Navarrete Ailyn, Ravelo Víctor, Brito Leonardo, Vargas Erick, de Moraes Márcio, Olate Sergio
Grupo de Investigación de Pregrado en Odontología (GIPO), Facultad Ciencias de la Salud, Universidad Autónoma de Chile, Temuco 4780000, Chile.
PhD Program in Morphological Science, Universidad de La Frontera, Temuco 4780000, Chile.
J Clin Med. 2025 May 12;14(10):3371. doi: 10.3390/jcm14103371.
Orthognathic surgery is a successful surgical method for correcting facial deformities, and the piezoelectric system can be used in place of or in addition to traditional tools like the reciprocating saw to perform osteotomies. This study assesses how using a reciprocating saw or a piezoelectric device exclusively affects neurosensory impairment. A review was performed following the PRISMA-ScR recommendations. A search was conducted until December 2024 in PubMed, Embase, and Web of Science. Clinical trials and quasi-experimental studies in English and Spanish were included. A total of nine articles were obtained for full-text review using inclusion and exclusion criteria. The selected articles included a total of 731 subjects. The age range of the studies included was between 18 and 49 years. Three of the six analyzed state that piezoelectric surgery positively correlates with neurosensory recovery, showing less surgical time and a less painful and faster postoperative recovery than the use of a saw. However, only two reported no significant statistical difference in sensitivity recovery between the saw and piezoelectric instruments. Despite the methodological heterogeneity among the studies included, the sample size, and the variability of factors, using a piezoelectric system typically shows a better postoperative recovery of sensitivity compared to using a saw.
正颌外科手术是矫正面部畸形的一种成功的手术方法，压电系统可用于替代往复锯等传统工具或作为其补充来进行截骨术。本研究评估单独使用往复锯或压电装置如何影响神经感觉功能障碍。按照PRISMA-ScR建议进行了一项综述。截至2024年12月，在PubMed、Embase和科学网进行了检索。纳入了英文和西班牙文的临床试验和准实验研究。使用纳入和排除标准共获得9篇文章进行全文综述。所选文章共纳入731名受试者。纳入研究的年龄范围在18至49岁之间。六项分析中有三项指出，压电手术与神经感觉恢复呈正相关，与使用锯相比，手术时间更短，术后疼痛减轻且恢复更快。然而，只有两项报告称锯和压电器械在感觉恢复方面无显著统计学差异。尽管纳入研究在方法学、样本量和因素变异性方面存在异质性，但与使用锯相比，使用压电系统通常显示出更好的术后感觉恢复情况。
