%0 Case Reports
%T Guided Zygomatic Implantology for Oral Cancer Rehabilitation: A Case Report.
%A Grecchi F
%A D'Ambrogio RG
%A Stefanelli LV
%A Grivetto F
%A Goker F
%A Del Fabbro M
%A Schreiber A
%A Piazza C
%A Salgarello S
%A Dosio C
%A Grecchi E
%J J Clin Med
%V 12
%N 11
%D 2023 May 24
%M 37297847
%F 4.964
%R 10.3390/jcm12113653
%X Oral rehabilitation after maxillary oncological resection is challenging. This case report presents the rehabilitation of a 65-year-old Caucasian male adenoid cystic carcinoma patient using a myo-cutaneous thigh flap, zygomatic implant placement, and an immediate fixed provisional prosthesis made with computer-aided technologies. The patient presented complaints of asymptomatic enlarged swelling of 5-mm on the right hard hemi-palate. There was an oro-antral communication deriving from a previous local excision. Preoperative radiographs showed the involvement of the right maxilla, maxillary sinus, and nose with a suspect involvement of the maxillary division of the trigeminal nerve. Treatment was planned through a fully digital workflow. A partial maxillectomy was performed endoscopically, and maxilla was reconstructed using an anterolateral thigh free flap. Two zygomatic implants were inserted simultaneously. A provisional fix full-arch prosthesis was manufactured preoperatively through a fully digital workflow and was placed in the operating room. Following post-operative radiotherapy, the patient received a final hybrid prosthesis. During the follow-up period of two years, the patient reported good function, aesthetics, and significant enhancement in quality of life. According to the results of this case, the protocol represented can be a promising alternative for oral cancer patients with large defects, and can lead to an improved quality of life.