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用于肿瘤和先天性缺陷患者康复的颧骨种植体:病例系列

Zygomatic implants for rehabilitation of patients with oncologic and congenital defects: A case series.

作者信息

Pellegrino Gerardo, Tarsitano Achille, Ratti Stefano, Ceccariglia Francesco, Gessaroli Manlio, Barausse Carlo, Tayeb Subhi, Felice Pietro

机构信息

Unit of Oral Surgery, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy; Department of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, Italy.

Maxillofacial Surgery Unit, Head and Neck Department, IRCCS Azienda Ospedaliera Universitaria di Bologna, Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Italy.

出版信息

J Craniomaxillofac Surg. 2025 Jan;53(1):24-29. doi: 10.1016/j.jcms.2024.10.003. Epub 2024 Oct 26.

Abstract

This case series aimed to assess the clinical outcomes of oncologic patients rehabilitated with a zygomatic implant-supported prosthesis. Ten oncologic patients who underwent upper jaw resections due to cancer were enrolled in the study. Zygomatic implants were utilized for rehabilitation according to specified inclusion criteria. Surgical and prosthetic procedures were standardized, and implant and prosthetic survival rates, along with complications, were evaluated. The study cohort comprised 10 patients with a mean age of 66.5 years. A total of 35 implants were placed, with a survival rate of 94.29% at the mean follow-up of 5.78 years. Biological complications affected 40% of patients, while prosthetic complications occurred in 40% of patients, necessitating modifications but with no outright failures. Zygomatic implants offer a viable solution for oncologic patient rehabilitation, particularly in cases where bone grafting is contraindicated or impractical. However, they present medium-to long-term complications that warrant careful consideration. Future research should focus on larger studies and meta-analyses to provide more robust evidence.

摘要

本病例系列旨在评估接受颧骨种植体支持式假体修复的肿瘤患者的临床结局。10例因癌症接受上颌骨切除术的肿瘤患者纳入本研究。根据特定纳入标准使用颧骨种植体进行修复。手术和修复程序标准化,并评估种植体和假体生存率以及并发症。研究队列包括10例患者,平均年龄66.5岁。共植入35枚种植体,在平均5.78年的随访中生存率为94.29%。40%的患者出现生物学并发症,40%的患者出现修复并发症,需要进行调整,但无完全失败情况。颧骨种植体为肿瘤患者修复提供了一种可行的解决方案,特别是在骨移植禁忌或不切实际的情况下。然而,它们存在中到长期并发症,需要仔细考虑。未来研究应集中于更大规模的研究和荟萃分析,以提供更有力的证据。

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