Is the piezoelectric device the new standard for facial osteotomies?

Piezoelectric devices are commonly used in all areas of maxillofacial surgery. Initially applied in preprosthetic surgery, they have steadily become a common practice in major surgery of the facial skeleton, including maxillary and mandibular osteotomies, temporomandibular joint surgery, orbital surgery, craniofacial procedures and rhinoplasty. We will review the current medical literature and establish the "state of the art" of piezosurgery in orthognathic surgery, TMJ surgery and rhinoplasty.