Endoscopic-assisted resection of peripheral osteoma using piezosurgery.

Abstract

Endoscopic-assisted surgery has gained widespread popularity as a minimally invasive procedure, particularly in the field of maxillofacial surgery. Because the surgical field around the mandibular angle is extremely narrow, the surrounding tissues may get caught in sharp rotary cutting instruments. In piezosurgery, bone tissues are selectively cut. This technique has various applications because minimal damage is caused by the rotary cutting instruments when they briefly come in contact with soft tissues. We report the case of a 33-year-old man who underwent resection of an osteoma in the region of the mandibular angle region via an intraoral approach. During surgery, the complete surgical field was within the view of the endoscope, thereby enabling the surgeon to easily resection the osteoma with the piezosurgery device. Considering that piezosurgery limits the extent of surgical invasion, this is an excellent low-risk technique that can be used in the field of maxillofacial surgery.

• Authors: Shigeki Ochiai, Norio Kuroyanagi, Hidenori Sakuma, Hidenobu Sakuma, Hitoshi Miyachi, Kazuo Shimozato
• Journal: Oral surgery, oral medicine, oral pathology and oral radiology (Oral Surg Oral Med Oral Pathol Oral Radiol) Vol. 115 Issue 1 Pg. e16-20 (Jan 2013) ISSN: 2212-4411 [Electronic] United States
• PMID: 23217547 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2013 Elsevier Inc. All rights reserved.

Topics

• Adult
• Diagnosis, Differential
• Endoscopy (methods)
• Humans
• Male
• Mandibular Neoplasms (diagnosis, surgery)
• Molar, Third (surgery)
• Osteoma (diagnosis, surgery)
• Piezosurgery
• Tomography, X-Ray Computed