Piezosurgery-assisted sliding genioplasty: a method for reduction of complications. Review and case report

Piezosurgery-assisted sliding genioplasty: a method for reduction of complications. Review and... The anterior mandible is generally considered a relatively safe surgical site for performing osteotomies. Nevertheless, the increasing rate of surgical interventions also has raised the reported complications. Careful preoperative planning and surgical approach are necessary to prevent damage to vital anatomic structures. The most frequent complications after genioplasties result from damage to neurovascular structures. The present article attempts to review the neurovascularization of the anterior mandible, taking account of typical anatomic variations and considering specific complications as well as therapeutic consequences. Piezosurgery is introduced as a safe and precise technique to reduce the complication rate and to improve the treatment outcomes of genioplasties. Conventional chin osteotomies are performed with bone drills, saws, and chisels. In comparison to these traditional instruments, the piezoelectric device is a lot easier to control and much less aggressive, creating only minimal damage to soft tissues. Accordingly, piezosurgery provides increase in the safety of osteotomies, especially concerning nerve and vessel injuries. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Piezosurgery-assisted sliding genioplasty: a method for reduction of complications. Review and case report

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Publisher
Springer-Verlag
Copyright
Copyright © 2010 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-010-0428-2
Publisher site
See Article on Publisher Site

Abstract

The anterior mandible is generally considered a relatively safe surgical site for performing osteotomies. Nevertheless, the increasing rate of surgical interventions also has raised the reported complications. Careful preoperative planning and surgical approach are necessary to prevent damage to vital anatomic structures. The most frequent complications after genioplasties result from damage to neurovascular structures. The present article attempts to review the neurovascularization of the anterior mandible, taking account of typical anatomic variations and considering specific complications as well as therapeutic consequences. Piezosurgery is introduced as a safe and precise technique to reduce the complication rate and to improve the treatment outcomes of genioplasties. Conventional chin osteotomies are performed with bone drills, saws, and chisels. In comparison to these traditional instruments, the piezoelectric device is a lot easier to control and much less aggressive, creating only minimal damage to soft tissues. Accordingly, piezosurgery provides increase in the safety of osteotomies, especially concerning nerve and vessel injuries.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Aug 1, 2010

References

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