseocartilaginous Vault

Daniel¹,

Pálházi²

2018

Rhinoplasty

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Ultrasound Piezoelectric Vibrations to Perform Osteotomies in Rhinoplasty

Cited by 47 publications

References 12 publications

External osteotomy in rhinoplasty: Piezosurgery vs osteotome

External osteotomy in rhinoplasty: Piezosurgery vs osteotome

Effect of piezoelectric osteotomy on postoperative oedema and ecchymosis after rhinoplasty

Osseocartilaginous Vault

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