Ultrasonic Rhinoplasty and Septoplasty for Dorsum Preservation and for Dorsum Structural Reconstruction

Gerbault O.

PubMed 36396285 Publisher (DOI)

What this paper says

A review of purpose built ultrasonic instruments for reshaping nasal bone, arguing they allow precise cuts under direct view while preserving bone stability and avoiding unwanted fractures.

Overview

Ultrasonic rhinoplasty and septoplasty reshape the nasal bones using piezoelectric instruments developed specifically for these operations. The article describes what these instruments allow, details the different tips available and their range of action, and covers their application to both preserving the bridge and rebuilding it structurally.

Sections of note

Review article; the abstract reports no patient numbers, no outcomes, no complication rates and no follow up.
The instruments allow precise bone cuts under direct visual control after an open or extended closed approach.
They also allow removal of sections of bone and reshaping of the bone surface.
Piezoelectric instruments are stated to preserve bone stability by not damaging supporting structures.
They are also stated to avoid unwanted fractures.
They allow precise control of nasal bone movement, orientation and final position.
The different instrument tips are detailed with their scope of action.
Applications to both bridge preservation and structural remodeling are presented.

What it means for a patient

Bone cuts made with a hand chisel can fracture unpredictably; the stated advantage of these instruments is control over where the bone breaks.
Direct visual control requires the surgeon to expose the bone, which is why these instruments are linked to the open approach.
The same instruments serve both preservation and conventional rebuilding.
No results, complication rates or comparisons are reported.

Why this paper matters

Bone cutting is where preservation and conventional rhinoplasty both depend on precision, and instrument capability sets the limits. This article catalogues what the ultrasonic tools can do. It supplies no outcome evidence for any of the claimed advantages.

Terms

Piezoelectric instrument: a powered tool that cuts bone with high frequency vibration.
Osteotomy: a controlled cut in bone so it can be repositioned.
Ostectomy: removal of a section of bone.
Rhinosculpture: reshaping the bone surface rather than cutting through it.
Dorsum preservation: keeping the natural bridge rather than cutting it away.
Extended approach: wider exposure of the nasal framework during surgery.

Summary written by rhinoplasty.cc from the abstract, 2026-09-09; not medical advice. The authors' own abstract follows.

From the abstract

“Ultrasonic rhinoplasty and ultrasonic septoplasty reshape the nasal bones using piezoelectric instruments specifically developed for these operations. They allow the realization of precise osteotomies under direct visual control after having performed first an open or closed extended approach, but also ostectomies and…”

Excerpt; the full abstract is on PubMed.