A comparison and evaluation of the use of ultrasonic cutting devices with conventional powered instruments in orthognathic surgery
The aim of this study was to evaluate the usefulness of ultrasonic orthognathic surgery compared to conventional methods using powered instruments. The subjects were 146 patients in whom dentofacial deformities had been surgically corrected by a combined surgery of Le Fort I osteotomy and BSSO, and...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-04-01
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| Series: | Advances in Oral and Maxillofacial Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667147621000686 |
| _version_ | 1818730060247465984 |
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| author | Yusuke Kato Naoaki Saito Kanae Niimi Daisuke Saito Hidenobu Sakuma Daichi Hasebe Wataru Katagiri Tadaharu Kobayashi |
| author_facet | Yusuke Kato Naoaki Saito Kanae Niimi Daisuke Saito Hidenobu Sakuma Daichi Hasebe Wataru Katagiri Tadaharu Kobayashi |
| author_sort | Yusuke Kato |
| collection | DOAJ |
| description | The aim of this study was to evaluate the usefulness of ultrasonic orthognathic surgery compared to conventional methods using powered instruments. The subjects were 146 patients in whom dentofacial deformities had been surgically corrected by a combined surgery of Le Fort I osteotomy and BSSO, and they were divided into two groups: 88 patients who underwent surgery using powered instruments and 58 patients who underwent surgery using the serrated aggressive knife tip of an ultrasonic bone cutting device. Intraoperative bleeding volume and surgical time in two groups were compared. Intraoperative bleeding volume in the ultrasonic bone cutting device group was significantly smaller by 36% than that in the powered instruments group. On the other hand, surgical time in the ultrasonic bone cutting device group was significantly longer by 11% than that in the powered instruments group. Although there was a significant correlation between intraoperative bleeding volume and operation time in each group, the regression line in the ultrasonic bone cutting device group was lower and gentler than that in the powered instruments group. Therefore, it is considered that ultrasonic orthognathic surgery with a serrated aggressive knife tip is very effective for improving safety. |
| first_indexed | 2024-12-17T22:55:46Z |
| format | Article |
| id | doaj.art-3d184d171c52414884c712fb7cd27d29 |
| institution | Directory Open Access Journal |
| issn | 2667-1476 |
| language | English |
| last_indexed | 2024-12-17T22:55:46Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Advances in Oral and Maxillofacial Surgery |
| spelling | doaj.art-3d184d171c52414884c712fb7cd27d292022-12-21T21:29:32ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762021-04-012100081A comparison and evaluation of the use of ultrasonic cutting devices with conventional powered instruments in orthognathic surgeryYusuke Kato0Naoaki Saito1Kanae Niimi2Daisuke Saito3Hidenobu Sakuma4Daichi Hasebe5Wataru Katagiri6Tadaharu Kobayashi7Division of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan; Department of Oral and Maxillofacial Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Niigata, JapanDivision of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, JapanDivision of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, JapanDivision of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, JapanDivision of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, JapanDivision of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, JapanDivision of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, JapanDivision of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan; Corresponding author. Division of Reconstructive Surgery for Oral and Maxillofacial Region, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, 2-5274, Gakkocho-dori, Chuo-ku, Niigata City, 951-8514, Japan.The aim of this study was to evaluate the usefulness of ultrasonic orthognathic surgery compared to conventional methods using powered instruments. The subjects were 146 patients in whom dentofacial deformities had been surgically corrected by a combined surgery of Le Fort I osteotomy and BSSO, and they were divided into two groups: 88 patients who underwent surgery using powered instruments and 58 patients who underwent surgery using the serrated aggressive knife tip of an ultrasonic bone cutting device. Intraoperative bleeding volume and surgical time in two groups were compared. Intraoperative bleeding volume in the ultrasonic bone cutting device group was significantly smaller by 36% than that in the powered instruments group. On the other hand, surgical time in the ultrasonic bone cutting device group was significantly longer by 11% than that in the powered instruments group. Although there was a significant correlation between intraoperative bleeding volume and operation time in each group, the regression line in the ultrasonic bone cutting device group was lower and gentler than that in the powered instruments group. Therefore, it is considered that ultrasonic orthognathic surgery with a serrated aggressive knife tip is very effective for improving safety.http://www.sciencedirect.com/science/article/pii/S2667147621000686Dentofacial deformitiesOrthognathic surgeryUltrasonic surgerySurgical blood lossSurgical time |
| spellingShingle | Yusuke Kato Naoaki Saito Kanae Niimi Daisuke Saito Hidenobu Sakuma Daichi Hasebe Wataru Katagiri Tadaharu Kobayashi A comparison and evaluation of the use of ultrasonic cutting devices with conventional powered instruments in orthognathic surgery Advances in Oral and Maxillofacial Surgery Dentofacial deformities Orthognathic surgery Ultrasonic surgery Surgical blood loss Surgical time |
| title | A comparison and evaluation of the use of ultrasonic cutting devices with conventional powered instruments in orthognathic surgery |
| title_full | A comparison and evaluation of the use of ultrasonic cutting devices with conventional powered instruments in orthognathic surgery |
| title_fullStr | A comparison and evaluation of the use of ultrasonic cutting devices with conventional powered instruments in orthognathic surgery |
| title_full_unstemmed | A comparison and evaluation of the use of ultrasonic cutting devices with conventional powered instruments in orthognathic surgery |
| title_short | A comparison and evaluation of the use of ultrasonic cutting devices with conventional powered instruments in orthognathic surgery |
| title_sort | comparison and evaluation of the use of ultrasonic cutting devices with conventional powered instruments in orthognathic surgery |
| topic | Dentofacial deformities Orthognathic surgery Ultrasonic surgery Surgical blood loss Surgical time |
| url | http://www.sciencedirect.com/science/article/pii/S2667147621000686 |
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