Piezoelectric surgery versus mechanical drilling for orbital floor decompression: effect on infraorbital hypoaesthesia

Naik, Milind N.; Nema, Ankita; Ali, Mohammed

doi:10.1080/01676830.2018.1521844

Cited by 10 publications

(11 citation statements)

References 7 publications

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“…There was a significant reduction in the rate of hypoesthesia with piezoelectric surgery compared to drilling. 13 A retrospective study using piezoelectric device for transantral ION decompression to treat trigeminal neuralgia associated with ''compression syndrome'' showed 78% excellent pain relief, however, 11/14 had mild to severe postoperative ION numbness, with a mean follow up of 29 months. 17 The concern with ION decompression using piezoelectric technology is that the nerve is located within a bony canal that can potentially transmit destructive oscillations to the underlying nerve causing structural and physiologic conduction deficits.…”

Section: Discussionmentioning

confidence: 99%

“…Piezoelectric surgery has been safely used for orbital decompression to treat thyroid-associated orbitopathy. [12][13][14][15] To avoid ION injury, or hypoglobus, the infraorbital canal is usually spared during floor decompression, except for severe cases. 16 A recent nonrandomized retrospective study of patients with (thyroid-associated orbitopathy) undergoing orbital floor decompression, between the inferomedial orbital strut to the ION canal, compared piezoelectric surgery (13 patients) versus mechanical drilling (11 patients).…”

Section: Discussionmentioning

confidence: 99%

“…The precision, ease of instrumentation, decreased risk of soft tissue injury, and less blood loss make piezoelectric surgery an appealing choice for orbital surgery where there are vital structures in a limited anatomical space. Piezoelectric surgery has been safely used for orbital decompression to treat thyroid-associated orbitopathy 12–15 . To avoid ION injury, or hypoglobus, the infraorbital canal is usually spared during floor decompression, except for severe cases 16 .…”

Section: Discussionmentioning

confidence: 99%

“…A recent nonrandomized retrospective study of patients with (thyroid-associated orbitopathy) undergoing orbital floor decompression, between the inferomedial orbital strut to the ION canal, compared piezoelectric surgery (13 patients) versus mechanical drilling (11 patients). There was a significant reduction in the rate of hypoesthesia with piezoelectric surgery compared to drilling 13 . A retrospective study using piezoelectric device for transantral ION decompression to treat trigeminal neuralgia associated with “compression syndrome” showed 78% excellent pain relief, however, 11/14 had mild to severe postoperative ION numbness, with a mean follow up of 29 months 17 …”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Infraorbital Nerve Decompression for Chronic Post Traumatic Neuralgia: A Novel Approach and Review of the Safety and Efficacy of Piezoelectric Surgery on Soft Tissues and Nerves

Viennas

Wagner

2021

Journal of Craniofacial Surgery

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In the present case, the patient had a previous clinical diagnosis of decompensated type 2 DM, corroborating with Ko et al, 4 in which he found that chronic hyperglycemia worsens odontogenic infections, alters oral vascularization, and increases the time for wound healing.The diagnosis of odontogenic infections with characteristics of NF is essential. Immediate treatments include surgical debridement and broad-spectrum antibiotic therapy, with hyperbaric oxygen therapy and the graft technique, associated with PBM, as an adjuvant therapy to improve surgical results. 5 In this report, grafting was not used because the patient did not want to be operated on due to the risk of loss of the grafted tissue due to her systemic conditions.A review of the literature on PBM in wound healing in DM revealed that the most satisfactory results were observed when an energy density of 3 to 5 J/cm 2 and a wavelength of 632.8 nm was used. 6 Photobiomodulation is a safe technique as long as it is used within the appropriate parameters. It contributes to reducing the healing time, patient discomfort, and improving histological tissue organization. 3,6 ACKNOWLEDGMENTSWe appreciate the collaboration and encouragement of the chief of the Oral and Maxillofacial Surgeon Service at the hospital.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Infraorbital Nerve Decompression for Chronic Post Traumatic Neuralgia: A Novel Approach and Review of the Safety and Efficacy of Piezoelectric Surgery on Soft Tissues and Nerves

Viennas

Wagner

2021

Journal of Craniofacial Surgery

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confidence: 99%

Overlooked Piece of Wood Served as a Vector Transmitting Clostridium Perfringens: A Case Report Emphasizing the Awareness of Gas-Forming Organisms in Posttraumatic Pneumocephalus

Andereggen

Beck

2021

Journal of Craniofacial Surgery

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reduction in the rate of hypoesthesia with piezoelectric surgery compared to drilling. 13 A retrospective study using piezoelectric device for transantral ION decompression to treat trigeminal neuralgia associated with ''compression syndrome'' showed 78% excellent pain relief, however, 11/14 had mild to severe postoperative ION numbness, with a mean follow up of 29 months. 17 The concern with ION decompression using piezoelectric technology is that the nerve is located within a bony canal that can potentially transmit destructive oscillations to the underlying nerve causing structural and physiologic conduction deficits. The effects of ultrasonic waves transmitted through bone causing nerve injury was demonstrated by Tao et al, 18 who developed a novel mouse model using external ultrasound energy to achieve focal indirect optic nerve injury. Using a microtip probe which transmitted 20 kHz ultrasound waves at the supraorbital ridge, directly above the optic nerve, the ultrasound waves were delivered through the bone at the fixed portion of the optic nerve at the entrance to the optic canal resulting in focal optic nerve injury. Therefore, caution with a piezoelectric device near nerve tissue that is encased within bone is paramount to avoid injury.This case study demonstrates a novel approach for ION decompression to treat chronic hyperesthesia associated with a healed orbital floor fracture. Defining the limits of the healed fracture was facilitated by intraoperative 3D navigation. Piezoelectric device provided precision, minimal bleeding, and no clinical evidence of structural nerve injury. However, we recommend judicious use of this device when in close proximity to the ION during decompression to avoid structural and or physiologic injury.

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Surgical Management of Thyroid Eye Disease

Carniciu¹,

Cho

Kahana³

2020

Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery

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Piezoelectric surgery versus mechanical drilling for orbital floor decompression: effect on infraorbital hypoaesthesia

Cited by 10 publications

References 7 publications

Infraorbital Nerve Decompression for Chronic Post Traumatic Neuralgia: A Novel Approach and Review of the Safety and Efficacy of Piezoelectric Surgery on Soft Tissues and Nerves

Infraorbital Nerve Decompression for Chronic Post Traumatic Neuralgia: A Novel Approach and Review of the Safety and Efficacy of Piezoelectric Surgery on Soft Tissues and Nerves

Overlooked Piece of Wood Served as a Vector Transmitting Clostridium Perfringens: A Case Report Emphasizing the Awareness of Gas-Forming Organisms in Posttraumatic Pneumocephalus

Surgical Management of Thyroid Eye Disease

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