{"id":4784,"date":"2017-11-08T18:36:25","date_gmt":"2017-11-08T17:36:25","guid":{"rendered":"https:\/\/excellence-esthetique.fr\/?p=4784"},"modified":"2022-07-03T19:01:45","modified_gmt":"2022-07-03T18:01:45","slug":"role-piezoelectric-instrumentation-rhinoplasty-surgery","status":"publish","type":"post","link":"https:\/\/excellence-esthetique.fr\/en\/role-piezoelectric-instrumentation-rhinoplasty-surgery.html","title":{"rendered":"The role of piezoelectric instrumentation in rhinoplasty surgery"},"content":{"rendered":"<div>\n<h2>The Aesthetic Surgery Journal<\/h2>\n<p>By Olivier Gerbault, Rollin K. Daniel, Aaron M. Kosins.<\/p>\n<\/div>\n<div class=\"inner-collapsable-content-wrapper\">\n<div id=\"sec-1\">\n<h3 id=\"p-1\">Background<\/h3>\n<p>In rhinoplasty surgery, management of the bony vault and lateral walls is most often performed with mechanical instruments: saws, chisels, osteotomes, and rasps. Over the years, these instruments have been refined to minimize damage to the surrounding soft tissues and to maximize precision.<\/p>\n<\/div>\n<div id=\"sec-2\">\n<h3 id=\"p-2\">Objectives<\/h3>\n<p>This article will present the evolution of the authors\u2019 current operative technique based on 185 clinical cases performed over an 19-month period using piezoelectric instrumentation (PEI).<\/p>\n<\/div>\n<div id=\"sec-3\">\n<h3 id=\"p-3\">Methods<\/h3>\n<p>A two-part study of cadaver dissections and clinical cases was performed using PEI. Evolution of the authors\u2019 clinical technique and the operative sequence were recorded.<\/p>\n<\/div>\n<div id=\"sec-4\">\n<h3 id=\"p-4\">Results<\/h3>\n<p>Thirty cadaver dissections and 185 clinical cases were performed using PEI, including 82 primary and 103 secondary cases. An extended subperiosteal dissection was developed to visualize all aspects of the open rhinoplasty including the osteotomies. Ultrasonic rhinosculpture (URS) was utilized in 95 patients to shape the bony vault without osteotomies. To date, 11 revisions (6%) have been performed. There were no cases of bone asymmetry, irregularity, or excessive narrowing requiring a revision.<\/p>\n<\/div>\n<div id=\"sec-5\">\n<h3 id=\"p-5\">Conclusions<\/h3>\n<p>Based on the authors' experience, adoption of PEI is justified and offers more precise analysis and surgical execution with superior results in altering the osseocartilaginous vault. With extensive exposure, surgeons can make an accurate diagnosis of bony deformity and safely contour the bones to achieve narrowing and symmetry of the bony dorsum. Stable osteotomies can be performed under direct vision with precise mobilization and control. As a result of PEI, the upper third of the rhinoplasty operation is no longer shrouded in mystery.<\/p>\n<\/div>\n<p><em>\u00a9 2015 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com<\/em><\/p>\n<p><a href=\"https:\/\/academic.oup.com\/asj\/article\/36\/1\/21\/2614000\" target=\"_blank\" rel=\"noopener noreferrer\">View full text<\/a>.<\/p>\n<\/div>\n\n<div class=\"kk-star-ratings\n     kksr-valign-bottom     kksr-align-center    \"\n    data-payload=\"{&quot;align&quot;:&quot;center&quot;,&quot;id&quot;:&quot;4784&quot;,&quot;slug&quot;:&quot;default&quot;,&quot;valign&quot;:&quot;bottom&quot;,&quot;reference&quot;:&quot;auto&quot;,&quot;count&quot;:&quot;2&quot;,&quot;readonly&quot;:&quot;&quot;,&quot;score&quot;:&quot;3&quot;,&quot;best&quot;:&quot;5&quot;,&quot;gap&quot;:&quot;4&quot;,&quot;greet&quot;:&quot;Noter cette page&quot;,&quot;legend&quot;:&quot;3\\\/5 - (2 votes)&quot;,&quot;size&quot;:&quot;14&quot;,&quot;width&quot;:&quot;52&quot;,&quot;_legend&quot;:&quot;{score}\\\/{best} - ({count} {votes})&quot;}\">\n    \n<div class=\"kksr-stars\">\n    \n<div class=\"kksr-stars-inactive\">\n            <div class=\"kksr-star\" data-star=\"1\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"2\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"3\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"4\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"5\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n    <\/div>\n    \n<div class=\"kksr-stars-active\" style=\"width: 52px;\">\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 14px; height: 14px;\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n    \n<div class=\"kksr-legend\">\n            3\/5 - (2 votes)    <\/div>\n<\/div>\n\n\n","protected":false},"excerpt":{"rendered":"<p>The Aesthetic Surgery Journal By Olivier Gerbault, Rollin K. Daniel, Aaron M. Kosins. Background In rhinoplasty surgery, management of the bony vault and lateral walls is most often performed with mechanical instruments: saws, chisels, osteotomes, and rasps. Over the years, these instruments have been refined to minimize damage to the surrounding soft tissues and to&#8230;<\/p>\n","protected":false},"author":5,"featured_media":8053,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[170],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The role of piezoelectric instrumentation in rhinoplasty surgery<\/title>\n<meta name=\"description\" content=\"The article presents the evolution of current operative technique in rhinoplasty surgery based on clinical cases performed using piezoelectric instrument\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26545389\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta 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