Mesh : Humans Piezosurgery / instrumentation methods Osteotomy / instrumentation methods Rhinoplasty / methods instrumentation Craniosynostoses / surgery Skull / surgery

来  源:   DOI:10.1097/MOO.0000000000000986

Abstract:
OBJECTIVE: The use of piezoelectric instrumentation is increasingly recognized as an alternative to traditional bone-cutting techniques across a wide array of surgeries. Here, we provide an overview of the technique, including device principles, benefits, and drawbacks. We also review its use in craniofacial surgery.
RESULTS: Piezoelectric surgery is a minimally invasive bone-cutting system with lower risk of damage to surrounding soft tissue structures. Indications for its use are rapidly expanding across multiple fields, including craniofacial surgery. To date, piezosurgical techniques have been most widely adopted and studied in the contexts of rhinoplasty, orthognathic surgery, and cranioplasty in craniosynostosis. Piezosurgery can facilitate more precise and consistent osteotomies while decreasing morbidities associated with traditional osteotomy techniques. Primary limitations include cost and concerns regarding increased operative times secondary to operator learning curves and decreased cutting efficiency.
CONCLUSIONS: Piezoelectric surgery represents an alternative to traditional bone-cutting modalities to improve precision, consistency, and safety of osteotomies. Further research is needed to better understand the efficacy of the technique as well as potential for additional applications.
摘要:
目的:在各种手术中,压电仪器的使用越来越被认为是传统骨切割技术的替代方法。这里,我们提供了该技术的概述,包括设备原理,好处,和缺点。我们还回顾了它在颅面手术中的应用。
结果:压电手术是一种微创的骨切割系统,对周围软组织结构的损伤风险较低。其使用的迹象正在迅速扩展到多个领域,包括颅面手术.迄今为止,压电外科技术在隆鼻术中得到了最广泛的采用和研究,正颌手术,和颅骨修复术。压电手术可以促进更精确和一致的截骨术,同时减少与传统截骨技术相关的发病率。主要的限制包括成本和关于增加操作时间的担忧,其次是操作者学习曲线和降低切割效率。
结论:压电手术代表了传统骨切割方式的替代方案,以提高精度,一致性,截骨术的安全性。需要进一步的研究来更好地了解该技术的功效以及其他应用的潜力。
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