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

Butterworth, CJ ORCID: 0000-0002-5025-7467 and Rogers, SN (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 (1). 37-.

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Official URL: http://dx.doi.org/10.1186/s40729-017-0100-8

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
Depositing User:	Symplectic Admin
Date Deposited:	29 Aug 2017 09:31
Last Modified:	19 Jan 2023 06:56
DOI:	10.1186/s40729-017-0100-8
Open Access URL:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC55341...
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3009179