Evidence map›Paper›PMID 41491324›Full record

Trial reportAesthetic plastic surgery2026

Comparison of the Effects of Conventional and Piezoelectric Osteotomy on Intracranial Pressure Changes in Rhinoplasty Using Ultrasonographic Measurement of Optic Nerve Sheath Diameter.

Akif Gunes, Elif Karali, Yusuf Ozgur Bicer, Isa Yildiz, Sıddıka Halicioglu, Nurcan Akbas Gunes

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Akif GunesDepartment of Otorhinolaryngology, Faculty of Medicine, Bolu Abant Izzet Baysal University, Golkoy, Bolu, Turkey. akif_gunes@hotmail.com.ORCID 0000-0001-9554-8922
Elif KaraliDepartment of Otorhinolaryngology, Faculty of Medicine, Bolu Abant Izzet Baysal University, Golkoy, Bolu, Turkey.ORCID 0000-0002-8164-4056
Yusuf Ozgur BicerDepartment of Otorhinolaryngology, Faculty of Medicine, Bolu Abant Izzet Baysal University, Golkoy, Bolu, Turkey.ORCID 0000-0002-4646-7250
Isa YildizDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey.ORCID 0000-0001-7476-2217
Sıddıka HaliciogluDepartment of Radiology, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey.ORCID 0000-0001-7091-5650
Nurcan Akbas GunesDepartment of Family Medicine, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey.ORCID 0000-0001-8688-5839

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is to compare piezoelectric osteotomy with conventional osteotomy in rhinoplasty using ultrasonographic techniques in terms of ICP and the measurement of the optic nerve sheath diameter (ONDM). METHODOLOGY: A total of 40 patients who underwent rhinoplasty surgery were included in the study. The patients were randomly divided into two groups of 20. Conventional osteotomy was performed in the first group during surgery. Piezoelectric osteotomy was performed in the second group. ONDMs were measured. Prior to anesthesia induction, baseline ONDM was determined as ONDM-1. A total of five measurements were taken: after intubation (ONDM-2), immediately before hump resection and osteotomy (ONDM-3), immediately after osteotomy (ONDM-4), and immediately before extubation (ONDM-5).

resultsONDM-2 was significantly larger than ONDM-1 in both groups. In group 1, significant differences were found between ONDM-2 and ONDM-4 (p < 0.001) and between ONDM-3 and ONDM-4 (p < 0.001). In the second group, significant differences were observed between ONDM-2 and ONDM-4 (p < 0.001). No significant difference was observed between ONDM-3 and ONDM-4 (p= 0.694). Additionally, significant differences were found between the two groups in terms of ONDM-4 and ONDM-5 values (p < 0.001, p = 0.011).

conclusionBoth intubation and conventional osteotomy can increase ONDM, suggesting a possible increase in ICP in the conventional osteotomy group. In patients who underwent piezoelectric osteotomy, an increase in ONDM was observed only after intubation. This suggests that piezoelectric osteotomy is safer in terms of ICP. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Intracranial PressureOptic NerveOsteotomyPiezosurgeryRhinoplastyAdultFemaleFollow-Up StudiesHumansMaleProspective StudiesRisk AssessmentTreatment OutcomeUltrasonographyYoung AdultConventional osteotomyIntracranial pressureOptic nerve sheath diameterPiezoelectric osteotomyRhinoplasty

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.