Primary Reconstruction of Total Maxillectomy with Custom-Made Subperiosteal Implant and Temporal Muscle Flap: A Case Report
Recent reports on secondary restorations with subperiosteal implants have demonstrated promising results in terms of esthetic and functional restoration. We report the case of a reconstruction of a total maxillectomy with a custom-made subperiosteal implant associated with a temporal muscle flap in...
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MDPI AG
2023-05-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/13/10/6269 |
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| author | Giacomo De Riu Damiano Soma Andrea Biglio Maria Teresa Raho Danilo Mura Fabio Michelon Giovanni Salzano Pasquale Piombino Jérome R. Lechien Luigi Angelo Vaira |
| author_facet | Giacomo De Riu Damiano Soma Andrea Biglio Maria Teresa Raho Danilo Mura Fabio Michelon Giovanni Salzano Pasquale Piombino Jérome R. Lechien Luigi Angelo Vaira |
| author_sort | Giacomo De Riu |
| collection | DOAJ |
| description | Recent reports on secondary restorations with subperiosteal implants have demonstrated promising results in terms of esthetic and functional restoration. We report the case of a reconstruction of a total maxillectomy with a custom-made subperiosteal implant associated with a temporal muscle flap in a patient who could not undergo bone reconstruction with a free flap. This technique made it possible to restore the division between the oral cavity and the mouth, providing a solid anchorage to the dental prosthesis and correcting an oroantral communication with a small palatal obturator. The subperiosteal implant also granted proper soft tissue support in the middle-third of the face. Subperiosteal implants can be safe and effective even in primary maxillary reconstructions for patients who cannot undergo free bone flap reconstructions. In these difficult cases, this type of implant can provide support to the soft tissues of the middle-third of the face and a solid anchorage for dental prostheses or palatal obturators, thus improving the quality of life for patients. |
| first_indexed | 2024-03-11T03:57:48Z |
| format | Article |
| id | doaj.art-8ccacdf33e684d40a34c4e73bb4830e3 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-11T03:57:48Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-8ccacdf33e684d40a34c4e73bb4830e32023-11-18T00:23:05ZengMDPI AGApplied Sciences2076-34172023-05-011310626910.3390/app13106269Primary Reconstruction of Total Maxillectomy with Custom-Made Subperiosteal Implant and Temporal Muscle Flap: A Case ReportGiacomo De Riu0Damiano Soma1Andrea Biglio2Maria Teresa Raho3Danilo Mura4Fabio Michelon5Giovanni Salzano6Pasquale Piombino7Jérome R. Lechien8Luigi Angelo Vaira9Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, ItalyMaxillofacial Surgery Operative Unit, University Hospital of Sassari, 07100 Sassari, ItalyMaxillofacial Surgery Operative Unit, University Hospital of Sassari, 07100 Sassari, ItalyMaxillofacial Surgery Operative Unit, University Hospital of Sassari, 07100 Sassari, ItalyDental Estetic, 07100 Sassari, ItalyMaxillofacial Surgery Operative Unit, University Hospital of Sassari, 07100 Sassari, ItalyMaxillofacial Surgery Operative Unit, University Hospital of Naples “Federico II”, 80131 Naples, ItalyMaxillofacial Surgery Operative Unit, University Hospital of Naples “Federico II”, 80131 Naples, ItalyDepartment of Anatomy and Experimental Oncology, Mons School of Medicine, UMONS, Research Institute for Health Sciences and Technology, University of Mons (UMons), 7000 Mons, BelgiumMaxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, ItalyRecent reports on secondary restorations with subperiosteal implants have demonstrated promising results in terms of esthetic and functional restoration. We report the case of a reconstruction of a total maxillectomy with a custom-made subperiosteal implant associated with a temporal muscle flap in a patient who could not undergo bone reconstruction with a free flap. This technique made it possible to restore the division between the oral cavity and the mouth, providing a solid anchorage to the dental prosthesis and correcting an oroantral communication with a small palatal obturator. The subperiosteal implant also granted proper soft tissue support in the middle-third of the face. Subperiosteal implants can be safe and effective even in primary maxillary reconstructions for patients who cannot undergo free bone flap reconstructions. In these difficult cases, this type of implant can provide support to the soft tissues of the middle-third of the face and a solid anchorage for dental prostheses or palatal obturators, thus improving the quality of life for patients.https://www.mdpi.com/2076-3417/13/10/6269oral cancermaxillary reconstructionsubperiosteal implantsimplant-prosthetic rehabilitationCAD/CAMcustom made implantology |
| spellingShingle | Giacomo De Riu Damiano Soma Andrea Biglio Maria Teresa Raho Danilo Mura Fabio Michelon Giovanni Salzano Pasquale Piombino Jérome R. Lechien Luigi Angelo Vaira Primary Reconstruction of Total Maxillectomy with Custom-Made Subperiosteal Implant and Temporal Muscle Flap: A Case Report Applied Sciences oral cancer maxillary reconstruction subperiosteal implants implant-prosthetic rehabilitation CAD/CAM custom made implantology |
| title | Primary Reconstruction of Total Maxillectomy with Custom-Made Subperiosteal Implant and Temporal Muscle Flap: A Case Report |
| title_full | Primary Reconstruction of Total Maxillectomy with Custom-Made Subperiosteal Implant and Temporal Muscle Flap: A Case Report |
| title_fullStr | Primary Reconstruction of Total Maxillectomy with Custom-Made Subperiosteal Implant and Temporal Muscle Flap: A Case Report |
| title_full_unstemmed | Primary Reconstruction of Total Maxillectomy with Custom-Made Subperiosteal Implant and Temporal Muscle Flap: A Case Report |
| title_short | Primary Reconstruction of Total Maxillectomy with Custom-Made Subperiosteal Implant and Temporal Muscle Flap: A Case Report |
| title_sort | primary reconstruction of total maxillectomy with custom made subperiosteal implant and temporal muscle flap a case report |
| topic | oral cancer maxillary reconstruction subperiosteal implants implant-prosthetic rehabilitation CAD/CAM custom made implantology |
| url | https://www.mdpi.com/2076-3417/13/10/6269 |
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