Effectiveness of piezoelectric surgery in reducing surgical complications after bilateral sagittal split osteotomy.

Abstract

Our aim was to investigate the effectiveness of piezoelectric surgery, where the osteotomy is made using ultrasonic vibration, in reducing surgical complications after bilateral sagittal split osteotomy (BSSO). Fifty-nine patients with skeletal mandibular prognathism who had mandibular setback with BSSO between January 2009 and April 2011 were included in the study. Piezosurgery was used in 29 cases, and the bone was split using a separator. In the remaining 30 cases, a Lindeman bur was used for the osteotomy and a chisel was used to split the bone. The amount of intraoperative bleeding and the Semmes Weinstein test scores were used as objective variables to evaluate the degree of neurosensory disturbance, and sex, age, use of piezosurgery, degree of setback, operating time, and method of fixation were used as explanatory variables. We used analysis of covariance (ANCOVA) to assess the significance of differences. Intraoperative bleeding was significantly less with age (p=0.003), and longer when operating time was prolonged (p=0.017), and was not influenced by the use of piezosurgery. The Semmes Weinstein test score significantly increased with age (p=0.01), and was significantly greater when piezoelectric surgery was used (p=0.008), and at 3 months, there were signs of more neurosensory disturbance in older patients and those who had had piezoelectric surgery. In this retrospective non-random study piezoelectric surgery reduced neither blood loss nor the incidence of neurosensory disturbance in BSSO.

• Authors: Tatsuo Shirota, Takaaki Kamatani, Tetsutaro Yamaguchi, Hiroshi Ogura, Kotaro Maki, Satoru Shintani
• Journal: The British journal of oral & maxillofacial surgery (Br J Oral Maxillofac Surg) Vol. 52 Issue 3 Pg. 219-22 (Mar 2014) ISSN: 1532-1940 [Electronic] Scotland
• PMID: 24388635 (Publication Type: Journal Article)
• Copyright: Copyright © 2013 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Topics

• Adolescent
• Adult
• Age Factors
• Blood Loss, Surgical
• Female
• Humans
• Male
• Mandibular Osteotomy (instrumentation, methods)
• Middle Aged
• Non-Randomized Controlled Trials as Topic
• Operative Time
• Osteotomy, Sagittal Split Ramus (instrumentation, methods)
• Piezosurgery (instrumentation, methods)
• Postoperative Complications (prevention & control)
• Prognathism (surgery)
• Retrospective Studies
• Sensory Thresholds (physiology)
• Somatosensory Disorders (etiology, prevention & control)
• Touch (physiology)
• Treatment Outcome
• Young Adult