The Experts below are selected from a list of 1632 Experts worldwide ranked by ideXlab platform
Ahmed A Alsayed - One of the best experts on this subject based on the ideXlab platform.
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Piezosurgery versus conventional osteotomy in rhinoplasty a systematic review and meta analysis
Laryngoscope, 2020Co-Authors: Ahmad A. Mirza, Talal Alandejani, Ahmed A AlsayedAbstract:OBJECTIVE Piezosurgery, used in different otolaryngology procedures, was a breakthrough in surgery. We systematically reviewed the differences in outcomes after lateral nasal osteotomy with peizosurgery and conventional osteotome and quantified the differences through a meta-analysis. METHODS Medline, Embase, and Cochrane library databases were selected to search for randomized clinical trials (RCTs) published before January 2019 that detailed differences between Piezosurgery and conventional osteotomy. The key search terms included "rhinoplasty" and "Piezosurgery." Only RCTs in English with patients >18 years who underwent lateral osteotomy by percutaneous or internal approaches were included. PRISMA guidelines were followed in data extraction and study inclusion. Two independent reviewers assessed the relevance of the studies. The point of estimate in the meta-analysis was the standardized mean difference and was pooled with the random-effects model. The measured outcomes were ecchymosis, edema, postoperative pain, and duration of surgery. RESULTS Five RCTs met our criteria and were analyzed in primary subsequent meta-analyses. Piezosurgery demonstrated significantly lower edema (SMD = -0.75; 95% CI, -1.26, -0.24) and ecchymosis scores (SMD = -0.85; 95% CI, -1.49, -0.20) on postoperative days (POD) 2 or 3 than conventional surgery. They were also significantly lower with Piezosurgery than conventional surgery on POD 7 (SMD = -0.64; 95% CI, -1.21, -0.06; and SMD = -0.64; 95% CI, -1.14, -0.14, respectively). Two studies that estimated the degree of pain showed that after Piezosurgery, patients experienced lesser pain than after conventional surgery. The mean difference was -0.73 (95% CI, -1.06, -0.39). CONCLUSIONS Piezosurgery causes less ecchymosis, edema, and pain than conventional osteotomy, without extending the duration of surgery. Laryngoscope, 130:1158-1165, 2020.
Talal Alandejani - One of the best experts on this subject based on the ideXlab platform.
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Piezosurgery versus conventional osteotomy in rhinoplasty a systematic review and meta analysis
Laryngoscope, 2020Co-Authors: Ahmad A. Mirza, Talal Alandejani, Ahmed A AlsayedAbstract:OBJECTIVE Piezosurgery, used in different otolaryngology procedures, was a breakthrough in surgery. We systematically reviewed the differences in outcomes after lateral nasal osteotomy with peizosurgery and conventional osteotome and quantified the differences through a meta-analysis. METHODS Medline, Embase, and Cochrane library databases were selected to search for randomized clinical trials (RCTs) published before January 2019 that detailed differences between Piezosurgery and conventional osteotomy. The key search terms included "rhinoplasty" and "Piezosurgery." Only RCTs in English with patients >18 years who underwent lateral osteotomy by percutaneous or internal approaches were included. PRISMA guidelines were followed in data extraction and study inclusion. Two independent reviewers assessed the relevance of the studies. The point of estimate in the meta-analysis was the standardized mean difference and was pooled with the random-effects model. The measured outcomes were ecchymosis, edema, postoperative pain, and duration of surgery. RESULTS Five RCTs met our criteria and were analyzed in primary subsequent meta-analyses. Piezosurgery demonstrated significantly lower edema (SMD = -0.75; 95% CI, -1.26, -0.24) and ecchymosis scores (SMD = -0.85; 95% CI, -1.49, -0.20) on postoperative days (POD) 2 or 3 than conventional surgery. They were also significantly lower with Piezosurgery than conventional surgery on POD 7 (SMD = -0.64; 95% CI, -1.21, -0.06; and SMD = -0.64; 95% CI, -1.14, -0.14, respectively). Two studies that estimated the degree of pain showed that after Piezosurgery, patients experienced lesser pain than after conventional surgery. The mean difference was -0.73 (95% CI, -1.06, -0.39). CONCLUSIONS Piezosurgery causes less ecchymosis, edema, and pain than conventional osteotomy, without extending the duration of surgery. Laryngoscope, 130:1158-1165, 2020.
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Piezosurgery versus conventional osteotomy in rhinoplasty: A systematic review and meta‐analysis
The Laryngoscope, 2019Co-Authors: Ahmad A. Mirza, Talal Alandejani, Ahmed A. Al-sayedAbstract:OBJECTIVE Piezosurgery, used in different otolaryngology procedures, was a breakthrough in surgery. We systematically reviewed the differences in outcomes after lateral nasal osteotomy with peizosurgery and conventional osteotome and quantified the differences through a meta-analysis. METHODS Medline, Embase, and Cochrane library databases were selected to search for randomized clinical trials (RCTs) published before January 2019 that detailed differences between Piezosurgery and conventional osteotomy. The key search terms included "rhinoplasty" and "Piezosurgery." Only RCTs in English with patients >18 years who underwent lateral osteotomy by percutaneous or internal approaches were included. PRISMA guidelines were followed in data extraction and study inclusion. Two independent reviewers assessed the relevance of the studies. The point of estimate in the meta-analysis was the standardized mean difference and was pooled with the random-effects model. The measured outcomes were ecchymosis, edema, postoperative pain, and duration of surgery. RESULTS Five RCTs met our criteria and were analyzed in primary subsequent meta-analyses. Piezosurgery demonstrated significantly lower edema (SMD = -0.75; 95% CI, -1.26, -0.24) and ecchymosis scores (SMD = -0.85; 95% CI, -1.49, -0.20) on postoperative days (POD) 2 or 3 than conventional surgery. They were also significantly lower with Piezosurgery than conventional surgery on POD 7 (SMD = -0.64; 95% CI, -1.21, -0.06; and SMD = -0.64; 95% CI, -1.14, -0.14, respectively). Two studies that estimated the degree of pain showed that after Piezosurgery, patients experienced lesser pain than after conventional surgery. The mean difference was -0.73 (95% CI, -1.06, -0.39). CONCLUSIONS Piezosurgery causes less ecchymosis, edema, and pain than conventional osteotomy, without extending the duration of surgery. Laryngoscope, 130:1158-1165, 2020.
Jeanluc Beziat - One of the best experts on this subject based on the ideXlab platform.
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sensitivity of the inferior lip and chin following mandibular bilateral sagittal split osteotomy using Piezosurgery
Plastic and Reconstructive Surgery, 2006Co-Authors: Hadi J Geha, A Gleizal, Nicolas Nimeskern, Jeanluc BeziatAbstract:Background: Bimaxillary osteotomy, including bilateral sagittal split osteotomy, is the most commonly performed orthognathic surgical intervention in Europe and the United States. Neurosensory perturbation in the territory of the inferior alveolar nerve is a reported adverse effect of bilateral sagittal split osteotomy. Piezosurgery is a relatively new technique that allows bone to be cut while preserving soft tissues, including nerves. The purpose of this study was to assess inferior alveolar nerve function through clinical neurosensory testing after bilateral sagittal split osteotomy using Piezosurgery. Methods: Between February and September of 2004, 20 patients (40 sides) presenting with dentoskeletal deformities underwent bimaxillary osteotomy, including bilateral sagittal split osteotomy. The Mectron Piezosurgery device was used to perform all sagittal splits, with distraction being performed between the two bone valves. The inferior alveolar nerve was evaluated both objectively with clinical neurosensory testing, including pin-prick sensation, light touch sensation, and two-point discrimination tests, and subjectively at the following time points: preoperatively; at days 5, 7, and 10, postoperatively; and at the second month postoperatively. Results: The anatomical integrity of the inferior alveolar nerve was respected in all cases. Observed normal results for the different tests at 10 days were 90, 82, and 70 percent, respectively, for pin-prick sensation, light touch sensation, and two-point discrimination. By computing scores for different clinical neurosensory tests, the authors observed between 75 and 80 percent complete neurosensory recuperation as early as the second postoperative month. Conclusions: Piezosurgery used for bilateral sagittal split osteotomy allows prompt recovery of inferior alveolar nerve neurosensory function within 2 months. No comparison is possible with the results using the standard technique for bilateral sagittal split osteotomy.
Ahmad A. Mirza - One of the best experts on this subject based on the ideXlab platform.
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Piezosurgery versus conventional osteotomy in rhinoplasty a systematic review and meta analysis
Laryngoscope, 2020Co-Authors: Ahmad A. Mirza, Talal Alandejani, Ahmed A AlsayedAbstract:OBJECTIVE Piezosurgery, used in different otolaryngology procedures, was a breakthrough in surgery. We systematically reviewed the differences in outcomes after lateral nasal osteotomy with peizosurgery and conventional osteotome and quantified the differences through a meta-analysis. METHODS Medline, Embase, and Cochrane library databases were selected to search for randomized clinical trials (RCTs) published before January 2019 that detailed differences between Piezosurgery and conventional osteotomy. The key search terms included "rhinoplasty" and "Piezosurgery." Only RCTs in English with patients >18 years who underwent lateral osteotomy by percutaneous or internal approaches were included. PRISMA guidelines were followed in data extraction and study inclusion. Two independent reviewers assessed the relevance of the studies. The point of estimate in the meta-analysis was the standardized mean difference and was pooled with the random-effects model. The measured outcomes were ecchymosis, edema, postoperative pain, and duration of surgery. RESULTS Five RCTs met our criteria and were analyzed in primary subsequent meta-analyses. Piezosurgery demonstrated significantly lower edema (SMD = -0.75; 95% CI, -1.26, -0.24) and ecchymosis scores (SMD = -0.85; 95% CI, -1.49, -0.20) on postoperative days (POD) 2 or 3 than conventional surgery. They were also significantly lower with Piezosurgery than conventional surgery on POD 7 (SMD = -0.64; 95% CI, -1.21, -0.06; and SMD = -0.64; 95% CI, -1.14, -0.14, respectively). Two studies that estimated the degree of pain showed that after Piezosurgery, patients experienced lesser pain than after conventional surgery. The mean difference was -0.73 (95% CI, -1.06, -0.39). CONCLUSIONS Piezosurgery causes less ecchymosis, edema, and pain than conventional osteotomy, without extending the duration of surgery. Laryngoscope, 130:1158-1165, 2020.
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Piezosurgery versus conventional osteotomy in rhinoplasty: A systematic review and meta‐analysis
The Laryngoscope, 2019Co-Authors: Ahmad A. Mirza, Talal Alandejani, Ahmed A. Al-sayedAbstract:OBJECTIVE Piezosurgery, used in different otolaryngology procedures, was a breakthrough in surgery. We systematically reviewed the differences in outcomes after lateral nasal osteotomy with peizosurgery and conventional osteotome and quantified the differences through a meta-analysis. METHODS Medline, Embase, and Cochrane library databases were selected to search for randomized clinical trials (RCTs) published before January 2019 that detailed differences between Piezosurgery and conventional osteotomy. The key search terms included "rhinoplasty" and "Piezosurgery." Only RCTs in English with patients >18 years who underwent lateral osteotomy by percutaneous or internal approaches were included. PRISMA guidelines were followed in data extraction and study inclusion. Two independent reviewers assessed the relevance of the studies. The point of estimate in the meta-analysis was the standardized mean difference and was pooled with the random-effects model. The measured outcomes were ecchymosis, edema, postoperative pain, and duration of surgery. RESULTS Five RCTs met our criteria and were analyzed in primary subsequent meta-analyses. Piezosurgery demonstrated significantly lower edema (SMD = -0.75; 95% CI, -1.26, -0.24) and ecchymosis scores (SMD = -0.85; 95% CI, -1.49, -0.20) on postoperative days (POD) 2 or 3 than conventional surgery. They were also significantly lower with Piezosurgery than conventional surgery on POD 7 (SMD = -0.64; 95% CI, -1.21, -0.06; and SMD = -0.64; 95% CI, -1.14, -0.14, respectively). Two studies that estimated the degree of pain showed that after Piezosurgery, patients experienced lesser pain than after conventional surgery. The mean difference was -0.73 (95% CI, -1.06, -0.39). CONCLUSIONS Piezosurgery causes less ecchymosis, edema, and pain than conventional osteotomy, without extending the duration of surgery. Laryngoscope, 130:1158-1165, 2020.
George K.b. Sándor - One of the best experts on this subject based on the ideXlab platform.
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Piezo harvesting of bone grafts from the anterior iliac crest: A technical note.
annals of maxillofacial surgery, 2016Co-Authors: Leena P. Ylikontiola, Ville Lehtonen, George K.b. SándorAbstract:Background: Autogenous bone graft harvesting from the iliac crest is associated with donor site morbidity. The aim of this report is to describe the use of Piezosurgery as an attempt at morbidity reduction. Materials and Methods: A piezosurgical handpiece and its selection of tips can easily be accommodated in an iliac crest wound to osteotomize and allow the harvest and delivery of autogenous bone grafts. Results: Corticocancellous blocks or cancellous strips of autogenous bone can be readily harvested using a piezosurgical technique at the anterior iliac crest. Conclusion: Piezosurgery avoids some of the traumatic aspects of harvesting bone associated with the use of conventional rotary instruments or saws.
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Autotransplantation donor tooth site harvesting using Piezosurgery.
Annals of maxillofacial surgery, 2016Co-Authors: Leena P. Ylikontiola, George K.b. SándorAbstract:Background: The harvesting of a tooth as a candidate for tooth autotransplantation requires that the delicate dental tissues around the tooth be minimally traumatized. This is especially so for the periradicular tissues of the tooth root and the follicular tissues surrounding the crown. The aim of this report is to describe the use of Piezosurgery as an attempt at morbidity reduction in the harvesting of teeth for autotransplantation. Methods: A piezosurgical handpiece and its selection of tips were easily adapted to allow the harvesting and delivery of teeth for autotransplantation purposes. Results: Twenty premolar teeth were harvested using a piezosurgical device. The harvested teeth were subsequently successfully autotransplanted. All twenty teeth healed in a satisfactory manner without excessive mobility or ankyloses. Conclusions: Piezosurgery avoids some of the traumatic aspects of harvesting teeth and removing bone which are associated with thermal damage from the use of conventional rotary instruments or saws. Piezosurgery can be adapted to facilitate the predictable harvesting of teeth for autotransplantation purposes.