METHODS: 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.
RESULTS: 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.
CONCLUSIONS: The ZIP flap is a reproducible surgical technique that facilitates rapid dental rehabilitation post infrastructure maxillectomy.
方法:确定了在2019年8月至2021年8月期间接受ZIP皮瓣重建的13例患者。人口统计,外科,并收集组织病理学信息。使用FACE-Q头颈部癌症模块评估健康相关生活质量(HRQOL),M.D.Anderson吞咽困难症清单,和语音障碍索引。
结果:共放置了44个骨种植体,其中42人(95%)存活。从手术到牙科康复的中位时间为35天。HRQOL数据可用于9名患者超过24个月,在随访期间表现出改善的言语和吞咽结果。
结论:ZIP皮瓣是一种可重复的手术技术,可促进上颌骨基础切除术后的快速牙齿康复。