Section: 
Rhinology issues
Rhinology issuesUse of piezotome to remove osteomas of paranasal sinuses
I. S. Elizbaryan (1), F. V. Semenov (2)
(1), (2) - Kuban State Medical University, Krasnodar, 350063, Russian Federation, (1), (2) - Krasnodar Regional Hospital No 3, Krasnodar, 350007, Russian Federation
UDK: УДК 615.837.3:616.216-006.34.03-089.87
DOI: https://doi.org/10.18692/1810-4800-2024-3-17-22
ABSTRACT
Abstract. Removal of osteomas of the paranasal sinuses can be performed in various ways: with a chisel, a drill, a piezotome. Each method carries certain advantages and disadvantages as well as risks of complications. One of the most modern and safe methods for separating the tumor and the normal sinus wall is a piezotome. Purpose of the study. Rationale for the use of a piezosurgery for the purpose of improving the surgical technique of removing osteomas of the paranasal sinuses and preventing postoperative complications. Patients and methods. A prospective analysis of 59 clinical cases using various methods of separation of osteoma and sinus wall was carried out to substantiate the advantages of using a piezotome. The following parameters were evaluated: technical difficulties when fragmentation of large osteomas is necessary, the possibility of precision movement of the working part of the instrument, the surgeon’s subjective feelings regarding the possibility of technical errors during the operation, as well as the time spent on removing tumors of approximately the same size and localization. Conclusion. As a result of the study, the advantages of using a piezotome for tissue separation according to the presented characteristics were revealed.
Publication date:
17.06.2024
Keywords:
piezotome, osteoma, paranasal sinuses, neoplasms of the paranasal sinuses For citation:
Elizbaryan I. S., Semenov F. V. Use of piezotome to remove osteomas of paranasal sinuses. Russian Otorhinolaryngology. 2024;23(3):17-22. (In Russ.) https://doi.org/10.18692/1810-4800-2024-3-17-22