Accelerating Midfacial Prosthetic Rehabilitation Using Zygomatic Implants and Intraoperative Facial Impression: A Case Report
Tengku Fazrina Tengku Mohd Ariff, Christopher J Butterworth
Case report, Nasal prosthesis, Rhinectomy, Zygomatic implant
Citation Information :
Ariff TF, Butterworth CJ. Accelerating Midfacial Prosthetic Rehabilitation Using Zygomatic Implants and Intraoperative Facial Impression: A Case Report. Int J Prosthodont Restor Dent 2022; 12 (4):209-213.
Prosthetic rehabilitation of rhinectomy defects with a custom-made silicone prosthesis can provide excellent results for patients. However, prosthesis stability, retention, and time to full rehabilitation remain a concern for many patients. The aim of this clinical report is to describe the early prosthetic rehabilitation of a rhinectomy defect with a zygomatic implant-supported nasal prosthesis. Bilateral horizontal zygomatic implant placement, performed at the time of tumor resection in this Brown class VI nasomaxillary resection, provided predictable remote anchorage for a subsequent prosthesis, with the initial implant-retained prosthesis being provided just 2 weeks following surgery. High implant stability was achieved, which allowed early loading of the implants and facilitated early rehabilitation for the patient through the engagement of high-quality bone in the zygomatic body. The technique has offered an accelerated restoration of facial cosmesis following rhinectomy, allowing early recovery for the patient even prior to postoperative (post-OP) radiotherapy.
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