Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach
Identifieur interne : 001176 ( Main/Exploration ); précédent : 001175; suivant : 001177Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach
Auteurs : Raúl González-García [Espagne] ; Alberto Monje [États-Unis, Espagne] ; Carlos Moreno-García [Espagne] ; Florencio Monje [Espagne]Source :
- Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2015.
Abstract
Zygomatic implants (ZIs) have been proposed as a valid alternative to advance bone-grafting procedures in the rehabilitation of the severe atrophied upper maxilla, with a reported overall success rate of more than 95 %. Otherwise, the use of the endoscope has been described for the treatment of maxillofacial trauma, orthognatic surgical procedures, sinonasal pathology, salivary gland disease, and TMJ internal derangement. A careful identification of anatomical landmarks is of utmost importance while trying to avoid potential complications during the insertion of ZIs. Several approaches for ZI insertion have been reported, such as the classical approach; the sinus slot technique; and the exteriorized approach.
The authors first introduce in the literature the endoscopically-assisted approach for the insertion of ZIs in the extremely severe atrophic maxilla.
Optimal results in terms of ZIs positioning with no damage to surrounding structures were obtained.
By means of this new technique the surgeon may minimize the risk of complications related to the damage of neighbouring anatomic structures, such as orbital disruption or infraorbitary nerve damage, while ensuring an adequate drill positioning and angulation for the placement of one or two implants into the zygomatic bone.
The online version of this article (doi:10.1007/s12663-015-0825-y) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1007/s12663-015-0825-y
PubMed: 27298553
PubMed Central: 4871831
Affiliations:
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Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz</wicri:regionArea><wicri:noRegion>Badajoz</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff5">Calle Los Yébenes, 35, 8C, 28047 Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Calle Los Yébenes, 35, 8C, 28047 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Monje, Alberto" sort="Monje, Alberto" uniqKey="Monje A" first="Alberto" last="Monje">Alberto Monje</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>Department of 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University Hospital Infanta Cristina, 06080 Badajoz</wicri:regionArea><placeName><region nuts="2" type="communauté">Estrémadure</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz</wicri:regionArea><wicri:noRegion>Badajoz</wicri:noRegion></affiliation></author><author><name sortKey="Monje, Florencio" sort="Monje, Florencio" uniqKey="Monje F" first="Florencio" last="Monje">Florencio Monje</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz</wicri:regionArea><placeName><region nuts="2" type="communauté">Estrémadure</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz</wicri:regionArea><wicri:noRegion>Badajoz</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">CICOM, Centre for Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>CICOM, Centre for Implantology, Oral and Maxillofacial Surgery, Badajoz</wicri:regionArea><wicri:noRegion>Badajoz</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Maxillofacial & Oral Surgery</title><idno type="ISSN">0972-8279</idno><idno type="eISSN">0974-942X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Zygomatic implants (ZIs) have been proposed as a valid alternative to advance bone-grafting procedures in the rehabilitation of the severe atrophied upper maxilla, with a reported overall success rate of more than 95 %. Otherwise, the use of the endoscope has been described for the treatment of maxillofacial trauma, orthognatic surgical procedures, sinonasal pathology, salivary gland disease, and TMJ internal derangement. A careful identification of anatomical landmarks is of utmost importance while trying to avoid potential complications during the insertion of ZIs. Several approaches for ZI insertion have been reported, such as the classical approach; the sinus slot technique; and the exteriorized approach.</p></sec><sec><title>Materials and Methods</title><p>The authors first introduce in the literature the endoscopically-assisted approach for the insertion of ZIs in the extremely severe atrophic maxilla.</p></sec><sec><title>Results</title><p>Optimal results in terms of ZIs positioning with no damage to surrounding structures were obtained.</p></sec><sec><title>Conclusions</title><p>By means of this new technique the surgeon may minimize the risk of complications related to the damage of neighbouring anatomic structures, such as orbital disruption or infraorbitary nerve damage, while ensuring an adequate drill positioning and angulation for the placement of one or two implants into the zygomatic bone.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1007/s12663-015-0825-y) contains supplementary material, which is available to authorized users.</p></sec></div></front></TEI><affiliations><list><country><li>Espagne</li><li>États-Unis</li></country><region><li>Communauté de Madrid</li><li>Estrémadure</li><li>Michigan</li></region></list><tree><country name="Espagne"><region name="Estrémadure"><name sortKey="Gonzalez Garcia, Raul" sort="Gonzalez Garcia, Raul" uniqKey="Gonzalez Garcia R" first="Raúl" last="González-García">Raúl González-García</name></region><name sortKey="Gonzalez Garcia, Raul" sort="Gonzalez Garcia, Raul" uniqKey="Gonzalez Garcia R" first="Raúl" last="González-García">Raúl González-García</name><name sortKey="Gonzalez Garcia, Raul" sort="Gonzalez Garcia, Raul" uniqKey="Gonzalez Garcia R" first="Raúl" last="González-García">Raúl González-García</name><name sortKey="Monje, Alberto" sort="Monje, Alberto" uniqKey="Monje A" first="Alberto" last="Monje">Alberto Monje</name><name sortKey="Monje, Florencio" sort="Monje, Florencio" uniqKey="Monje F" first="Florencio" last="Monje">Florencio Monje</name><name sortKey="Monje, Florencio" sort="Monje, Florencio" uniqKey="Monje F" first="Florencio" last="Monje">Florencio Monje</name><name sortKey="Monje, Florencio" sort="Monje, Florencio" uniqKey="Monje F" first="Florencio" last="Monje">Florencio Monje</name><name sortKey="Moreno Garcia, Carlos" sort="Moreno Garcia, Carlos" uniqKey="Moreno Garcia C" first="Carlos" last="Moreno-García">Carlos Moreno-García</name><name sortKey="Moreno Garcia, Carlos" sort="Moreno Garcia, Carlos" uniqKey="Moreno Garcia C" first="Carlos" last="Moreno-García">Carlos Moreno-García</name></country><country name="États-Unis"><region name="Michigan"><name sortKey="Monje, Alberto" sort="Monje, Alberto" uniqKey="Monje A" first="Alberto" last="Monje">Alberto Monje</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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