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Piezoosteotomie in der Dysgnathiechirurgie

Piezoosteotomy in dysgnathia surgery

  • Leitthema
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Der MKG-Chirurg Aims and scope

Zusammenfassung

Die Piezochirurgie wird seit rund 35 Jahren in der Mund‑, Kiefer- und Gesichtschirurgie eingesetzt und findet vermehrt ihre Anwendung in der Dysgnathiechirurgie. In diesem Beitrag werden zunächst die Entwicklung und der Nutzen der Piezoosteotomie in der Dysgnathiechirurgie erläutert. Dann werden die Determinanten intraoperativer Blutverlust, Operationszeit und neurosensorische Störungen nach Piezoosteotomie im Vergleich zur konventionellen Instrumentierung anhand einer Literaturrecherche dargestellt. Die Piezoosteotomie ermöglicht einen geringeren Blutverlust und eine bessere Nervenschonung intraoperativ und ergo postoperativ bei zuverlässiger Reossifikation durch kontrollierte Hitzeentwicklung.

Abstract

Piezosurgical techniques have been used in oral and maxillofacial surgery for around 35 years now. Their application in dysgnathia surgery is on the increase. The current article initially presents the development and the advantages of piezoosteotomy for dysgnathia surgery. Thereafter, the determinants of intraoperative blood loss, operation time, and neurosensory dysfunction after piezoosteotomy compared to conventional instruments are discussed based on a literature search. Piezoosteotomy is associated with reduced blood loss and improved nerve protection intraoperatively and thus postoperatively, with reliable reossification due to controlled heat production.

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Notes

  1. Mit dem Semmes-Weinstein Monofilament Test wird untersucht, ob ein Patient sensible Reize auf der Haut spürt. Das Assessment hilft dabei, den Bereich einer neuronalen Schädigung abzubilden und dem Therapeuten einen Ansatz für ein spezifisches Sensibilitätstraining zu geben.

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Authors and Affiliations

  1. Mund‑, Kiefer‑, Gesichtschirurgie, Sana Klinikum Offenbach GmbH, Starkenburgring 66, 63069, Offenbach am Main, Deutschland

    Mohamad Alrefai, Boris Fleischhacker, Hazem Altaki & Constantin Landes

  2. Faculty of Dentistry, Jordan University of Science & Technology, Irbid, Jordanien

    Ahmad Daboul

  3. Maxillofacial Surgery, University of São Paulo, São Paulo, Brasilien

    Fernando Melhem Elias

Authors
  1. Mohamad Alrefai
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  2. Ahmad Daboul
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  3. Fernando Melhem Elias
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  4. Boris Fleischhacker
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  5. Hazem Altaki
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  6. Constantin Landes
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Correspondence to Mohamad Alrefai.

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Interessenkonflikt

M. Alrefai, A. Daboul, F. M. Elias, B. Fleischhacker, H. Altaki und C. Landes geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Für Bildmaterial innerhalb des Manuskripts, über die Patient/-innen zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern/Vertreterinnen eine schriftliche Einwilligung vor.

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Alrefai, M., Daboul, A., Elias, F.M. et al. Piezoosteotomie in der Dysgnathiechirurgie. MKG-Chirurg 15, 98–107 (2022). https://doi.org/10.1007/s12285-022-00358-1

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