Submitted: 30 Jul 2015
Revision: 25 Feb 2016
Accepted: 07 Mar 2016
ePublished: 17 Jul 2016
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Avicenna J Dent Res. 2017;9(3): e31975-e31975.
doi: 10.5812/ajdr.31975
  Abstract View: 345
  PDF Download: 229

Case Report

Efficacy and Safety of Piezosurgery Device in the Surgical Treatment of Oral Cancer

Marco Rossi 1, Francesco Saverio Ludovichetti 1, Christian Bacci 1*

1 University of Padova, Padova, Italy
Corresponding author: Christian Bacci, University of Padova, Padova, Italy. Tel: +39-0498212040. E-mail: christian.bacci@unipd.it


Introduction: A new piezoelectric surgical device, a new system for cutting bone system, has recently been developed. It uses lowfrequency ultrasonic vibrations to shape and cut bone.

Case Presentation: In this paper, we report the case of a 70-year-old woman affected by (G2, T1, M0) oral cancer treated with osteotomy performed using this piezoelectric device. The case presents the complete surgical excision of a fornix squamous cell carcinoma in which the marginal mandibulectomy was effected by a piezoelectric system.

Conclusions: People who have conditions involving bone that need to be surgically removed specifically nearby soft tissues or important structures (vessels, nerves, or brain), may benefit from this device. In the oral cavity, where the presence of essential structures may hinder safe osteotomy, the piezoelectric device allows the surgeon to cut bone without damaging nerves, glands, and vessels, even when in contact with them. The presence of angled inserts is also fundamental and facilitates osteotomies in areas that are unreachable by conventional cutters and burs.

Keywords: Piezoelectric Device, Oral Cancer, Oral Surgery, Head and Neck Surgery
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