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Piezosurgery versus Conventional Cutting Techniques in Craniofacial Surgery: A Systematic Review and Meta-Analysis
Connor McGuire1, Colton Boudreau1, Neetin Prabhu1
1From the Division of Plastic Surgery, the Faculty of Medicine, and Division of Otolaryngology, Dalhousie University.
Plastic and Reconstructive Surgery
|December 22, 2021
Summary
Piezosurgery offers significant benefits in craniofacial surgery, reducing postoperative sensory disturbance and pain compared to conventional methods. Further research is needed to explore its cost-effectiveness and impact on patient satisfaction.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Technology
- Evidence-Based Medicine
Background:
- Piezosurgery is increasingly utilized in craniofacial surgery.
- Evidence comparing piezosurgery to conventional bone-cutting techniques requires critical appraisal.
Purpose of the Study:
- To systematically review and meta-analyze the existing evidence on piezosurgery in craniofacial surgery.
- To assess the efficacy and safety of piezosurgery versus traditional methods.
Main Methods:
- A systematic review and random effects meta-analysis were conducted.
- Thirty-nine studies, including randomized controlled trials, were analyzed.
- Methodological quality was assessed using established instruments.
Main Results:
- Piezosurgery demonstrated a lower incidence of postoperative sensory disturbance, particularly in mandibular procedures (OR, 0.29).
- Patients experienced less postoperative pain at day 3 with piezosurgery (MD, -0.86).
- No significant differences were found in operating room or osteotomy time.
Conclusions:
- Piezosurgery presents considerable advantages over conventional surgical instruments in craniofacial procedures.
- Future research should focus on cost-effectiveness, blood loss, edema, and patient satisfaction.
