Use of Piezoelectric Devices in Closed Structural Rhinoplasty

Abstract Background Closed rhinoplasty techniques are gaining popularity once again as more and more patients demand them. The use of piezoelectric devices (PEDs) is also another popular practice in rhinoplasty surgeries recently to reduce postoperative edema and bruising. Objectives The aim of this study was to propose a new technique in which all osteotomies in closed rhinoplasty surgeries can be performed using PEDs. Methods A comparison was made between 274 patients who underwent closed piezo (CloPi) rhinoplasty and 120 patients who underwent closed rhinoplasty using conventional osteotomy. In the CloPi technique, all osteotomies, including lateral and transverse osteotomies, were performed with PEDs using straight and 90° curved tips. Preoperative and postoperative results obtained with the Rhinoplasty Outcome Evaluation (ROE) questionnaire were compared to evaluate aesthetic and functional results. Results In the CloPi group, the mean age was 30.8 years (range, 18-60 years) and the mean follow-up period was 19.6 months, whereas in the control group, the mean age was 33.5 years (range, 18-61 years) and the mean follow-up period was 29.3 months. Significantly better results were obtained in the ROE questionnaire compared with preoperative values in both groups (P < .001). When comparing the postoperative–preoperative change in ROE scores between the 2 groups, the improvement observed in the CloPi cohort was significantly greater for all items (P < .001), except for Question 2—assessing the ability to breathe—where no significant difference was detected (P = .231). Conclusions CloPi rhinoplasty is an easy and reliable technique in which all osteotomies can be performed with PEDs. Successful surgical results can be achieved with wide surgical dissection. Level of Evidence 3 (Therapeutic)