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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
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Updated: Oct 3, 2025

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Closed Piezo Preservation Rhinoplasty.

Ilia Almazov1, Ramon Vila Rovira2, Vugar Farhadov3

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Summary
This summary is machine-generated.

Piezoelectric instruments (PEIs) enable controlled nasal pyramid reshaping via a closed intranasal approach in rhinoplasty. This technique achieved excellent patient satisfaction in 96% of cases, demonstrating its efficacy for primary rhinoplasty.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Surgical Innovation

Background:

  • Traditional intranasal rhinoplasty often uses standard osteotomy methods with limitations in bony vault control.
  • Percutaneous techniques carry risks of uncontrolled fractures and inadequate surface management.
  • Piezoelectric instruments (PEIs) offer predictable and controlled osteotomies, traditionally associated with open rhinoplasty.

Purpose of the Study:

  • To describe and evaluate the application of PEIs for osteotomies and nasal pyramid reshaping using a closed approach in preservation rhinoplasty.
  • To assess the outcomes and patient satisfaction with PEI-assisted closed rhinoplasty.

Main Methods:

  • A retrospective analysis of 134 patients undergoing rhinoplasty with PEIs via a closed intranasal approach.
  • Patients were categorized by surgical techniques: Push Down (PD), Let Down (LD) with Rhinosculpture (Rs), or combinations.
  • Outcomes were evaluated using the Rhinoplasty Outcome Evaluation (ROE) at 12 months post-surgery.

Main Results:

  • Excellent patient satisfaction was reported in 96% of cases.
  • Minor residual humps (2 cases) and asymmetries (4 cases) were noted in severe deviations.
  • The average patient age was 28, with 125 females and 9 males.

Conclusions:

  • PEIs can be effectively utilized for bony vault management in primary rhinoplasty via an intranasal approach.
  • Limitations include cases with underdeveloped nasal dorsum, cleft lip, post-traumatic, or revision rhinoplasty.
  • The technique demonstrates high patient satisfaction and controlled outcomes for suitable primary rhinoplasty candidates.