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Intra‐ and Extraoral Prostheses Retained by Zygoma Implants Following Resection of the Upper Lip and Nose
Author(s) -
Gonçalves Letícia Machado,
Gonçalves Thais Marques Simek Vega,
Rodrigues Antônio Henrique Corrêa,
Lanza Marcos Dias,
Nascimento Paulo Roberto Gomes do,
Girundi Francisco Mauro da Silva
Publication year - 2015
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/jopr.12178
Subject(s) - medicine , nose , rehabilitation , implant , dentistry , resection , basal cell , surgery , physical therapy , pathology
Upper lip cancers are infrequent lesions, being aggressive unless diagnosed and treated early. After the surgical resection, maxillofacial defects require special care in rehabilitation. This article describes the maxillofacial rehabilitation of an edentulous patient diagnosed with upper lip squamous cell carcinoma. The treatment consisted of a large amount of upper lip and nose tissue resection, followed by chemoradiotherapy. After the first surgical healing, zygoma implants were inserted in a two‐step procedure. The maxillary and nasal prostheses were installed and fixed by a titanium framework. After 6 years follow‐up, no recurrences were observed, and the patient did not develop metastases. Tissues around implants were in good health, and the prostheses remained well‐fitted. The use of implant‐retained prostheses improved the quality of life, and the patient was extremely satisfied with the final result. The implant‐retained prostheses are well accepted by the patient, improving comfort and safety during function while recovering her esthetic apperance.