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Zygoma implant-supported prosthetic rehabilitation of a patient after subtotal bilateral maxillectomy.
J Craniofac Surg 2013; 24(2):e159-62JC

Abstract

This clinical report describes the successful implant-supported prosthetic rehabilitation of a patient who underwent subtotal bilateral maxillectomy for an oral squamous cell carcinoma with a consequent wide defect interesting the whole hard palate and most of the soft palate, causing a large opening that directly connects the oral cavity to the nasal fossa bilaterally. The innovative aspect of this case is represented by the realization of an obturator prosthesis supported by just 3 zygoma implants.The maxillary bone had been largely excised by radical surgery. Despite the resection had a complete oncological success and the patient was free of disease after 24 months' follow-up, the patient experienced severe speech and deglutition deficit due to the iatrogenic large oro-antral communication. Three zygoma implants have been positioned, 2 through the right maxillary bone and, owing the wide lack of bone, just 1 on the left side. No mucogingival surgery was necessary around the zygoma implants. The obturator prosthesis was stabilized by the 3 implants and the patient's oral function as well as quality of life widely improved.The results show that zygoma implants could represent a viable surgical option to obtain a satisfactory oral function rehabilitation even in case of extensive maxillary defect.

Authors+Show Affiliations

Department of Surgery, Section of Oral and MaxilloFacial Surgery, University of Verona, Verona, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23524823

Citation

D'Agostino, Antonio, et al. "Zygoma Implant-supported Prosthetic Rehabilitation of a Patient After Subtotal Bilateral Maxillectomy." The Journal of Craniofacial Surgery, vol. 24, no. 2, 2013, pp. e159-62.
D'Agostino A, Antonio D, Procacci P, et al. Zygoma implant-supported prosthetic rehabilitation of a patient after subtotal bilateral maxillectomy. J Craniofac Surg. 2013;24(2):e159-62.
D'Agostino, A., Antonio, D., Procacci, P., Pasquale, P., Ferrari, F., Trevisiol, L., ... Francesco, N. P. (2013). Zygoma implant-supported prosthetic rehabilitation of a patient after subtotal bilateral maxillectomy. The Journal of Craniofacial Surgery, 24(2), pp. e159-62. doi:10.1097/SCS.0b013e31827c836e.
D'Agostino A, et al. Zygoma Implant-supported Prosthetic Rehabilitation of a Patient After Subtotal Bilateral Maxillectomy. J Craniofac Surg. 2013;24(2):e159-62. PubMed PMID: 23524823.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Zygoma implant-supported prosthetic rehabilitation of a patient after subtotal bilateral maxillectomy. AU - D'Agostino,Antonio, AU - Antonio,D'Agostino, AU - Procacci,Pasquale, AU - Pasquale,Procacci, AU - Ferrari,Francesca, AU - Trevisiol,Lorenzo, AU - Nocini,Pier Francesco, AU - Francesco,Nocini Pier, PY - 2013/3/26/entrez PY - 2013/3/26/pubmed PY - 2014/4/25/medline SP - e159 EP - 62 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 24 IS - 2 N2 - This clinical report describes the successful implant-supported prosthetic rehabilitation of a patient who underwent subtotal bilateral maxillectomy for an oral squamous cell carcinoma with a consequent wide defect interesting the whole hard palate and most of the soft palate, causing a large opening that directly connects the oral cavity to the nasal fossa bilaterally. The innovative aspect of this case is represented by the realization of an obturator prosthesis supported by just 3 zygoma implants.The maxillary bone had been largely excised by radical surgery. Despite the resection had a complete oncological success and the patient was free of disease after 24 months' follow-up, the patient experienced severe speech and deglutition deficit due to the iatrogenic large oro-antral communication. Three zygoma implants have been positioned, 2 through the right maxillary bone and, owing the wide lack of bone, just 1 on the left side. No mucogingival surgery was necessary around the zygoma implants. The obturator prosthesis was stabilized by the 3 implants and the patient's oral function as well as quality of life widely improved.The results show that zygoma implants could represent a viable surgical option to obtain a satisfactory oral function rehabilitation even in case of extensive maxillary defect. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/23524823/Zygoma_implant_supported_prosthetic_rehabilitation_of_a_patient_after_subtotal_bilateral_maxillectomy_ L2 - http://Insights.ovid.com/pubmed?pmid=23524823 DB - PRIME DP - Unbound Medicine ER -