{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T04:38:43Z","timestamp":1775450323744,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100017244","name":"Wojskowy Instytut Medyczny","doi-asserted-by":"publisher","award":["522"],"award-info":[{"award-number":["522"]}],"id":[{"id":"10.13039\/501100017244","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Frontal beak reduction is a critical and challenging step in endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS). Traditional high\u2010speed drills can risk thermal injury and soft tissue trauma, whereas piezoelectric surgery uses ultrasonic vibrations for selective bone cutting and may improve surgical precision. This study compared piezoelectric devices with conventional drills for frontal beaks reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A double\u2010blind exploratory study with randomisation was conducted during the years 2019\u20132022. Adult CRS patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200943) with prominent nasofrontal beak undergoing ESS were randomised to piezoelectric knife (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922) or high\u2010speed drill (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921). Exclusion criteria included prior sinus surgery, septoplasty, neoplasms or systemic contraindications. Outcomes included Lund\u2013Kennedy, Lund\u2013Mackay, Sino\u2010Nasal Outcomes Test (SNOT\u201022), Visual Analogue Scale (VAS) scores and frontal sinus ostium dilatation, measured pre\u2010operatively and at 1, 4 and 24\u2009weeks post\u2010operatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups showed significant post\u2010operative improvements in Lund\u2013Mackay and SNOT\u201022 scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). At 1\u2009week, the piezo group had significantly lower Lund\u2013Kennedy scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022), suggesting better mucosal healing. Correlations in the piezo group were observed between ostium dilatation and improved Lund\u2013Mackay (\n                      <jats:italic>R<\/jats:italic>\n                      \u2009=\u2009\u22120.527;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008) and SNOT\u201022 (\n                      <jats:italic>R<\/jats:italic>\n                      \u2009=\u2009\u22120.405;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049) at 24\u2009weeks. No significant differences were found in ostium width gain, VAS scores or complications. With piezo devices, the median time of surgery was increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Piezoelectric surgery is a safe, effective alternative to drills for frontal beak reduction in ESS, with potential benefits for early mucosal healing. Further studies are warranted to confirm long\u2010term advantages.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.70081","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T09:34:45Z","timestamp":1767346485000},"page":"386-393","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Piezoelectric and High\u2010Speed Drills for Frontal Beak Osteotomy in Endoscopic Sinus Surgery\u2014Exploratory Study"],"prefix":"10.1111","volume":"51","author":[{"given":"\u0141ukasz","family":"Skrzypiec","sequence":"first","affiliation":[{"name":"Department of Otolaryngology and Oncological Laryngology With Clinical Department of Cranio\u2010Maxillo\u2010Facial Surgery Military Institute of Medicine\u2014National Research Institute  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kornel","family":"Szczygielski","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Oncological Laryngology With Clinical Department of Cranio\u2010Maxillo\u2010Facial Surgery Military Institute of Medicine\u2014National Research Institute  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Brociek\u2010Pi\u0142czy\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Oncological Laryngology With Clinical Department of Cranio\u2010Maxillo\u2010Facial Surgery Military Institute of Medicine\u2014National Research Institute  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dariusz","family":"Jurkiewicz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Oncological Laryngology With Clinical Department of Cranio\u2010Maxillo\u2010Facial Surgery Military Institute of Medicine\u2014National Research Institute  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3683-9508","authenticated-orcid":false,"given":"Marta Aleksandra","family":"Kwiatkowska","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Oncological Laryngology With Clinical Department of Cranio\u2010Maxillo\u2010Facial Surgery Military Institute of Medicine\u2014National Research Institute  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2019.12.021"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9072285"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2500\/aap.2019.40.4182"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin20.600"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21695"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9072145"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21738"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31828f1aa8"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4236\/health.2019.116063"},{"issue":"1","key":"e_1_2_11_11_1","first-page":"5","article-title":"Piezosurgery vs High Speed Rotary Handpiece: A Comparison Between the Two Techniques in the Impacted Third Molar Surgery","volume":"6","author":"Bartuli F. 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