Piezoelectric Drilling Hole Technique in Septal Fixation
Nevzat Demirbilek1, Cenk Evren1, Mustafa Çelik2
1Department of Otolaryngology - Head and Neck Surgery, Medilife Beylikduzu Hospital, Istanbul.
The Journal of Craniofacial Surgery
|July 14, 2019
Summary
The Piezoelectric drilling hole technique offers superior septal fixation during septoplasty and septorhinoplasty, significantly reducing postoperative redeviation compared to traditional methods. This innovative approach ensures better midline stabilization without soft tissue damage.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Nasal Surgery
Background:
- Accurate septal fixation to the midline is crucial for successful septoplasty and septorhinoplasty.
- Conventional methods for septum fixation can sometimes lead to postoperative complications like redeviation.
Purpose of the Study:
- To evaluate the efficacy of a novel Piezoelectric drilling hole technique for securing the nasal septum to the midline.
- To compare the outcomes of Piezoelectric drilling with the classic suture technique for septum fixation.
Main Methods:
- A comparative study involving 63 patients undergoing septoplasty or septorhinoplasty.
- Patients were divided into two groups: Classic (traditional suture fixation) and Piezo (Piezoelectric drilling hole technique).
- Outcomes were assessed using Visual Analog Scale (VAS) and Nasal Obstruction Symptom Evaluation (NOSE) scores, alongside postoperative examinations.
Main Results:
- Both groups showed statistically significant improvements in VAS-NOSE scores postoperatively (P < 0.0001).
- The Piezoelectric group demonstrated superior outcomes with only one patient (3.7%) in the classic group experiencing redeviation requiring revision.
Conclusions:
- The Piezoelectric drilling hole technique provides stronger and more stable midline septal fixation.
- This method effectively prevents postoperative redeviation and offers superior soft tissue preservation compared to traditional techniques.
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