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- Title
Guided Zygomatic Implantology for Oral Cancer Rehabilitation: A Case Report.
- Authors
Grecchi, Francesco; D'Ambrogio, Roberto Giuseppe; Stefanelli, Luigi Vito; Grivetto, Fabrizio; Goker, Funda; Del Fabbro, Massimo; Schreiber, Alberto; Piazza, Cesare; Salgarello, Stefano; Dosio, Camilla; Grecchi, Emma
- Abstract
Oral rehabilitation after maxillary oncological resection is challenging. This case report presents the rehabilitation of a 65-year-old Caucasian male adenoid cystic carcinoma patient using a myo-cutaneous thigh flap, zygomatic implant placement, and an immediate fixed provisional prosthesis made with computer-aided technologies. The patient presented complaints of asymptomatic enlarged swelling of 5-mm on the right hard hemi-palate. There was an oro-antral communication deriving from a previous local excision. Preoperative radiographs showed the involvement of the right maxilla, maxillary sinus, and nose with a suspect involvement of the maxillary division of the trigeminal nerve. Treatment was planned through a fully digital workflow. A partial maxillectomy was performed endoscopically, and maxilla was reconstructed using an anterolateral thigh free flap. Two zygomatic implants were inserted simultaneously. A provisional fix full-arch prosthesis was manufactured preoperatively through a fully digital workflow and was placed in the operating room. Following post-operative radiotherapy, the patient received a final hybrid prosthesis. During the follow-up period of two years, the patient reported good function, aesthetics, and significant enhancement in quality of life. According to the results of this case, the protocol represented can be a promising alternative for oral cancer patients with large defects, and can lead to an improved quality of life.
- Subjects
DENTAL implants; ADENOID cystic carcinoma; ORAL cancer; MUSCULOCUTANEOUS flaps; FREE flaps; SURGICAL excision
- Publication
Journal of Clinical Medicine, 2023, Vol 12, Issue 11, p3653
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm12113653