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颧种植体穿孔（ZIP）瓣：一种用于低位上颌骨切除术后联合手术重建及快速固定牙修复的新技术。

The zygomatic implant perforated (ZIP) flap: a new technique for combined surgical reconstruction and rapid fixed dental rehabilitation following low-level maxillectomy.

作者信息

Butterworth C J, Rogers S N

机构信息

Department of Oral & Maxillofacial Surgery, University Hospital Aintree, Lower Lane, Liverpool, L9 7AL, UK.

出版信息

Int J Implant Dent. 2017 Dec;3(1):37. doi: 10.1186/s40729-017-0100-8. Epub 2017 Jul 29.

DOI:10.1186/s40729-017-0100-8
PMID:28756563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5534193/
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.

摘要

本报告的目的是描述一种新的外科技术的发展与演变，该技术用于在恶性疾病低位上颌骨切除术后，即刻进行外科重建并通过固定义齿实现快速的术后修复。该技术包括使用颧骨肿瘤植入物穿孔微血管软组织瓣（ZIP瓣）对上颌恶性肿瘤进行初步处理，手术封闭由此产生的上颌骨缺损，并为颧骨种植体支持的上颌固定义齿安装骨整合支撑。使用该技术可在切除术后几周内实现极其快速的口腔和牙齿修复，即使在术后需要放疗作为辅助治疗的情况下，也能使低位上颌骨切除术后迅速恢复功能并恢复外观。ZIP瓣技术已被该科室采用作为低位上颌骨恶性肿瘤治疗的标准程序，本报告提供了详细的分步治疗方法，并讨论了在首批患者治疗过程中所做的改进。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef88/5534193/c6e4df6bed96/40729_2017_100_Fig9_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef88/5534193/e13c2f8e4ae7/40729_2017_100_Fig13_HTML.jpg
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