在颅面外科手术中使用压电仪器。

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-08-01 Epub Date: 2024-06-17 DOI:10.1097/MOO.0000000000000986
Sarah Bessen, Shekhar K Gadkaree, Adeeb Derakhshan
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引用次数: 0

摘要

审查目的:越来越多的人认识到使用压电器械可以替代传统的切骨技术,适用于各种手术。在此,我们将概述该技术,包括设备原理、优点和缺点。我们还回顾了该技术在颅颌面手术中的应用:压电手术是一种微创切骨系统,对周围软组织结构造成损伤的风险较低。压电手术的使用范围正在迅速扩大,涉及多个领域,包括颅面外科。迄今为止,压电外科技术在鼻成形术、正颌外科手术和颅骨综合症的颅骨成形术中得到了最广泛的应用和研究。压电外科技术可使截骨更加精确和一致,同时降低与传统截骨技术相关的发病率。主要的局限性包括成本以及因操作者学习曲线和切割效率下降而导致手术时间增加的担忧。摘要:压电手术是传统切骨方式的替代方案,可提高截骨的精确性、一致性和安全性。要更好地了解该技术的功效以及其他应用的潜力,还需要进一步的研究。
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Use of piezoelectric instrumentation in craniofacial surgery.

Purpose of review: The use of piezoelectric instrumentation is increasingly recognized as an alternative to traditional bone-cutting techniques across a wide array of surgeries. Here, we provide an overview of the technique, including device principles, benefits, and drawbacks. We also review its use in craniofacial surgery.

Recent findings: Piezoelectric surgery is a minimally invasive bone-cutting system with lower risk of damage to surrounding soft tissue structures. Indications for its use are rapidly expanding across multiple fields, including craniofacial surgery. To date, piezosurgical techniques have been most widely adopted and studied in the contexts of rhinoplasty, orthognathic surgery, and cranioplasty in craniosynostosis. Piezosurgery can facilitate more precise and consistent osteotomies while decreasing morbidities associated with traditional osteotomy techniques. Primary limitations include cost and concerns regarding increased operative times secondary to operator learning curves and decreased cutting efficiency.

Summary: Piezoelectric surgery represents an alternative to traditional bone-cutting modalities to improve precision, consistency, and safety of osteotomies. Further research is needed to better understand the efficacy of the technique as well as potential for additional applications.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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