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A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient.

Dattani A, Richardson D, Butterworth CJ.

Abstract

This report details the use of zygomatic oncology osseointegrated implants to support and retain a maxillary obturator in a 13-year-old male patient who underwent a right-sided hemi-maxillectomy (Brown Class 2b) (Brown and Shaw, Lancet Oncol 11:1001-8, 2010) for a myxoid spindle cell carcinoma. At the time of maxillary resection, two zygomatic oncology implants were inserted into the right zygomatic body and subsequently utilised to provide in-defect support and retention for a bar-retained maxillary acrylic obturator prosthesis, which restored the patient’s aesthetics and function to a very high level. Close follow-up over 2¬†years demonstrated ongoing excellent function and disease control with no deleterious effects on facial or dento-alveolar growth clinically. This is the first clinical report of its kind in the published literature detailing the use of a zygomatic implant-retained obturator in a paediatric patient.

KEYWORDS:

Hemi-maxillectomy; Maxillary obturator; Myxoid spindle cell carcinoma; Oncology implant; Zygomatic Implant; Zygomatic fixtures

Link to pdf of full paper here

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