In our study, all patients were evaluated for ecchymosis, bleeding, edema, and scarring immediately and at 1 and 2 weeks postoperatively. Reduction of bleeding during surgery, minor edema, periorbital ecchymosis, and no visible scarring were noted immediately postoperatively. Considerable reduction of trauma, postoperative edema, and ecchymosis was noted. These results were confirmed by previous histologic findings that support the relationship between minor surgical trauma and better soft and hard tissue behavior during healing.
We felt obliged to point out the above to ensure correct attribution of the paternity of the first application of ultrasound in rhinoplasty. Above all, we wanted to report that the important details and advantages of the use of ultrasound osteotomies in rhinoplasty are superimposable. Therefore, the literature should be evaluated to glean the truth regarding use of ultrasound for osteotomies in rhinoplasty.
The author has no financial interest to declare in relation to the content of this communication.
Massimo Robiony, M.D., F.E.B.O.M.F.S.
1. Cochran CS, Roostaeian J.. Use of the ultrasonic bone aspirator for lateral osteotomies in rhinoplasty. Plast Reconstr Surg. 2013;132:1430–1433
2. Robiony M, Polini F, Costa F, Toro C, Politi M.. Ultrasound piezoelectric vibrations to perform osteotomies in rhinoplasty. J Oral Maxillofac Surg. 2007;65:1035–1038
3. Robiony M, Toro C, Costa F, Sembronio S, Polini F, Politi M.. Piezosurgery: A new method for osteotomies in rhinoplasty. J Craniofac Surg. 2007;18:1098–1100
4. Robiony M, Polini F, Costa F, Vercellotti T, Politi M.. Piezoelectric bone cutting in multiple piece maxillary osteotomy. J Oral Maxillofac Surg. 2004;62:759–761
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