Maxillofac Plast Reconstr Surg.  2021;43(1):25. 10.1186/s40902-021-00312-8.

A practical approach to orofacial rehabilitation in a patient after inferior maxillectomy and rhinectomy with mono framework construction supported on a zygomatic implant placed in the glabella: a case report

• Gaur V
• Perumal SM
• Rahmaan F
• Pałka Ł

• KMID: 2525710
• DOI: http://doi.org/10.1186/s40902-021-00312-8

Abstract

Background
In the field of craniofacial tumor surgery, an adequately performed excision, despite being a lifesaving procedure, is only a first step to successful treatment. During such a procedure, the main goal is to completely remove the lesion, paying less attention to factors contributing to future rehabilitation possibilities. One ty 2of the possibilities for prosthetic rehabilitation of such cases is utilizing one-piece implants with bicortical anchorage.
Case presentation
This case report presents a case of a 48-year-old patient with oral squamous cell carcinoma (OSCC). The treatment protocol consisted of radical surgery to remove the tumor, and intraoral and extraoral rehabilitation with a single framework prosthesis anchored with one-piece implants. Moreover, the intraoral stomatognathic deformity was corrected with a fixed implant-retained prosthesis, and the extraoral defect was covered with a removable epithesis.
Conclusions
The use of one-piece implants with bicortical anchorage may be an additional tool in reconstructing maxillofacial defects. Properly executed treatment may improve the esthetics, speech, masticatory function, muscle support, and the overall quality of life of patients with extensive defects in the maxillofacial region.

Keyword

Single-piece implants; Glabella; Zygomatic implants; Pterygoid implants; Nasal epithesis