Primary insertion of implants in the zygomatic bone following subtotal maxillectomy

A case of maxillary carcinoma treated with primary insertion of Brånemark implants into the zygomatic bone following subtotal maxillectomy is reported. This method has several advantages. First, early detection of postoperative recurrence is easier than with closing the flap. Second, when the implant is inserted into the midfacial region, zygomatic bone can be useful because of thickness. In addition, applying a maxillary prosthesis in the early stages avoids contracture of facial soft tissue. This primary reconstructive method is effective in cases of preserved zygoma after total maxillectomy.