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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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
Depositing User: Symplectic Admin
Date Deposited: 29 Aug 2017 09:31
Last Modified: 12 Nov 2019 08:10
DOI: 10.1186/s40729-017-0100-8
Open Access URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC55341...
URI: http://livrepository.liverpool.ac.uk/id/eprint/3009179
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