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Orthognathic surgery: a randomized study comparing Piezosurgery and Saw techniques
Annali Italiani Di Chirurgia
|December 21, 2020
Summary
Piezosurgery in orthognathic surgery leads to reduced pain, less swelling, and faster recovery compared to traditional saw devices. Patients experienced quicker neurosensory recovery and improved sensitivity post-operation.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Technology
Background:
- Orthognathic surgery corrects jaw misalignments.
- Comparing piezoelectric devices (Piezosurgery) with traditional saw devices is crucial for optimizing patient outcomes.
Purpose of the Study:
- To evaluate the efficacy of Piezosurgery versus saw devices in orthognathic surgery.
- Key parameters assessed include operative time, facial swelling, pain, recovery duration, and neurosensory disturbance.
Main Methods:
- Retrospective study of 100 patients undergoing bilateral sagittal split osteotomy (BSSO) and Le Fort I maxillary osteotomy.
- Patients were divided into two groups (50 each) based on the surgical device used: Piezo or saw.
- Surgeries were performed by the same surgeon between September 2015 and April 2017.
Main Results:
- Intra-operative time remained consistent between groups.
- Patients undergoing Piezosurgery required less pain medication and were discharged earlier (post-operative day 2).
- Statistically significant improvements in neurosensory recovery were observed in the Piezosurgery group.
Conclusions:
- Piezosurgery significantly reduces post-operative swelling and painkiller requirements, leading to a faster recovery after orthognathic surgery.
- Patients treated with Piezosurgery demonstrated enhanced recovery of lower lip sensitivity.
