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

被引:35
作者
Butterworth, C. J. [1 ]
Rogers, S. N. [1 ]
机构
[1] Aintree Univ Hosp NHS Fdn Trust, Dept Oral & Maxillofacial Surg, Lower Lane, Liverpool L9 7AL, Merseyside, England
关键词
Low-level maxillectomy; Zygomatic implants; Zygomatic oncology implant; Fixed dental prosthesis; ZIP flap; Micro-vascular reconstruction; Radiotherapy; Early implant loading; Oral cancer rehabilitation; MAXILLARY RECONSTRUCTION; CLASSIFICATION;
D O I
10.1186/s40729-017-0100-8
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
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.
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页数:8
相关论文
共 10 条
[1]  
Boyes-Varley JG, 2007, INT J PROSTHODONT, V20, P521
[2]   Reconstruction of the maxilla and midface: introducing a new classification [J].
Brown, James S. ;
Shaw, Richard J. .
LANCET ONCOLOGY, 2010, 11 (10) :1001-1008
[3]   Survival and Complications of Zygomatic Implants: An Updated Systematic Review [J].
Chrcanovic, Bruno Ramos ;
Albrektsson, Tomas ;
Wennerberg, Ann .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2016, 74 (10) :1949-1964
[4]   A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient [J].
Dattani, Amit ;
Richardson, David ;
Butterworth, Chris J. .
INTERNATIONAL JOURNAL OF IMPLANT DENTISTRY, 2017, 3
[5]   Annual failure rates and marginal bone-level changes of immediate compared to conventional loading of dental implants. A systematic review of the literature and meta-analysis [J].
Engelhardt, Sebastian ;
Papacosta, Petros ;
Rathe, Florian ;
Oezen, Juelide ;
Jansen, John A. ;
Junker, Ruediger .
CLINICAL ORAL IMPLANTS RESEARCH, 2015, 26 (06) :671-687
[6]   Prosthodontic guidelines for surgical reconstruction of the maxilla: A classification system of defects [J].
Okay, DJ ;
Genden, E ;
Buchbinder, D ;
Urken, M .
JOURNAL OF PROSTHETIC DENTISTRY, 2001, 86 (04) :352-363
[7]  
Pellegrino G, 2015, J ORAL MAXILLOFAC SU, V73, pe1
[8]   The addition of mood and anxiety domains to the University of Washington quality of life scale [J].
Rogers, SN ;
Gwanne, S ;
Lowe, D ;
Stat, C ;
Humphris, G ;
Yueh, B ;
Weymuller, EA .
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2002, 24 (06) :521-529
[9]   Prefabricated Fibular Flaps for Reconstruction of Defects of the Maxillofacial Skeleton: Planning, Technique, and Long-Term Experience [J].
Rohner, Dennis ;
Bucher, Peter ;
Hammer, Beat .
INTERNATIONAL JOURNAL OF ORAL & MAXILLOFACIAL IMPLANTS, 2013, 28 (05) :E221-E229
[10]   Jaw in a Day: State of the Art in Maxillary Reconstruction [J].
Runyan, Christopher M. ;
Sharma, Vishal ;
Staffenberg, David A. ;
Levine, Jamie P. ;
Brecht, Lawrence E. ;
Wexler, Leonard H. ;
Hirsch, David L. .
JOURNAL OF CRANIOFACIAL SURGERY, 2016, 27 (08) :2101-2104