Piezoelectric ear surgery: a systematic review
Background The piezoelectric instrument (PEI) offers a novel technique for bone removal in ear surgery with a combination of micro-oscillation and cavitation. The aim of this review is to explore the advantages, disadvantages, and limitations of this instrument in comparison to the drill. Materials...
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| Veröffentlicht in: | HNO 2023-08, Vol.71 (Suppl 1), p.10-18 |
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| creator | Lyutenski, Stefan Lieder, Anja Bloching, Marc |
| description | Background
The piezoelectric instrument (PEI) offers a novel technique for bone removal in ear surgery with a combination of micro-oscillation and cavitation. The aim of this review is to explore the advantages, disadvantages, and limitations of this instrument in comparison to the drill.
Materials and methods
We conducted a search of PubMed/MEDLINE and Google Scholar in accordance with the PRISMA recommendations. The primary selection included all studies reporting on the use of PEI in ear surgery or its effect on the inner ear. Only studies with a control group were included in the secondary selection.
Results
The first search identified 49 studies between 2003 and 2022. These reported on a total of 1162 ear operations, during which PEI was used for various indications. Most data were based on uncontrolled retrospective studies or case reports (76%). Only one of the five controlled clinical studies was prospective and randomized. The advantages of PEI weighed against its limitations and disadvantages were critically analyzed in comparison to the drill.
Conclusion
Piezoelectric surgery is an innovative and promising surgical technique in the temporal bone. PEI appears to enable safer and more precise bone removal in close proximity to soft tissue when compared to the drill. The slower bone removal and cost factors represent current limitations to its wider use in ear surgery. |
| doi_str_mv | 10.1007/s00106-022-01211-8 |
| format | Article |
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The piezoelectric instrument (PEI) offers a novel technique for bone removal in ear surgery with a combination of micro-oscillation and cavitation. The aim of this review is to explore the advantages, disadvantages, and limitations of this instrument in comparison to the drill.
Materials and methods
We conducted a search of PubMed/MEDLINE and Google Scholar in accordance with the PRISMA recommendations. The primary selection included all studies reporting on the use of PEI in ear surgery or its effect on the inner ear. Only studies with a control group were included in the secondary selection.
Results
The first search identified 49 studies between 2003 and 2022. These reported on a total of 1162 ear operations, during which PEI was used for various indications. Most data were based on uncontrolled retrospective studies or case reports (76%). Only one of the five controlled clinical studies was prospective and randomized. The advantages of PEI weighed against its limitations and disadvantages were critically analyzed in comparison to the drill.
Conclusion
Piezoelectric surgery is an innovative and promising surgical technique in the temporal bone. PEI appears to enable safer and more precise bone removal in close proximity to soft tissue when compared to the drill. The slower bone removal and cost factors represent current limitations to its wider use in ear surgery.</description><identifier>ISSN: 0017-6192</identifier><identifier>EISSN: 1433-0458</identifier><identifier>DOI: 10.1007/s00106-022-01211-8</identifier><identifier>PMID: 36205754</identifier><language>eng</language><publisher>Heidelberg: Springer Medizin</publisher><subject>Allergology ; Head and Neck Surgery ; Medicine ; Medicine & Public Health ; Otorhinolaryngology ; Plastic Surgery ; Review Articles</subject><ispartof>HNO, 2023-08, Vol.71 (Suppl 1), p.10-18</ispartof><rights>The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c277t-db6d570184b0a34d3c57d8086b30f340389c91606a74f98c52ea70b4bd6796963</citedby><cites>FETCH-LOGICAL-c277t-db6d570184b0a34d3c57d8086b30f340389c91606a74f98c52ea70b4bd6796963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00106-022-01211-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00106-022-01211-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36205754$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lyutenski, Stefan</creatorcontrib><creatorcontrib>Lieder, Anja</creatorcontrib><creatorcontrib>Bloching, Marc</creatorcontrib><title>Piezoelectric ear surgery: a systematic review</title><title>HNO</title><addtitle>HNO</addtitle><addtitle>HNO</addtitle><description>Background
The piezoelectric instrument (PEI) offers a novel technique for bone removal in ear surgery with a combination of micro-oscillation and cavitation. The aim of this review is to explore the advantages, disadvantages, and limitations of this instrument in comparison to the drill.
Materials and methods
We conducted a search of PubMed/MEDLINE and Google Scholar in accordance with the PRISMA recommendations. The primary selection included all studies reporting on the use of PEI in ear surgery or its effect on the inner ear. Only studies with a control group were included in the secondary selection.
Results
The first search identified 49 studies between 2003 and 2022. These reported on a total of 1162 ear operations, during which PEI was used for various indications. Most data were based on uncontrolled retrospective studies or case reports (76%). Only one of the five controlled clinical studies was prospective and randomized. The advantages of PEI weighed against its limitations and disadvantages were critically analyzed in comparison to the drill.
Conclusion
Piezoelectric surgery is an innovative and promising surgical technique in the temporal bone. PEI appears to enable safer and more precise bone removal in close proximity to soft tissue when compared to the drill. The slower bone removal and cost factors represent current limitations to its wider use in ear surgery.</description><subject>Allergology</subject><subject>Head and Neck Surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Otorhinolaryngology</subject><subject>Plastic Surgery</subject><subject>Review Articles</subject><issn>0017-6192</issn><issn>1433-0458</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kMtOwzAQRS0EoqXwAyxQl2xMx2-HHap4SZVgAWvLcRyUKmmKnYDK1_AtfBmmKSxZjUb3zJXmIHRK4IIAqFkEICAxUIqBUEKw3kNjwhnDwIXeR-OUKyxJRkfoKMZlWkVG2SEaMUlBKMHHaPZY-Y_W1951oXJTb8M09uHFh83l1H59xk3sfGO7FAX_Vvn3Y3RQ2jr6k92coOeb66f5HV483N7PrxbYUaU6XOSyEAqI5jlYxgvmhCo0aJkzKBkHpjOXEQnSKl5m2gnqrYKc54VUmcwkm6DzoXcd2tfex840VXS-ru3Kt300VFFGBFdblA6oC22MwZdmHarGho0hYH5EmUGUSaLMVpTR6ehs19_njS_-Tn7NJIANQEzRKgkxy7YPq_Tzf7XfyLlyKA</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Lyutenski, Stefan</creator><creator>Lieder, Anja</creator><creator>Bloching, Marc</creator><general>Springer Medizin</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230801</creationdate><title>Piezoelectric ear surgery: a systematic review</title><author>Lyutenski, Stefan ; Lieder, Anja ; Bloching, Marc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c277t-db6d570184b0a34d3c57d8086b30f340389c91606a74f98c52ea70b4bd6796963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Allergology</topic><topic>Head and Neck Surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Otorhinolaryngology</topic><topic>Plastic Surgery</topic><topic>Review Articles</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lyutenski, Stefan</creatorcontrib><creatorcontrib>Lieder, Anja</creatorcontrib><creatorcontrib>Bloching, Marc</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>HNO</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lyutenski, Stefan</au><au>Lieder, Anja</au><au>Bloching, Marc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Piezoelectric ear surgery: a systematic review</atitle><jtitle>HNO</jtitle><stitle>HNO</stitle><addtitle>HNO</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>71</volume><issue>Suppl 1</issue><spage>10</spage><epage>18</epage><pages>10-18</pages><issn>0017-6192</issn><eissn>1433-0458</eissn><abstract>Background
The piezoelectric instrument (PEI) offers a novel technique for bone removal in ear surgery with a combination of micro-oscillation and cavitation. The aim of this review is to explore the advantages, disadvantages, and limitations of this instrument in comparison to the drill.
Materials and methods
We conducted a search of PubMed/MEDLINE and Google Scholar in accordance with the PRISMA recommendations. The primary selection included all studies reporting on the use of PEI in ear surgery or its effect on the inner ear. Only studies with a control group were included in the secondary selection.
Results
The first search identified 49 studies between 2003 and 2022. These reported on a total of 1162 ear operations, during which PEI was used for various indications. Most data were based on uncontrolled retrospective studies or case reports (76%). Only one of the five controlled clinical studies was prospective and randomized. The advantages of PEI weighed against its limitations and disadvantages were critically analyzed in comparison to the drill.
Conclusion
Piezoelectric surgery is an innovative and promising surgical technique in the temporal bone. PEI appears to enable safer and more precise bone removal in close proximity to soft tissue when compared to the drill. The slower bone removal and cost factors represent current limitations to its wider use in ear surgery.</abstract><cop>Heidelberg</cop><pub>Springer Medizin</pub><pmid>36205754</pmid><doi>10.1007/s00106-022-01211-8</doi><tpages>9</tpages></addata></record> |
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| language | eng |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Allergology Head and Neck Surgery Medicine Medicine & Public Health Otorhinolaryngology Plastic Surgery Review Articles |
| title | Piezoelectric ear surgery: a systematic review |
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