Comparison of ultrasound and traditional osteotomy in closed rhinoplasty
Журнал: Пластическая хирургия и эстетическая медицина. 2026;(3):68-72.
DOI: 10.17116/plast.hirurgia202603168
Read: 419 раз
Abstract
OBJECTIVE
To improve the results of closed rhinoplasty by comparing traditional manipulations with the back of the nose and ultrasonic technique.
MATERIAL AND METHODS
Between August 2024 and August 2025, we analyzed 58 cases of closed rhinoseptoplasty with ultrasound osteotomy in one group and lateral osteotomy with 4-mm osteotome and protection in another group. In all cases, we collected data on gender, age, periorbital edema and hematomas, respiratory parameters, pain, and technical details of surgeries. Survey data were recorded, and photo documentation was performed.
RESULTS. A
Rea of periorbital edema was larger in 1, 2 and 3 days after ultrasound rhinoplasty. There were no significant differences in postoperative hematomas, pain, and difficulties in nasal breathing.
CONCLUSION
Traditional osteotomy has advantage regarding periorbital edema in the first 3 days after surgery compared to ultrasound osteotomy.
Keywords
- rhinoplasty
- rhinoseptoplasty
- ultrasound osteotomy
- osteotomy
- ultrasound
Дата поступления: 13.03.2026
Дата принятия в печать: 12.06.2026
Дата публикации: 21.09.2026
- Pshenisnov KP. Aesthetic rhinoplasty. Rybinsk; 2020:169. (In Russ.).
- Boimuradov ShA, Vokhidov UN, Mannapov AB, Rakhimov AA. Choice of approaches to the surgical treatment of nasal defects. Avicenna. 2018;20: 41-44. (In Russ.).
- Almazov I, Rovira RV, Farhadov V. Closed Piezo Preservation Rhinoplasty. Aesthetic Plast Surg. 2022;46(3):1342-1350. Epub 2022 Feb 15. PMID: 35169916. https://doi.org/10.1007/s00266-021-02751-0
- Zholtikov VV, Golovatinsky VV, Palhazi P, Gerbault O, Daniel RK, Ouerghi R. Rhinoplasty: a sequential approach to the management of nasal bony vault. Plastic Surgery and Aesthetic Medicine. 2020;(3):25-37. (In Russ.). https://doi.org/10.17116/plast.hirurgia202003125
- Goksel A. Piezo-Assisted Let Down Rhinoplasty. In: Çakır B, Saban Y, Daniel R, Palhazi P, eds. Preservation Rhinoplasty. Third edition. Istanbul, Turkey: Septum Publisher; 2020:224-225.
- Robiony M, Toro C, Costa F, Sembronio S, Polini F, Politi M. Piezosurgery: a new method for osteotomies in rhinoplasty. J Craniofac Surg. 2007; 18(5):1098-1100. https://doi.org/10.1097/scs.0b013e3180de6489
- Koçak I, Doğan R, Gökler O. A comparison of piezosurgery with conventional techniques for internal osteotomy. Eur Arch Oto-Rhino-Laryngol. 2017;274:2483-2491. https://doi.org/10.1007/s00405-017-4514-y
- Fallahi HR, Keyhan SO, Fattahi T, Mohiti AK. Comparison of Piezosurgery and Conventional Osteotomy Post Rhinoplasty Morbidities: A Double-Blind Randomized Controlled Trial. J Oral Maxillofac Surg. 2019 May; 77(5):1050-1055. Epub 2019 Jan 15. PMID: 30738059. https://doi.org/10.1016/j.joms.2019.01.004
- Koc B, Koc EA, Erbek S. Comparison of clinical outcomes using a Piezosurgery device vs. a conventional osteotome for lateral osteotomy in rhinoplasty. Ear Nose Throat J. 2017 Aug;96(8):318-326. PMID: 28846787. https://doi.org/10.1177/014556131709600819
- Shafik AG, Abdelmonem MS, Khaled AM, Azzam TA, Hafez KAEM. Piezosurgery versus Conventional Osteotomies and Rasping in Open Rhinoplasty. Pan Arab J Rhinol. 2023;13:6. https://doi.org/10.58595/2090-7559.121
- Aydoğdu I, Bayram AA. Comparison of early and long-term effects of piezosurgery with conventional techniques for osteotomies in rhinoplasty. J Craniofacial Surg. 2020;31:1539-1543. https://doi.org/10.1097/SCS.0000000000006337
- Hashemi S, Noel CW, Smith OD. Comparing the piezoelectric and conventional osteotome in rhinoplasty. Am J Otolaryngol. 2023;44:103759. https://doi.org/10.1016/j.amjoto.2022.103759
- Demirbilek N, Evren C. Is piezoelectric surgery really harmless to soft tissue? J Craniofacial Surg. 2019;30:1966-1969. https://doi.org/10.1097/SCS.0000000000005598
- Ghavimi MA, Nezafati S, Yazdani J, Pourlak T, Amini M, Pourlak T, Ghoreishizadeh A, Negahdari R. Comparison of edema and ecchymosis in rhinoplasty candidates after lateral nasal osteotomy using piezosurgery and external osteotomy. J Adv Pharm Technol Res. 2018 July-Sept;9(3):73-79. PMID: 30338232; PMCID: PMC6174698. https://doi.org/10.4103/japtr.JAPTR_294_18
- Malekpour Ghorbani Z, Shahriar A, Ghassemi A. Postoperative Periorbital Edema and Ecchymosis After External Lateral Osteotomy “Comparing Conventional Osteotome and Piezo Scalpel in Rhinoplasty”. Indian J Otolaryngol Head Neck Surg. 2023 Mar;75(1):74-79. Epub 2022 Dec 29. PMID: 37007883; PMCID: PMC10050616. https://doi.org/10.1007/s12070-022-03378-6
- Taşkın Ü, Batmaz T, Erdil M, Aydın S, Yücebaş K. The comparison of edema and ecchymosis after piezoelectric and conventional osteotomy in rhinoplasty. Eur Arch Otorhinolaryngol. 2017 Feb;274(2):861-865. Epub 2016 Sept 17. PMID: 27640142. https://doi.org/10.1007/s00405-016-4306-9
- Tirelli G, Tofanelli M, Bullo F, Bianchi M, Robiony M. External osteotomy in rhinoplasty: Piezosurgery vs osteotome. Am J Otolaryngol. 2015;36:666-671. https://doi.org/10.1016/j.amjoto.2015.05.006
- Troedhan A. Piezotome rhinoplasty reduces postsurgical morbidity and enhances patient satisfaction: A multidisciplinary clinical study. J Oral Maxillofac Surg. 2016;74:1659.e1-1659.e11. https://doi.org/10.1016/j.joms.2016.04.013
- Starkov GS, Manturova NE, Koen IA. Osteotomy methods in rhinoplasty. Plastic Surgery and Aesthetic Medicine. 2025;(3-2):93-96. (In Russ., In Engl.). https://doi.org/10.17116/plast.hirurgia202503293
- Kara CO, Gökalan I. Effects of single-dose steroid usage on edema, ecchymosis, and intraoperative bleeding in rhinoplasty. Plast Reconstr Surg. 1999; 104(7):2213-2218. https://doi.org/10.1097/00006534-199912000-00041
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