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Effectiveness of the piezoelectric knife as a tool for nasal beak reduction in patients with chronic rhinosinusitis – a pilot study

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Skrzypiec L., Szczygielski K., Rot P., Jadczak M., Kwiatkowska M., Jurkiewicz D.

Polish Journal of Otolaryngology

2024

vol. 78

issue 3

17-25

Aim: The aim of this study was to evaluate the safety and efficacy of the piezoelectric knife as a new tool for frontal beak surgery in patients with chronic rhinosinusitis (CRS) both in terms of imaging and perception of symptoms’ outcomes. Materials and methods: The study involved 28 patients with CRS who underwent endoscopic sinus surgery (ESS) using a piezoelectric knife in the frontal recess region. Assessment of sinus imaging and patients’ quality of life (QoL) was performed before and after surgery with the Lund-Kennedy and Lund-Mackay systems and the 22-item Sino-Nasal Outcomes Test (SNOT-22). Results: Median scores on the Lund-Kennedy and Lund-Mackay systems decreased within 24 weeks after surgery with piezo knife assistance by 4 and 5 points, respectively. QoL improved with SNOT-22 scores decreasing by 35.5 points. Conclusions: ESS with the piezoelectric knife used for frontal beak reduction turned out to be a safe procedure. In the studied group of patients, the improvement was observed in terms of imaging, patients’ perceptions of symptoms, and QoL outcomes. Therefore, the piezoelectric knife might be a valuable supporting tool in ESS in patients with CRS, although further observation is needed.

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1 Polish Journal of Otolaryngology

1 2024

1 Jadczak M.

1 Jurkiewicz D.

1 Kwiatkowska M.

1 Rot P.

1 Skrzypiec L.

1 Szczygielski K.

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Effectiveness of the piezoelectric knife as a tool for nasal beak reduction in patients with chronic rhinosinusitis – a pilot study