Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study

Yunus Emre Topan; Ramazan Yavuz; Faruk Kadri Bakkal

doi:10.65396/ejra.1976084

Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study

Abstract

Objective We aimed to compare the radiological and clinical outcomes of piezoelectric and conventional osteotomy techniques used during septorhinoplasty, with particular emphasis on nasal sidewall bone height, osteotomy line characteristics, symmetry, patient satisfaction, and revision requirements. Methods A retrospective cohort study was performed on patients who underwent primary septorhinoplasty between January 2023 and December 2025. Patients were divided into two groups based on the osteotomy technique used: piezoelectric osteotomy and conventional osteotome-assisted osteotomy. Preoperative and postoperative computed tomography (CT) scans were analyzed to measure nasal sidewall bone height, osteotomy line length, and sidewall symmetry. Clinical outcomes were assessed through standardized photographic analysis, patient-reported satisfaction questionnaires, complication rates, and revision surgery requirements. Follow-up duration ranged from 6 to 12 months. Results A total of 48 patients were included (Piezo group: 24; Conventional group: 24). Postoperative CT analysis demonstrated significantly improved osteotomy precision and sidewall symmetry in the piezo group compared with the conventional group (p<0.05). Bone height reduction was more controlled and symmetrical in patients undergoing piezoelectric osteotomy. Early postoperative edema and ecchymosis scores were significantly lower in the piezo group. Patient satisfaction scores were higher, while revision rates were lower compared with the conventional osteotomy group. However, operative time was significantly longer in the piezo group. Conclusion Both techniques produced satisfactory functional and aesthetic outcomes. However, piezoelectric osteotomy demonstrated superior radiological precision, improved symmetry, reduced soft tissue trauma, and higher patient satisfaction. CT-based evaluation of osteotomy morphology may provide valuable objective information regarding long-term rhinoplasty outcomes.

Keywords

Supporting Institution

N/A

Ethical Statement

The study protocol was approved by the Non-Interventional Clinical Research Ethics Committee of Uşak University (Date: 17.12.2025; Decision No: 983-983-02).

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Yunus Emre Topan ^*
Türkiye

Ramazan Yavuz
Türkiye

Faruk Kadri Bakkal
0000-0001-6047-2965
Türkiye

Publication Date

August 5, 2026

Submission Date

June 22, 2026

Acceptance Date

July 6, 2026

Published in Issue

Year 2026 Volume: 9 Number: 2

DOI

https://doi.org/10.65396/ejra.1976084

IZ

https://izlik.org/JA53YZ64NW

Cite

RIS / Bibtex

APA

Topan, Y. E., Yavuz, R., & Bakkal, F. K. (2026). Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study. European Journal of Rhinology and Allergy, 9(2), 112-118. https://doi.org/10.65396/ejra.1976084

AMA

1.Topan YE, Yavuz R, Bakkal FK. Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study. Eur J Rhinol Allergy. 2026;9(2):112-118. doi:10.65396/ejra.1976084

Chicago

Topan, Yunus Emre, Ramazan Yavuz, and Faruk Kadri Bakkal. 2026. “Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study”. European Journal of Rhinology and Allergy 9 (2): 112-18. https://doi.org/10.65396/ejra.1976084.

EndNote

Topan YE, Yavuz R, Bakkal FK (August 1, 2026) Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study. European Journal of Rhinology and Allergy 9 2 112–118.

IEEE

[1]Y. E. Topan, R. Yavuz, and F. K. Bakkal, “Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study”, Eur J Rhinol Allergy, vol. 9, no. 2, pp. 112–118, Aug. 2026, doi: 10.65396/ejra.1976084.

ISNAD

Topan, Yunus Emre - Yavuz, Ramazan - Bakkal, Faruk Kadri. “Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study”. European Journal of Rhinology and Allergy 9/2 (August 1, 2026): 112-118. https://doi.org/10.65396/ejra.1976084.

JAMA

1.Topan YE, Yavuz R, Bakkal FK. Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study. Eur J Rhinol Allergy. 2026;9:112–118.

MLA

Topan, Yunus Emre, et al. “Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study”. European Journal of Rhinology and Allergy, vol. 9, no. 2, Aug. 2026, pp. 112-8, doi:10.65396/ejra.1976084.

Vancouver

1.Yunus Emre Topan, Ramazan Yavuz, Faruk Kadri Bakkal. Assessment of Nasal Sidewall Bone Height Changes Following Piezoelectric and Conventional Osteotomy Techniques: A CT-Based and Clinical Follow-Up Study. Eur J Rhinol Allergy. 2026 Aug. 1;9(2):112-8. doi:10.65396/ejra.1976084