Peer-reviewed veterinary case report
Piezosurgery lowers complications in dog jaw cancer surgery
By Warshaw, Sydney L et al.·Published in Journal of the American Veterinary Medical Association·2023·View original on PubMed →
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Original publication title: Piezosurgical bone-cutting technology reduces risk of maxillectomy and mandibulectomy complications in dogs.
- Species:
- dog
Plain-English summary
A group of dogs undergoing surgery to remove tumors from their mouths had a very low risk of excessive bleeding when a special piezoelectric tool was used for cutting the bone. Out of 98 surgeries performed, only one dog needed a blood transfusion due to bleeding. This new technology appears to make these surgeries safer compared to older methods that used saws. Overall, the use of the piezoelectric unit significantly reduced the chances of complications during these procedures.
People also search for: dog oral surgery bleeding · maxillectomy complications in dogs · piezoelectric bone cutting for dogs
Abstract
OBJECTIVE: To report the complication rate of dogs undergoing oral oncological surgery when using a bone-cutting piezoelectric unit for osteotomies. CLINICAL PRESENTATION AND PROCEDURES: Retrospective cohort evaluation of medical records from 2012 through 2022 for canine patients that underwent mandibulectomy or maxillectomy for the treatment of oral neoplasia at the Companion Animal Hospital at Cornell University. Cases were included if osteotomy was performed using a piezoelectric unit. Medical records were then reviewed for documentation of intraoperative hemorrhage and administration of blood products. RESULTS: 41 maxillectomies and 57 mandibulectomies met the inclusion criteria (98 in total). Only 1 (1.02%) case was associated with excessive surgical bleeding requiring administration of blood products. CLINICAL RELEVANCE: Results of this study show that intraoperative hemorrhage requiring the use of blood products during or immediately after a mandibulectomy or maxillectomy is rare when using a piezoelectric unit to perform osteotomies, and is substantially lower than that previously reported when using oscillating saws or other bone-cutting devices for maxillectomies.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37225159/