Powered versus Cold Instruments in Rhinoplasty: A Perspective

Abstract

Rhinoplasty surgeons must continually strive to refine and improve their results. Improvement may be borne out of new surgical techniques, alternative perioperative medicines, or through the application of new technologies. One technology that has recently gained popularity are piezoelectric osteotomes (POs). These instruments offer a powered alternative to the traditional chisel osteotome. This article provides a history of these two modalities, reviews the most recent data surrounding piezoelectric osteotomy, and provides a framework to compare the pros and cons of each osteotomy option.

Keywords

rhinoplasty - osteotomy - piezoelectric - cosmetic - nasal surgery

Publication History

Article published online:
15 November 2022

• References

• 1 Brorson S. Management of fractures of the humerus in Ancient Egypt, Greece, and Rome: an historical review. Clin Orthop Relat Res 2009; 467 (07) 1907-1914
• 2 Joseph J. Ueber die operative Verkleinerungeiner Nase (Rhinomiosis). Berl Klin Wochenschr 1898; 40: 882
• 3 Roe JO. The deformity termed “pug nose” and its correction, by a simple operation. Med Rec 1887; 31: 621-623
• 4 Curie J, Curie P. Développement par compression de l'électricité polaire dans les cristaux hémièdres à faces inclinées. Bull Soc Minérol France 1880; 3 (04) 90-93
• 5 Kelly GG. Hard, brittle materials machined using ultrasonic vibrations. Materials Methods 1951; 34: 92
• 6 Nielsen AG. Ultrasonic dental cutting instrument: II. J Am Dent Assoc 1955; 50 (04) 399-408
• 7 McFall TA, Yamane GM, Burnett GW. Comparison of the cutting effect on bone of an ultrasonic cutting device and rotary burs. J Oral Surg Anesth Hosp Dent Serv 1961; 19: 200-209
• 8 Robiony M, Toro C, Costa F, Sembronio S, Polini F, Politi M. Osteotomie nasali in rinoplastica. Presentazione di un nuovo metodo alternativo agli scalpelli. Paper presented at the 53rd Congress of Italian Society of Plastic Surgery; September 16–18, 2004; Pisa, Italy
• 9 Robiony M, Toro C, Costa F, Sembronio S, Polini F, Politi M. Piezosurgery: a new method for osteotomies in rhinoplasty. J Craniofac Surg 2007; 18 (05) 1098-1100
• 10 Otake Y, Nakamura M, Henmi A, Takahashi T, Sasano Y. Experimental comparison of the performance of cutting bone and soft tissue between piezosurgery and conventional rotary instruments. Sci Rep 2018; 8 (01) 17154
• 11 Demirbilek N, Evren C. Is piezoelectric surgery really harmless to soft tissue?. J Craniofac Surg 2019; 30 (07) 1966-1969
• 12 Schütz S, Egger J, Kühl S, Filippi A, Lambrecht JT. Intraosseous temperature changes during the use of piezosurgical inserts in vitro. Int J Oral Maxillofac Surg 2012; 41 (11) 1338-1343
• 13 Horton JE, Tarpley Jr TM, Wood LD. The healing of surgical defects in alveolar bone produced with ultrasonic instrumentation, chisel, and rotary bur. Oral Surg Oral Med Oral Pathol 1975; 39 (04) 536-546
• 14 Reside J, Everett E, Padilla R. et al. In vivo assessment of bone healing following Piezotome® ultrasonic instrumentation. Clin Implant Dent Relat Res 2015; 17 (02) 384-394
• 15 Mirza AA, Alandejani TA, Al-Sayed AA. Piezosurgery versus conventional osteotomy in rhinoplasty: a systematic review and meta-analysis. Laryngoscope 2020; 130 (05) 1158-1165
• 16 Zoumalan RA, Shah AR, Constantinides M. Quantitative comparison between microperforating osteotomies and continuous lateral osteotomies in rhinoplasty. Arch Facial Plast Surg 2010; 12 (02) 92-96