Role of power instrument in rhinoplasty

Background: Surgical correction of the bony vault is challenging part of rhinoplasty surgery. Over resection and dorsal irregularities are common complications of manual osteotomy that can occur even in the hands of practiced surgeons. Power-assisted instrumentation now offers a useful alternative for precise and controlled reduction of the bony vault. Patients and Methods: 40 patients were included in this study, Patients were divided into two groups: Group A (20 patients) was operated using conventional cold instruments. Group B (20 patients) was operated upon using power instruments. Results: On comparison between both groups regarding VAS cosmetic results, we found that the results were not statistically significant (P value = 0.3). Although that the postoperative VAS-Cosmetic results of good and excellent improvement in group (A) was 65% compared to 75% in group (B). Also on comparison between both groups regarding the assessment of preoperative and postoperative photography, we found that the results were not statistically significant (P value = 0.4). Although that the patients showed good and excellent improvement were 60% in group (A) compared to 70% in group (B). Conclusion: Power-assisted instrumentation system is minimally invasive and sharply decrease the incidence of complications associated with manual procedures.