Division of Oral and Maxillofacial Surgery, Department of Stomatology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Int J Oral Maxillofac Surg. 2011 May;40(5):451-7. doi: 10.1016/j.ijom.2010.11.013. Epub 2010 Dec 19.
This review summarizes current knowledge and experience with piezosurgery, a promising, meticulous and soft tissue-sparing system for bone cutting, based on ultrasonic microvibrations. The main advantages of piezosurgery include soft tissue protection, optimal visibility in the surgical field, decreased blood loss, less vibration and noise, increased comfort for the patient and protection of tooth structure. To date it has been indicationed for use in oral and maxillofacial surgery, otorhinolaryngology, neurosurgery, ophthalmology, traumatology and orthopaedics. The main indications in oral surgery are sinus lift, bone graft harvesting, osteogenic distraction, ridge expansion, endodontic surgery, periodontal surgery, inferior alveolar nerve decompression, cyst removal, dental extraction and impacted tooth removal. In conclusion, piezosurgery is a promising technical modality for different aspects of bone surgery with a rapidly increasing number of indications throughout the whole field of surgery.
本文综述了超声微振骨刀法的现有知识和经验，这是一种有前途的、精细的、保护软组织的骨切割系统。超声微振骨刀法的主要优点包括：保护软组织、手术视野清晰、减少出血量、振动和噪音较小、提高患者舒适度和保护牙体结构。迄今为止，它已被用于口腔颌面外科、耳鼻喉科、神经外科、眼科、创伤学和矫形外科。口腔外科的主要适应证为窦底提升、骨移植、成骨牵张、牙槽嵴扩张、牙髓外科、牙周外科、下牙槽神经减压、囊肿切除、拔牙和阻生牙拔除。总之，超声微振骨刀法是一种很有前途的骨外科技术，其适应证正在迅速增加，几乎涵盖整个外科领域。
