Galié Manlio, Candotto Valentina, Elia Giovanni, Clauser Luigi C
Unit of Cranio Maxillo Facial Surgery, Center for Orbital Pathology & Surgery, Reference Center for Treatment of Rare Diseases, EACMFS International Teaching Centers Network, St. Anna Hospital and University, Via Aldo Moro n. 8 Cona (FE), Ferrara 44124, Italy.
Unit of Cranio Maxillo Facial Surgery, Center for Orbital Pathology & Surgery, Reference Center for Treatment of Rare Diseases, EACMFS International Teaching Centers Network, St. Anna Hospital and University, Via Aldo Moro n. 8 Cona (FE), Ferrara 44124, Italy.
Int J Surg Case Rep. 2015;6C:269-72. doi: 10.1016/j.ijscr.2014.11.076. Epub 2014 Dec 5.
Pierre Robin sequence (PRS) is characterized by microgenia and retrognathia. Cleft palate and glossoptosis are frequently associated with airway obstruction and difficulty in swallowing. Distraction osteogenesis with micro-distractors has recently been considered as a surgical option during the neonatal age.
A 6-week-old female with PRS underwent mandibular lengthening in neonatal age. Mandibular osteotomies were performed with the piezoelectric scalpel.
Piezosurgery represents an innovative technique as it offers the maxillofacial surgeon the opportunity to make precise bone cuts without damaging the soft tissue, minimizing the invasiveness of the surgical procedure, and the opportunity of working in a field which is almost totally blood free.
The use of a piezoelectric device to perform this kind of surgery provides clinical and surgical results which would be difficult with traditional instruments, not only for the patient's benefit but also for the surgeon's. Preservation of the original bony structure, especially of the cancellous bone, will benefit the bone healing process due to its high estrogenic potential.
皮埃尔·罗宾序列征（PRS）的特征为小下颌和下颌后缩。腭裂和舌后坠常伴有气道阻塞和吞咽困难。近年来，使用微型牵张器进行牵张成骨术被认为是新生儿期的一种手术选择。
一名6周大的患有PRS的女性在新生儿期接受了下颌延长术。使用压电手术刀进行下颌截骨术。
压电手术是一种创新技术，因为它为颌面外科医生提供了精确进行骨切割的机会，而不会损伤软组织，最大限度地减少了手术的侵入性，并且有机会在几乎完全无血的区域进行手术。
使用压电设备进行此类手术可提供传统器械难以达到的临床和手术效果，这不仅有利于患者，也有利于外科医生。保留原始骨结构，尤其是松质骨，因其高雌激素潜力将有利于骨愈合过程。
