The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy.

Butterworth, CJ and Rogers, Simon (2017) The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy. International Journal of Implant Dentistry, 3 (37). pp. 1-8. ISSN 2198-4034 DOI https://doi.org/10.1186/s40729-017-0100-8

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Abstract

This aim of this report is to describe the development and evolution of a new surgical technique for the immediate surgical reconstruction and rapid post-operative prosthodontic rehabilitation with a fixed dental prosthesis following low-level maxillectomy for malignant disease. The technique involves the use of a zygomatic oncology implant perforated micro-vascular soft tissue flap (ZIP flap) for the primary management of maxillary malignancy with surgical closure of the resultant maxillary defect and the installation of osseointegrated support for a zygomatic implant-supported maxillary fixed dental prosthesis. The use of this technique facilitates extremely rapid oral and dental rehabilitation within a few weeks of resective surgery, providing rapid return to function and restoring appearance following low-level maxillary resection, even in cases where radiotherapy is required as an adjuvant treatment post-operatively. The ZIP flap technique has been adopted as a standard procedure in the unit for the management of low-level maxillary malignancy, and this report provides a detailed step-by-step approach to treatment and discusses modifications developed over the treatment of an initial cohort of patients.

Item Type: Article
Uncontrolled Keywords: Low-level maxillectomy, Zygomatic implants, Zygomatic oncology implant, Fixed dental prosthesis, ZIP flap, Micro-vascular reconstruction, Radiotherapy, Early implant loading, Oral cancer rehabilitation
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: Nursing and Midwifery
Date Deposited: 04 Jul 2018 13:56
URI: http://repository.edgehill.ac.uk/id/eprint/10471

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