Piezosurgery: Ten Years' Experience of Percutaneous Osteotomies in Rhinoplasty

Robiony, Massimo; Lazzarotto, Andrea; Nocini, Riccardo; Costa, Fabio; Sembronio, Salvatore; Franz, Leonardo

doi:10.1016/j.joms.2019.01.035

Cited by 25 publications

(28 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Piezo Surgery reduces the damage to adjacent soft tissues 11,14 . This has led to the development of minimally invasive techniques with buried or semi‐buried approaches 6,7,11,14 .…”

Section: Discussionmentioning

confidence: 99%

Computer‐assisted and navigated piezoelectric surgery: A new technology to improve precision and surgical safety in craniomaxillofacial surgery

Ferrer

Heredero

Castaño

et al. 2022

Laryngoscope Investig Oto

View full text Add to dashboard Cite

Background Computer‐assisted navigated piezoelectric surgery (CANPS) is a surgical technique that combines the surgical navigation with a piezoelectric device. This association multiplies the advantages of both technologies, taking the best of each one providing a synergistic association. Objective To describe and assess the indications, advantages, disadvantages, and complications of this association of surgical techniques. Methods CANPS was used in 32 patients. The clinical diagnosis was facial trauma, tumors, orthognathic surgeries, temporomandibular joint ankylosis, pathology of the frontal sinus, and alveolar distraction. Nineteen patients were men and 13 were women. Planning software iPlan 3.05 of Brainlab, and Elements of Brainlab were used for planning and the Kolibri and Kurve of Brainlab for surgical navigation. The piezoelectric device used was a “Vercelotti” type in all patients. Results CAPNS could be performed successfully in all cases without complications and reduced the surgeon's uncertainty during the osteotomies. There is continuous control of the position of the surgical instrument. The use of the navigated piezoelectric device allowed the surgeon's uncertainty to be reduced during the performance of the osteotomies in depth, in poorly visible areas, with little access or reduced visibility. It also increases the safety of bone resections near important anatomical structures. Conclusions CANPS combines the advantages of piezoelectric surgery and navigation. CANPS affords real‐time control of the position of the cutting tip and allows semiburied approaches. CANPS allows surgery to be precise, safer, and minimally invasive.

show abstract

“…Piezo Surgery reduces the damage to adjacent soft tissues 11,14 . This has led to the development of minimally invasive techniques with buried or semi‐buried approaches 6,7,11,14 .…”

Section: Discussionmentioning

confidence: 99%

Computer‐assisted and navigated piezoelectric surgery: A new technology to improve precision and surgical safety in craniomaxillofacial surgery

Ferrer

Heredero

Castaño

et al. 2022

Laryngoscope Investig Oto

View full text Add to dashboard Cite

show abstract

“…Since piezo surgery was first developed in 1988 by Italian oral surgeon Tomaso Vercelloti, it has been widely used in oral and maxillofacial surgery and otolaryngology-head and neck surgery as reported (37)(38)(39); moreover, to the authors' knowledge, the piezo surgery was not used previously in FRR. The piezoelectric ultrasound provides bone cutter ultrasonic micro-vibrations of 60-210 µm at 25-30 kHz, which allows for minimally invasive resection of the first rib without damaging soft tissues (28,29).…”

Section: Discussionmentioning

confidence: 99%

A Novel Approach to First-Rib Resection in Neurogenic Thoracic Outlet Syndrome

Liu

Zhang

et al. 2021

Front. Surg.

View full text Add to dashboard Cite

Objectives: The treatment for neurogenic thoracic outlet syndrome (NTOS) conventionally involves first-rib resection (FRR) surgery, which is quite challenging to perform, especially for novices, and is often associated with postoperative complications. Herein, we report a new segmental resection approach through piezo surgery that involves using a bone cutter, which can uniquely provide a soft tissue protective effect.Methods: This retrospective study involved the examination of 26 NTOS patients who underwent piezo surgery and another group of 30 patients who underwent FRR using the conventional technique. In the patient group that underwent piezo surgery, the rib was first resected into two pieces using a piezoelectric device and subsequently removed. In the patient group that underwent conventional surgery, the first rib was removed as one piece using a rib cutter and rongeurs.Results: The piezo surgery group had significantly shorter operative time (96.85 ± 14.66 vs. 143.33 ± 25.64 min, P < 0.001) and FRR duration (8.73 ± 2.11 vs. 22.23 ± 6.27 min, P < 0.001) than the conventional group. The posterior stump length of the residual rib was shorter in the piezo surgery group than in the conventional group (0.54 ± 0.19 vs. 0.65 ± 0.15 cm, P < 0.05). There were no significant differences in postoperative complications and scores of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, the Cervical Brachial Symptom Questionnaire (CBSQ), and the visual analog scale (VAS). Even the TOS index (NTOS Index = [DASH + (0.83 × CBSQ) + (10 × VAS)]/3) and patient self-assessments of both the groups showed no significant differences. Univariate analyses indicated that the type of treatment affected operative time.Conclusion: Our results suggest that piezo surgery is safe, effective, and simple for segmental FRR in NTOS patients. Piezo surgery provides a more thorough FRR without damaging adjacent soft tissues in a relatively short duration and achieves similar functional recovery as conventional techniques. Therefore, piezo surgery can be a promising alternative for FRR during the surgical treatment of NTOS.

show abstract

“…Piezoelectric osteotomes provide an additional instrument for consideration by the surgeon undertaking osteotomies. [32][33][34][35]…”

Section: Osteotome Selectionmentioning

confidence: 99%

Osteotomies—When, Why, and How?

2020

View full text Add to dashboard Cite

An ideal nasal osteotomy should deliver precise, predictable, and reproducible cosmetic and functional results while minimizing soft-tissue trauma and postoperative complications. In addition to closing an open roof deformity after hump reduction, other common indications for osteotomies include the crooked nose and a wide bony vault. The literature has reported numerous and diverse osteotomy techniques as well as differences in timing of osteotomies. Each has its own merits and indications, and its proponents. In this article, we review the anatomy and nomenclature relating to osteotomies. We review the locations and paths of the osteotomies—lateral, intermediate, medial, and superior/transverse. We consider the percutaneous and endonasal approaches, as well as timing of osteotomies and other considerations. We also discuss technical considerations in the selection of instrumentation for osteotomies.

show abstract

Piezosurgery: Ten Years' Experience of Percutaneous Osteotomies in Rhinoplasty

Cited by 25 publications

References 19 publications

Computer‐assisted and navigated piezoelectric surgery: A new technology to improve precision and surgical safety in craniomaxillofacial surgery

Computer‐assisted and navigated piezoelectric surgery: A new technology to improve precision and surgical safety in craniomaxillofacial surgery

A Novel Approach to First-Rib Resection in Neurogenic Thoracic Outlet Syndrome

Osteotomies—When, Why, and How?

Contact Info

Product

Resources

About