Piezosurgery for osteotomies in orbital surgery: Our experience and review of the literature

Abstract

Widely used in Oral and Maxillofacial Surgery, Piezosurgery(®) can also be useful in neurosurgical approaches in order to obtain a faster bone flap re-ossification, a better aesthetic result, and a lower risks of dural layer and soft tissue damage.

Novel surgical approaches to the orbit

“…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 …”

“…39 Bone may, in fact, heal with better realignment and cosmetic results. 40 There also appear to be a lower risk of seroma formation at the surgical site compared to traditional bone cutting tools. 39 The piezoelectric device also appears to be useful in cases of revision surgery where the presence of more scar tissue can make visualization during osteotomies more difficult.…”

Piezoelectric surgery—primary bone grafting in craniofacial trauma revisited

“…There is thought and evidence that bone healing is enhanced by the reduced size of the osteotomy and adjacent cellular damage. 8 Visibility is excellent due to minimal bleeding and the cavitation effect of removing osteotomy detritus. There is also a low acoustic and vibration impact.…”

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

“…Our experience is encouraging, and we believe its application in skull base procedures, where minimal invasiveness with smaller bony approaches is increasingly sought, can become one of the most promising fields of application. 1,2,21,22 Fig . 6 Performing a craniotomy with conventional instruments can sometimes lead to a pseudoarthrotic process with inflammatory tissue between bone edges with subsequent bone resorption and skin deflection.…”