ASSESSMENT OF THE EFFICIENCY OF PIEZOELECTRIC AND CLASSIC OSTEOTOMY WHEN PERFORMING SEPTORHINOPLASTY.

OBJECTIVE

The aim: Comparison and analysis of the main intraoperative and postoperative results of piezoelectric and traditional osteotomy in septorhinoplasty.

PATIENTS AND METHODS

Materials and methods: Examination and treatment were carried out in 40 patients who were divided into two groups. The first included patients who underwent septorhinoplasty using a traditional osteotomy - 20 people (control group). In the second group of patients, piezoelectric surgery was used for septorhinoplasty. This research group consisted of 20 people. All patients of both groups underwent only primary septorhinoplasty by closed and open methods. Piezoelectric surgery was performed using a Japanese VarioSurg3 NSK piezotome.

RESULTS

Results: The research was conducted on the first day after surgery, 3 days and a week after treatment. The following indicators were evaluated: intraoperative complications (mucosa damage), postoperative complications: (swelling of the eyelids,periorbital ecchymoses, nasal secretion activity, inflammatory reaction of the nasal cavity, postoperative pain). Significantly fewer cases of mucosal damage were detected in the second study group compared to the first. And the severity of postoperative complications in the second group of patients who underwent septorhinoplasty with the help of a piezotome was statistically significantly (p<0.05) lower than in patients of the control group.

CONCLUSION

Conclusions: Piezoelectric surgery has a number of advantages over traditional osteotomy techniques, such as selectivity of impact on soft tissues, accuracy of bone destruction. Piezoelectric osteotomy during septorhinoplasty can reduce intra- and postoperative complications with statistical reliability.