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Piezo-osteotomy in orthognathic surgery: A comparative clinical study

BACKGROUND: After the clinical introduction of ultrasound scalpel in recent years, piezosurgery has become competitive with conventional instruments in orthognathic procedures to reduce the operative and postoperative complications reported to occur in association with these surgeries. AIMS: The aim...

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Autores principales: Raj, Harshitha, Singh, Madhumati, Shah, Anjan Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426698/
https://www.ncbi.nlm.nih.gov/pubmed/36051789
http://dx.doi.org/10.4103/njms.njms_357_21
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author Raj, Harshitha
Singh, Madhumati
Shah, Anjan Kumar
author_facet Raj, Harshitha
Singh, Madhumati
Shah, Anjan Kumar
author_sort Raj, Harshitha
collection PubMed
description BACKGROUND: After the clinical introduction of ultrasound scalpel in recent years, piezosurgery has become competitive with conventional instruments in orthognathic procedures to reduce the operative and postoperative complications reported to occur in association with these surgeries. AIMS: The aim of this prospective clinical study was to compare intraoperative and postoperative outcomes of both piezoelectric device and the traditional bur technique in orthognathic surgery. Intraoperative bleeding time, operative time, postoperative swelling, and neurological impairment were evaluated. MATERIALS AND METHODS: In this study, a split-mouth technique was applied on ten patients requiring orthognathic surgery. To make the osteotomy cuts, on the one side, piezo-osteotome was used, and on the other side, conventional osteotomy bur was used. RESULTS: Duration of osteotomy was found to be greater with piezo osteotomy compared to bur osteotomy. Mild bleeding was observed with piezosurgery. Postoperative swelling was greater on the side of piezosurgery compared to the bur side. Altered neurosensory activity was found to be equal on the 1(st) day postoperatively, but the piezo side recovered faster compared to the bur side in the 1(st) month after surgery. CONCLUSION: Piezoelectric device offers better advantages over the conventional bur in orthognathic surgery and hence can be considered an alternative to the bur in some orthognathic procedures.
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spelling pubmed-94266982022-08-31 Piezo-osteotomy in orthognathic surgery: A comparative clinical study Raj, Harshitha Singh, Madhumati Shah, Anjan Kumar Natl J Maxillofac Surg Original Article BACKGROUND: After the clinical introduction of ultrasound scalpel in recent years, piezosurgery has become competitive with conventional instruments in orthognathic procedures to reduce the operative and postoperative complications reported to occur in association with these surgeries. AIMS: The aim of this prospective clinical study was to compare intraoperative and postoperative outcomes of both piezoelectric device and the traditional bur technique in orthognathic surgery. Intraoperative bleeding time, operative time, postoperative swelling, and neurological impairment were evaluated. MATERIALS AND METHODS: In this study, a split-mouth technique was applied on ten patients requiring orthognathic surgery. To make the osteotomy cuts, on the one side, piezo-osteotome was used, and on the other side, conventional osteotomy bur was used. RESULTS: Duration of osteotomy was found to be greater with piezo osteotomy compared to bur osteotomy. Mild bleeding was observed with piezosurgery. Postoperative swelling was greater on the side of piezosurgery compared to the bur side. Altered neurosensory activity was found to be equal on the 1(st) day postoperatively, but the piezo side recovered faster compared to the bur side in the 1(st) month after surgery. CONCLUSION: Piezoelectric device offers better advantages over the conventional bur in orthognathic surgery and hence can be considered an alternative to the bur in some orthognathic procedures. Wolters Kluwer - Medknow 2022 2022-06-15 /pmc/articles/PMC9426698/ /pubmed/36051789 http://dx.doi.org/10.4103/njms.njms_357_21 Text en Copyright: © 2022 National Journal of Maxillofacial Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Raj, Harshitha
Singh, Madhumati
Shah, Anjan Kumar
Piezo-osteotomy in orthognathic surgery: A comparative clinical study
title Piezo-osteotomy in orthognathic surgery: A comparative clinical study
title_full Piezo-osteotomy in orthognathic surgery: A comparative clinical study
title_fullStr Piezo-osteotomy in orthognathic surgery: A comparative clinical study
title_full_unstemmed Piezo-osteotomy in orthognathic surgery: A comparative clinical study
title_short Piezo-osteotomy in orthognathic surgery: A comparative clinical study
title_sort piezo-osteotomy in orthognathic surgery: a comparative clinical study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426698/
https://www.ncbi.nlm.nih.gov/pubmed/36051789
http://dx.doi.org/10.4103/njms.njms_357_21
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