Piezosurgery device has proved to be a very effective and safe method of bone cutting. At present, its use is spreading in different surgical areas of maxillofacial surgery. This preliminary experience shows for the first time that segmentation of vascularized bone flaps with Piezosurgery is a valuable alternative to conventional cutting methods for the following reasons: 1) it improves the intraoperative safety of the procedure, ensuring an adequate periosteal blood flow to the bone segments; 2) it does not increase the overall operative time; 3) it does not interfere with bone flap survival and bone healing.
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