The zygomatic implant perforated flap in the reconstruction and early rehabilitation of low-level maxillectomies: A technical note.

IF 2.2 3区医学 Q2 Dentistry

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-07-16 DOI:10.1016/j.jormas.2025.102498

Maxime Lavigogne, Jordan Bouchet, Benjamin Pomes, Gaoussou Toure

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引用次数: 0

Abstract

The "Zygomatic Implant Perforated Flap" (ZIP flap) technique, first described by Butterworth in 2017, combines the closure of bucco-sinusal or bucco-nasal communications using a fasciocutaneous free flap with early implant-based prosthetic rehabilitation via zygomatic implants that perforate the flap. This approach enables rapid dental rehabilitation within weeks of tumor resection, promoting early recovery of oral function. We present the case of a 49-year-old male who underwent delayed ZIP flap reconstruction one year after maxillectomy and radiotherapy. Four zygomatic implants were placed using a surgical guide, followed by inset of a radial forearm free flap perforated over each implant emergence. A prefabricated transitional prosthesis was immediately screwed onto the implants. This technical note highlights the advantages of the ZIP flap in reconstructing Brown Class II maxillectomy defects, offering reduced rehabilitation time, improved prosthesis retention, and enhanced functional and psychological outcomes.

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颧骨植入穿孔皮瓣在下颌低位切除术重建和早期康复中的应用：技术要点。

“颧植入穿孔皮瓣”（ZIP皮瓣）技术由Butterworth于2017年首次描述，该技术结合了使用筋膜皮游离皮瓣关闭颊窦或颊鼻交通，并通过穿孔皮瓣的颧植入物进行早期种植体假肢康复。这种方法可以在肿瘤切除后的几周内快速修复牙齿，促进口腔功能的早期恢复。我们提出的情况下，49岁的男性谁接受延迟拉链皮瓣重建一年后，上颌切除术和放疗。在手术指导下放置4个颧骨植入物，随后在每个植入物上插入桡骨前臂游离皮瓣。一个预制的过渡性假体立即固定在植入物上。这篇技术笔记强调了ZIP皮瓣在重建Brown II类上颌切除缺陷方面的优势，缩短了康复时间，改善了假体固位，增强了功能和心理结果。

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来源期刊

Journal of Stomatology Oral and Maxillofacial Surgery Dentistry-Oral Surgery

CiteScore

2.20

自引率

9.10%

发文量

305

期刊介绍： J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.