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The Minimally Invasive Star-Shaped Incision Technique and the Linear Incision Technique With Tissue Preservation for
Ruben M Strijbos1,2, Samer Salameh3, Aren Bezdjian3,4
1Department of Otorhinolaryngology and Head and Neck Surgery, University Medical Center Utrecht, Utrecht, Netherlands.
Frontiers in Surgery
|June 27, 2022
Summary
The standard linear incision with tissue preservation (LITT-P) showed shorter surgical times than the star-shaped incision (SSI). Both techniques had similar soft tissue outcomes, but LITT-P had fewer implant losses.
Area of Science:
- Orthopedic surgery
- Surgical techniques
- Implantology
Background:
- Minimally invasive surgical techniques are increasingly adopted to improve patient outcomes.
- Assessing novel approaches like the star-shaped incision (SSI) against established methods is crucial for surgical advancement.
Purpose of the Study:
- To compare intra- and postoperative outcomes between the standard linear incision with tissue preservation (LITT-P) and the minimally invasive star-shaped incision (SSI).
- Evaluate operative time, implant survival, and soft tissue tolerability for both techniques.
Main Methods:
- A retrospective cohort study involving 38 implants (19 LITT-P, 19 SSI).
- Primary outcomes included operative time, implant survival, and intra-operative complications.
- Secondary outcome was soft tissue tolerability assessed using Holger's classification.
Main Results:
- Surgical duration was statistically shorter for the LITT-P group compared to the SSI group (p = 0.0001).
- No intra-operative complications were reported for either approach.
- Five implants were lost postoperatively (1 LITT-P, 4 SSI). Both groups demonstrated favorable soft tissue tolerability, with LITT-P showing fewer mild reactions (Holgers 1 & 2) and more moderate reactions (Holgers 3).
Conclusions:
- The star-shaped incision (SSI) presents a potential alternative with theoretical benefits and favorable soft tissue outcomes.
- Further research is warranted to investigate long-term implant durability and address implant loss rates in both surgical approaches.