Hemimaxillectomy case and zygoma implants Luc@Vrielinck.be
Situation • Hemimaxillectomy for adenoid cystic carcinoma, irradiation of the maxilla and skull base • Part of the right zygomatic bone was also resected (and irradiated) • Treatment: – – – –
2 long implants with zygomatic anchorage left 1 long implant with pterygoid anchorage left 1 zygoma implant on right side (failed) Overdenture bar and overdenture on 3 remaining implants
07/08/2006: Intake with carcinoma in the right palate
07/08/2006: Intake with carcinoma in the right palate
05/09/2006: postoperative with temporary obturator plate
05/09/2006: pathology: adenoid cystic carcinoma with perineural invasion
Zygoma
Pterygoid
X
Treatment with 4 zygoma implants (1 failed)
Zygoma
Treatment with 4 zygoma implants (1 failed)
Final result 3 y follow-up
Pterygoid
Final result 3 y follow-up
Pterygoid
Final result 3 y follow-up
pterygoid implant
Implants left side
Final result 3 y follow-up
Final result 3 y follow-up
Final result 3 y follow-up
Final result 3 y follow-up
Final result 3 y follow-up
Pterygoid implant emerging palatally Close to the midline
Zygoma implant
Final result 3 y follow-up