The zygomatic implant perforated (ZIP) flap
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 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.
Serial posts:
- The zygomatic implant perforated (ZIP) flap
- Background : The zygomatic implant perforated (ZIP) flap
- Case : The zygomatic implant perforated (ZIP) flap
- The ZIP flap technique (1)
- The ZIP flap technique (2)
- Procedural modifications to the ZIP flap technique
- Discussion: The zygomatic implant perforated (ZIP) flap (1)
- Discussion: The zygomatic implant perforated (ZIP) flap (2)
- Discussion: The zygomatic implant perforated (ZIP) flap (3)
- Conclusions: The zygomatic implant perforated (ZIP) flap
- References: The zygomatic implant perforated (ZIP) flap
- Table 1 Patient-reported quality of life outcomes following ZIP flap procedure