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Purpose <p>Comparing the aesthetic and clinical postoperative outcomes, as well as patient satisfaction, in rhinoplasty using piezo-assisted vs. conventional osteotomy.</p> Methods <p>In this prospective randomized controlled trial, 40 rhinoplasty patients were allocated 1:1 using an electronic randomizer into two groups according to the internal lateral osteotomy technique (Group A: conventional osteotomy vs. Group B: piezo-assisted osteotomy). The integrated outcome from the patient’s standpoint, as well as the clinical outcome and postoperative morbidities were compared concerning patient satisfaction using the Rhinoplasty Outcome Evaluation (ROE) score, osteotomy duration, postoperative ecchymosis, edema, mucosal injury, and osteotomy-related bony irregularities (step-off deformity).</p> Results <p>The mean duration of the osteotomy step was significantly longer within Group B. Two days postoperatively, the conventional osteotomy group had significantly greater grades of edema and ecchymosis (<i>p</i> &lt; 0.001); however, the difference was non-significant in the longer-term postoperatively. Mucosal injury incidence was significantly higher within Group A, with a non-significant difference regarding step-off deformity. Patients’ ROE satisfaction score was significantly higher among Group B patients after two weeks (<i>p</i> &lt; 0.05) but was non-significantly different six months postoperatively.</p> Conclusion <p>Piezo-assisted osteotomy provides clear short-term benefits over conventional internal lateral osteotomy. However, given the non-significant long-term differences, surgeons should select techniques based on expertise, patient counseling, and recovery priorities.</p>

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A Comparative Assessment of Piezo-Assisted Versus Conventional Osteotomy in Rhinoplasty: Integrating Patient and Clinical Perspectives

  • 期刊论文

  • 发表日期：

    2025年9月5日

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  • Saad Elzayat,
  • Gian Antonio Bertoli,
  • Amr N. Rabie,
  • Samir Ghoraba,
  • Mohamed Elkady,
  • Ibrahim A. Abdulghaffar

摘要

Purpose

Comparing the aesthetic and clinical postoperative outcomes, as well as patient satisfaction, in rhinoplasty using piezo-assisted vs. conventional osteotomy.

Methods

In this prospective randomized controlled trial, 40 rhinoplasty patients were allocated 1:1 using an electronic randomizer into two groups according to the internal lateral osteotomy technique (Group A: conventional osteotomy vs. Group B: piezo-assisted osteotomy). The integrated outcome from the patient’s standpoint, as well as the clinical outcome and postoperative morbidities were compared concerning patient satisfaction using the Rhinoplasty Outcome Evaluation (ROE) score, osteotomy duration, postoperative ecchymosis, edema, mucosal injury, and osteotomy-related bony irregularities (step-off deformity).

Results

The mean duration of the osteotomy step was significantly longer within Group B. Two days postoperatively, the conventional osteotomy group had significantly greater grades of edema and ecchymosis (p < 0.001); however, the difference was non-significant in the longer-term postoperatively. Mucosal injury incidence was significantly higher within Group A, with a non-significant difference regarding step-off deformity. Patients’ ROE satisfaction score was significantly higher among Group B patients after two weeks (p < 0.05) but was non-significantly different six months postoperatively.

Conclusion

Piezo-assisted osteotomy provides clear short-term benefits over conventional internal lateral osteotomy. However, given the non-significant long-term differences, surgeons should select techniques based on expertise, patient counseling, and recovery priorities.