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

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 techniq...

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Main Authors: C. J. Butterworth, S. N. Rogers
Format: Article
Language:English
Published: SpringerOpen 2017-07-01
Series:International Journal of Implant Dentistry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40729-017-0100-8
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author C. J. Butterworth
S. N. Rogers
author_facet C. J. Butterworth
S. N. Rogers
author_sort C. J. Butterworth
collection DOAJ
description 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.
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spelling doaj.art-24e84765017846b4bd7878f4058190ca2022-12-22T03:16:19ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342017-07-01311810.1186/s40729-017-0100-8The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomyC. J. Butterworth0S. N. Rogers1Department of Oral & Maxillofacial Surgery, University Hospital AintreeDepartment of Oral & Maxillofacial Surgery, University Hospital AintreeAbstract 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.http://link.springer.com/article/10.1186/s40729-017-0100-8Low-level maxillectomyZygomatic implantsZygomatic oncology implantFixed dental prosthesisZIP flapMicro-vascular reconstruction
spellingShingle C. J. Butterworth
S. N. Rogers
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
Low-level maxillectomy
Zygomatic implants
Zygomatic oncology implant
Fixed dental prosthesis
ZIP flap
Micro-vascular reconstruction
title The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy
title_full The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy
title_fullStr The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy
title_full_unstemmed The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy
title_short The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy
title_sort zygomatic implant perforated zip flap a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low level maxillectomy
topic Low-level maxillectomy
Zygomatic implants
Zygomatic oncology implant
Fixed dental prosthesis
ZIP flap
Micro-vascular reconstruction
url http://link.springer.com/article/10.1186/s40729-017-0100-8
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