Prosthetic reconstruction of a patient with an irradiated total rhinectomy with navigated surgical placement of a single zygomatic implant: A clinical report |
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| Authors: | Theodore V. Tso Denny Chao Jeffrey Tanner Earl G. Freymiller Jay Jayanetti |
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| Affiliation: | 1. Fellow, Maxillofacial Prosthetics, University of California Los Angeles, Los Angeles, Calif;2. Resident, Advanced Prosthodontics, University of California Los Angeles, Los Angeles, Calif;3. Resident, Oral and Maxillofacial Surgery, University of California Los Angeles, Los Angeles, Calif;4. Professor and Chair, Oral and Maxillofacial Surgery, University of California Los Angeles, Los Angeles, Calif;5. Assistant Professor and Associate Director of Maxillofacial Prosthetics Residency, University of California Los Angeles, Los Angeles, Calif |
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| Abstract: | 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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