Use of Piezoelectric Devices in Closed Structural Rhinoplasty

Area of Science:

• Plastic Surgery
• Otolaryngology
• Surgical Innovation

Background:

• Increasing patient demand for closed rhinoplasty techniques.
• Growing interest in piezoelectric devices (PEDs) for reducing post-operative edema and bruising in rhinoplasty.

Purpose of the Study:

• To introduce and evaluate a novel technique for performing all osteotomies in closed rhinoplasty using PEDs.
• To assess the efficacy and patient-reported outcomes of this new approach.

Main Methods:

• A comparative study involving 274 patients undergoing closed piezo (CloPi) rhinoplasty and 120 patients receiving conventional closed rhinoplasty.
• All osteotomies in the CloPi group were executed with PEDs.
• Preoperative and postoperative results were evaluated using the Rhinoplasty Outcome Evaluation (ROE) questionnaire.

Main Results:

• Both groups showed significant improvement in ROE scores post-surgery (P < .001).
• The CloPi group exhibited significantly greater improvement across most ROE items compared to the conventional group (P < .001).
• No significant difference was observed in the ability to breathe between the two groups (P = .231).

Conclusions:

• Closed piezo (CloPi) rhinoplasty is presented as an easy and reliable technique for executing all osteotomies with PEDs.
• The technique facilitates successful surgical outcomes, particularly with adequate surgical dissection.
• This method shows promise for enhancing aesthetic and functional results in closed rhinoplasty.