Ottaviani Giulia1*, Biasotto Matteo1, Tirelli Giancarlo2, Di Lenarda Roberto1 and Robiony Massimo3
1Division of Oral Medicine and Pathology, Surgical and Health Sciences, University of Trieste, Italy
2Division of Otolaryngology and Head and Neck Surgery, Cattinara Hospital, University of
3Department of Medical and Biological Sciences, University Hospital of Udine, Italy
Background: Minimally invasive procedures, such as the endoscopic-assisted surgery and the use of piezoelectric devices have widespread in several medical fields. Endoscopic- assisted techniques allow reduction of trauma and optimal visibility, also in narrow areas, thanks to the magnification of operatory field.
Methods: We report the case of a 78-year-old female who underwent the resection of a left mandibular central ossifying fibroma via an intraoral approach.
Results: Thanks to the employment of a rigid endoscope, the surgical field was easily reached and neoplasm resected with the piezosurgery device, thus limiting the extent of surgical invasion associated to optimal visibility and soft tissue protection. Conclusions: The use of piezoelectric devices allows reducing sharp rotary cutting mills, lowering the risk of damages caused by the contact with the surrounding soft tissues, and in particular with nerves and blood vessels. Piezosurgery technique’s main advantages include soft tissue protection, and optimal visibility, in particular around extremely narrow areas.
Endoscope; Piezoelectric surgery; Ossifying fibroma; Visibility; Soft-tissue protection; Bone preservation
Giulia O, Matteo B, Giancarlo T, Roberto DL, Massimo R. Endoscopically-Assisted and Piezoelectric Intraoral Surgery: Application for Diagnosis and Treatment. Ann Clin Otolaryngol. 2017; 2(4): 1025.