Piezosurgery as a Further Technical Adjunct in Minimally Invasive Supraorbital Keyhole Approach and Lateral Orbitotomy

Iacoangeli, Maurizio; Rienzo, Alessandro Dı; Nocchi, Niccolò; Balercia, Paolo; Lupi, Ettore; Regnicolo, Luana; Somma, Lucia Giovanna Maria di; Alvaro, Lorenzo; Scerrati, Massimo

doi:10.1055/s-0034-1368685

Cited by 7 publications

(4 citation statements)

References 17 publications

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“… 82 Another field in which the piezosurgical device is applied nowadays is the harvesting of microvascular free bone flaps. 83 An interdisciplinary use of the piezoelectric device is for orbital surgery 84 – 87 or around the optic nerve canal. 88 The piezoelectric device is also implemented in ear, nose, and throat surgery, 89 – 94 hand surgery, 95 , 96 and thoracic surgery.…”

Section: Clinical Applicationsmentioning

confidence: 99%

Piezosurgery in implant dentistry

Stübinger¹,

Stricker²,

Berg³

2015

CCIDE

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Piezosurgery, or the use of piezoelectric devices, is being applied increasingly in oral and maxillofacial surgery. The main advantages of this technique are precise and selective cuttings, the avoidance of thermal damage, and the preservation of soft-tissue structures. Through the application of piezoelectric surgery, implant-site preparation, bone grafting, sinus-floor elevation, edentulous ridge splitting or the lateralization of the inferior alveolar nerve are very technically feasible. This clinical overview gives a short summary of the current literature and outlines the advantages and disadvantages of piezoelectric bone surgery in implant dentistry. Overall, piezoelectric surgery is superior to other methods that utilize mechanical instruments. Handling of delicate or compromised hard- and soft-tissue conditions can be performed with less risk for the patient. With respect to current and future innovative surgical concepts, piezoelectric surgery offers a wide range of new possibilities to perform customized and minimally invasive osteotomies.

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Section: Clinical Applicationsmentioning

confidence: 99%

Piezosurgery in implant dentistry

Stübinger¹,

Stricker²,

Berg³

2015

CCIDE

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“…The authors concluded that when including the time required to protect the soft tissue and eventual repair of soft tissues if harmed when using more traditional bone cutting tools, it is likely that there was not an overall difference in total operative time. 40 44 This experience was shared by another group as well. 45 …”

Section: Innovations In Surgical Devicesmentioning

confidence: 85%

Novel surgical approaches to the orbit

Campbell¹,

Grob²,

Yoon³

2015

Middle East Afr J Ophthalmol

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Determining safe surgical access to the orbit can be difficult given the complex anatomy and delicacy of the orbital structures. When considering biopsy or removal of an orbital tumor or repair of orbital fractures, careful planning is required to determine the ideal approach. Traditionally, this has at times necessitated invasive procedures with large incisions and extensive bone removal. The purpose of this review was to present newly techniques and devices in orbital surgery that have been reported over the past decade, with aims to provide better exposure and/or minimally invasive approaches and to improve morbidity and/or mortality.

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“…The use of piezoelectric scalpel enhance safety by preventing injuries to nonosseous structures and allows to realize precise, thin osteotomies, so facilitating the subsequent bone healing with better esthetic result. [ 5 6 7 ]…”

Section: Discussionmentioning

confidence: 99%

Combined supra-transorbital keyhole approach for treatment of delayed intraorbital encephalocele: A minimally invasive approach for an unusual complication of decompressive craniectomy

L¹,

Iacoangeli²,

Nasi³

et al. 2016

Surg Neurol Int

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Background:Intraorbital encephalocele is a rare entity characterized by the herniation of cerebral tissue inside the orbital cavity through a defect of the orbital roof. In patients who have experienced head trauma, intraorbital encephalocele is usually secondary to orbital roof fracture.Case Description:We describe here a case of a patient who presented an intraorbital encephalocele 2 years after severe traumatic brain injury, treated by decompressive craniectomy and subsequent autologous cranioplasty, without any evidence of orbital roof fracture. The encephalocele removal and the subsequent orbital roof reconstruction were performed by using a modification of the supraorbital keyhole approach, in which we combine an orbital osteotomy with a supraorbital minicraniotomy to facilitate view and access to both the anterior cranial fossa and orbital compartment and to preserve the already osseointegrated autologous cranioplasty.Conclusions:The peculiarities of this case are the orbital encephalocele without an orbital roof traumatic fracture, and the combined minimally invasive approach used to fix both the encephalocele and the orbital roof defect. Delayed intraorbital encephalocele is probably a complication related to an unintentional opening of the orbit during decompressive craniectomy through which the brain herniated following the restoration of physiological intracranial pressure gradients after the bone flap repositioning. The reconstruction of the orbital roof was performed by using a combined supra-transorbital minimally invasive approach aiming at achieving adequate surgical exposure while preserving the autologous cranioplasty, already osteointegrated. To the best of our knowledge, this approach has not been previously used to address intraorbital encephalocele.

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Piezosurgery as a Further Technical Adjunct in Minimally Invasive Supraorbital Keyhole Approach and Lateral Orbitotomy

Cited by 7 publications

References 17 publications

Piezosurgery in implant dentistry

Piezosurgery in implant dentistry

Novel surgical approaches to the orbit

Combined supra-transorbital keyhole approach for treatment of delayed intraorbital encephalocele: A minimally invasive approach for an unusual complication of decompressive craniectomy

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