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A comparison of piezosurgery with conventional techniques for internal osteotomy

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

To compare conventional osteotomy with the piezosurgery medical device, in terms of postoperative edema, ecchymosis, pain, operation time, and mucosal integrity, in rhinoplasty patients. In this prospective study, 49 rhinoplasty patients were randomly divided into two groups according to osteotomy technique used, either conventional osteotomy or piezosurgery. For all patients, the total duration of the operation was recorded, and photographs were taken and scored for ecchymosis and edema on postoperative days 2, 4, and 7. In addition, pain level was evaluated on postoperative day 2, and mucosal integrity was assessed on day 4. All scoring and evaluation was conducted by a physician who was blinded to the osteotomy procedure. In the piezosurgery group, edema scores on postoperative day 2 and ecchymosis scores on postoperative days 2, 4, and 7 were significantly lower than in the conventional osteotomy group (p < 0.05). On postoperative day 2, the pain level was lower in the piezosurgery group than in the conventional osteotomy group (p < 0.05). In an endoscopic examination on postoperative day 4, while 24% of the patients in the conventional osteotomy group had mucosal damage, no such damage was observed in the piezosurgery group. When total operation duration was compared, there was no significant difference between the groups (p > 0.05). Piezosurgery is a safe osteotomy method, with less edema (in the early postoperative period) and ecchymosis compared with conventional osteotomy, as well as less pain, a similar operation duration, and no mucosal damage.

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Authors and Affiliations

  1. Department of Otolaringology, Koc University Hospital, Davutpasa Cad. No: 4, Topkapi, 34010, Istanbul, Turkey

    İ. Koçak & O. Gökler

  2. Department of Otolaringology, Bezmialem University Hospital, Istanbul, Turkey

    R. Doğan

Authors
  1. İ. Koçak
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  2. R. Doğan
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  3. O. Gökler
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Correspondence to O. Gökler.

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Ethical approval

This study was approved by the Local Ethics Committee (Bezmialem Foundation University, Decision No. 01/21) for clinical studies. The patients were informed about the surgical procedures and the possible complications and informed consent was obtained from all individual participants included in the study.

Conflict of interest

The authors have no conflicts of interest and/or financial interest to disclose. No financial support was received for this work.

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Koçak, İ., Doğan, R. & Gökler, O. A comparison of piezosurgery with conventional techniques for internal osteotomy. Eur Arch Otorhinolaryngol 274, 2483–2491 (2017). https://doi.org/10.1007/s00405-017-4514-y

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  • DOI: https://doi.org/10.1007/s00405-017-4514-y

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