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Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach

Identifieur interne : 000B26 ( Pmc/Corpus ); précédent : 000B25; suivant : 000B27

Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach

Auteurs : Raúl González-García ; Alberto Monje ; Carlos Moreno-García ; Florencio Monje

Source :

Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2015.

RBID : PMC:4871831

Abstract

Background

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.

Materials and Methods

The authors first introduce in the literature the endoscopically-assisted approach for the insertion of ZIs in the extremely severe atrophic maxilla.

Results

Optimal results in terms of ZIs positioning with no damage to surrounding structures were obtained.

Conclusions

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.

Electronic supplementary material

The online version of this article (doi:10.1007/s12663-015-0825-y) contains supplementary material, which is available to authorized users.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4871831

DOI: 10.1007/s12663-015-0825-y
PubMed: 27298553
PubMed Central: 4871831

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PMC:4871831

Le document en format XML

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<author><name sortKey="Gonzalez Garcia, Raul" sort="Gonzalez Garcia, Raul" uniqKey="Gonzalez Garcia R" first="Raúl" last="González-García">Raúl González-García</name>
<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz, Spain</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff5">Calle Los Yébenes, 35, 8C, 28047 Madrid, Spain</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monje, Alberto" sort="Monje, Alberto" uniqKey="Monje A" first="Alberto" last="Monje">Alberto Monje</name>
<affiliation><nlm:aff id="Aff2">Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
</affiliation>
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<author><name sortKey="Moreno Garcia, Carlos" sort="Moreno Garcia, Carlos" uniqKey="Moreno Garcia C" first="Carlos" last="Moreno-García">Carlos Moreno-García</name>
<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz, Spain</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
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<author><name sortKey="Monje, Florencio" sort="Monje, Florencio" uniqKey="Monje F" first="Florencio" last="Monje">Florencio Monje</name>
<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz, Spain</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
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<affiliation><nlm:aff id="Aff4">CICOM, Centre for Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach</title>
<author><name sortKey="Gonzalez Garcia, Raul" sort="Gonzalez Garcia, Raul" uniqKey="Gonzalez Garcia R" first="Raúl" last="González-García">Raúl González-García</name>
<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz, Spain</nlm:aff>
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<affiliation><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
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<affiliation><nlm:aff id="Aff5">Calle Los Yébenes, 35, 8C, 28047 Madrid, Spain</nlm:aff>
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<author><name sortKey="Monje, Alberto" sort="Monje, Alberto" uniqKey="Monje A" first="Alberto" last="Monje">Alberto Monje</name>
<affiliation><nlm:aff id="Aff2">Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
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<author><name sortKey="Moreno Garcia, Carlos" sort="Moreno Garcia, Carlos" uniqKey="Moreno Garcia C" first="Carlos" last="Moreno-García">Carlos Moreno-García</name>
<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz, Spain</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Monje, Florencio" sort="Monje, Florencio" uniqKey="Monje F" first="Florencio" last="Monje">Florencio Monje</name>
<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz, Spain</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
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<affiliation><nlm:aff id="Aff4">CICOM, Centre for Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</nlm:aff>
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<series><title level="j">Journal of Maxillofacial & Oral Surgery</title>
<idno type="ISSN">0972-8279</idno>
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<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>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Maxillofac Oral Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">J Maxillofac Oral Surg</journal-id>
<journal-title-group><journal-title>Journal of Maxillofacial & Oral Surgery</journal-title>
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<issn pub-type="ppub">0972-8279</issn>
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<article-meta><article-id pub-id-type="pmid">27298553</article-id>
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<article-id pub-id-type="publisher-id">825</article-id>
<article-id pub-id-type="doi">10.1007/s12663-015-0825-y</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Technical Note</subject>
</subj-group>
</article-categories>
<title-group><article-title>Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>González-García</surname>
<given-names>Raúl</given-names>
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<address><email>raulmaxilo@gmail.com</email>
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<xref ref-type="aff" rid="Aff1"></xref>
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<contrib contrib-type="author"><name><surname>Monje</surname>
<given-names>Alberto</given-names>
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<contrib contrib-type="author"><name><surname>Moreno-García</surname>
<given-names>Carlos</given-names>
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<xref ref-type="aff" rid="Aff1"></xref>
<xref ref-type="aff" rid="Aff3"></xref>
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<contrib contrib-type="author"><name><surname>Monje</surname>
<given-names>Florencio</given-names>
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<xref ref-type="aff" rid="Aff1"></xref>
<xref ref-type="aff" rid="Aff3"></xref>
<xref ref-type="aff" rid="Aff4"></xref>
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<aff id="Aff1"><label></label>
Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz, Spain</aff>
<aff id="Aff2"><label></label>
Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI USA</aff>
<aff id="Aff3"><label></label>
FEDICOM, Foundation for the Study and Development in Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</aff>
<aff id="Aff4"><label></label>
CICOM, Centre for Implantology, Oral and Maxillofacial Surgery, Badajoz, Spain</aff>
<aff id="Aff5"><label></label>
Calle Los Yébenes, 35, 8C, 28047 Madrid, Spain</aff>
</contrib-group>
<pub-date pub-type="epub"><day>18</day>
<month>9</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><month>6</month>
<year>2016</year>
</pub-date>
<volume>15</volume>
<issue>2</issue>
<fpage>272</fpage>
<lpage>276</lpage>
<history><date date-type="received"><day>3</day>
<month>3</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>23</day>
<month>7</month>
<year>2015</year>
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</history>
<permissions><copyright-statement>© The Association of Oral and Maxillofacial Surgeons of India 2015</copyright-statement>
</permissions>
<abstract id="Abs1"><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>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Zygomatic implants</kwd>
<kwd>Endoscopically-assisted approach</kwd>
<kwd>Severe atrophic maxilla</kwd>
<kwd>Zygomatic bone</kwd>
<kwd>Complications</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Association of Oral and Maxillofacial Surgeons of India 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach

Endoscopically-Assisted Zygomatic Implant Placement: A Novel Approach

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Abstract

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