Journal of Prosthetic Dentistry

Prosthetic reconstruction of a patient with an irradiated total rhinectomy with navigated surgical placement of a single zygomatic implant: A clinical report


      This clinical report details the rehabilitation of a patient who underwent a total rhinectomy, subsequent adjuvant radiation therapy, and eventual prosthetic rehabilitation but then developed an empirically diagnosed medical adhesive intolerance. With the aid of digital planning and real time navigation, 2 zygomatic implants were placed by using a flapless surgical approach followed by early delivery of an interim prosthesis. In spite of the failure of 1 craniofacial implant, definitive restoration was accomplished by using a titanium bar, double magnetic attachments, and a new silicone prosthesis.
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        • Stucker F.J.
        • Daube D.
        Reflections on total and near total nasal reconstruction.
        Facial Plast Surg. 1994; 10: 374-381
        • Stanley R.J.
        • Olsen K.D.
        Rhinectomy for malignant disease, a 20-year experience.
        Arch Otolarngol Head Neck Surg. 1988; 114: 1307-1311
        • Menick F.J.
        A 10-year experience in nasal reconstruction with the three-stage forehead flap.
        Plast Reconstr Surg. 2002; 109: 1839-1855
        • Smith S.M.
        • Zirwas M.J.
        Nonallergic reactions to medical tapes.
        Dermatitis. 2015; 26: 38-43
        • Conway J.
        • Whettam J.
        Adverse reactions to wound dressings.
        Nursing Standard. 2002; 16: 52-60
        • Chang T.L.
        • Garrett N.
        • Roumanas E.
        • Beumer 3rd, J.
        Treatment satisfaction with facial prostheses.
        J Prosthet Dent. 2005; 94: 275-280
        • Chambrone L.
        • Mandia J.
        • Shibli J.A.
        • Romito G.A.
        • Abrahao M.
        Dental implants installed in irradiated jaws: a systematic review.
        J Dent Res. 2013; 92: 119S-130S
        • Roumanas E.D.
        • Nishimura R.D.
        • Davis B.K.
        • Beumer 3rd, J.
        Clinical evaluation of implants retaining edentulous maxillary obturator prostheses.
        J Prosthet Dent. 1997; 77: 184-190
        • Roumanas E.D.
        • Freymiller E.G.
        • Chang T.L.
        • Aghaloo T.
        • Beumer 3rd, J.
        Implant-retained prostheses for facial defects: an up to 14-year follow-up report on the survival rates of implants at UCLA.
        Int J Prosthodont. 2002; 15: 325-332
        • Nooh N.
        Dental implant survival in irradiated oral cancer patients: a systematic review of the literature.
        Int J Oral Maxillofac Implants. 2013; 28: 1233-1242
        • Heberer S.
        • Kilic S.
        • Hossamo J.
        • Raguse J.D.
        • Nelson K.
        Rehabilitation of irradiated patients with modified and conventional sandblasted acid-etched implants: preliminary results of a split-mouth study.
        Clin Oral Implants Res. 2011; 22: 546-551
        • Landes C.A.
        • Kovacs A.F.
        Comparison of early telescope loading of non-submerged ITI implants in irradiated and non-irradiated oral cancer patients.
        Clin Oral Implants Res. 2006; 17: 367-374
        • Nishimura R.D.
        • Roumanas E.
        • Moy P.K.
        • Sugai T.
        Nasal defects and osseointegrated implants: UCLA experience.
        J Prosthet Dent. 1996; 76: 597-602
        • Bowden J.R.
        • Floor T.R.
        • Downie I.P.
        Zygomaticus implants for retention of nasal prostheses after rhinectomy.
        Br J Oral Maxillofac Surg. 2006; 44: 54-56
        • Boyes-Varley J.G.
        • Howes D.G.
        • Davidge-Pitts K.D.
        • Brånemark I.
        • McAlpine J.A.
        A protocol for maxillary reconstruction following oncology resection using zygomatic implants.
        Int J Prosthodont. 2007; 20: 521-531
        • Butterworth C.J.
        Primary vs secondary zygomatic implant placement in patients with head and neck cancer- a 10-year prospective study.
        Head Neck. 2019; 41: 1687-1695
        • Flood T.R.
        • Russell K.
        Reconstruction of nasal defects with implant-retained nasal prostheses.
        Br J Oral Maxillofac Surg. 1998; 36: 341-345
        • Walton J.N.
        • Glick N.
        • Macentee M.I.
        A randomized clinical trial comparing patient satisfaction and prosthetic outcomes with mandibular overdentures retained by one or two implants.
        Int J Prosthodont. 2009; 22: 331-339
        • Carlsson G.E.
        Implant and root supported overdentures- a literature review and some data on bone loss in edentulous jaws.
        J Adv Prosthodont. 2014; 6: 245-252
        • Chung K.H.
        • Chung C.
        • Cronin R.J.
        Retention characteristics of attachment systems for implant overdentures.
        J Prosthodont. 2004; 13: 221-226
        • Liu J.
        • Pan S.
        • Dong J.
        • Mo Z.
        • Fan Y.
        • Feng H.
        Influence of implant number on the biomechanical behavior of mandibular implant-retained/supported overdentures: a three-dimensional finite element analysis.
        J Dent. 2013; 41: 241-249
        • Kan J.Y.
        • Rungcharassaeng K.
        • Bohsali K.
        • Goodacre C.J.
        • Lang B.R.
        Clinical methods for evaluating implant framework fit.
        J Prosthet Dent. 1999; 81: 7-13
        • Beumer 3rd, J.
        • Curtis T.A.
        • Marunick M.T.
        Maxillofacial rehabilitation.
        3rd ed. Quintessence Pub, Hanover Park, IL2011: 279-283