Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.
Maxillofacial Surgery Unit, Gold Coast Hospital and Health Service, Gold Coast University Hospital, Southport, Queensland, Australia.
ANZ J Surg. 2024 May;94(5):846-853. doi: 10.1111/ans.18832. Epub 2023 Dec 27.
The zygomatic implant perforated (ZIP) flap is a novel approach to the challenge of reconstructing the maxilla. We report on our experience using the ZIP flap technique for patients undergoing infrastructure maxillectomy at Chris O'Brien Lifehouse, Sydney, Australia.
Thirteen patients who underwent a ZIP flap reconstruction between August 2019 and August 2021 were identified. Demographic, surgical, and histopathological information was collected. Health Related Quality of Life (HRQOL) was assessed using the FACE-Q Head and Neck Cancer module, the M.D. Anderson Dysphagia Inventory, and the Speech Handicap Index.
A total of 44 zygomatic implants were placed, of which 42 (95%) survived. The median time from surgery to dental rehabilitation was 35 days. HRQOL data was available for nine patients over 24 months, demonstrating improved speech and swallowing outcomes over the follow up period.
The ZIP flap is a reproducible surgical technique that facilitates rapid dental rehabilitation post infrastructure maxillectomy.
颧骨种植体穿孔（ZIP）皮瓣是重建上颌骨的一种新方法。我们报告了在澳大利亚悉尼克里斯奥布赖恩生命之家（Chris O'Brien Lifehouse）为接受基础上颌骨切除术的患者使用 ZIP 皮瓣技术的经验。
确定了 2019 年 8 月至 2021 年 8 月期间接受 ZIP 皮瓣重建的 13 名患者。收集了人口统计学、手术和组织病理学信息。使用 FACE-Q 头颈部癌症模块、MD 安德森吞咽障碍量表和言语障碍指数评估健康相关生活质量（HRQOL）。
共放置了 44 个颧骨种植体，其中 42 个（95%）存活。从手术到牙齿修复的中位数时间为 35 天。在 24 个月的时间里，有 9 名患者提供了 HRQOL 数据，显示出在随访期间言语和吞咽功能得到改善。
ZIP 皮瓣是一种可重复的手术技术，可促进基础上颌骨切除术后快速进行牙齿修复。
