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Case report hemimaxillectomy and zygoma implants
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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
Treatment with 4 zygoma implants (1 failed)
X
Zygoma Pterygoid 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
Final result 3 y follow-up
Zygoma
implant
Pterygoid implant emerging palatally
Close to the midline