Simplified Zygomatic Implant Perforated (Zip) Flap for Rehabilitation in Low Level Maxillary Defects

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic Surgery
• Reconstructive Surgery

Background:

• Maxillectomy for COVID-associated mucormycosis (CAM) presents significant challenges for dental rehabilitation.
• Traditional flap surgeries and prosthetics may not fully restore function and aesthetics.
• Existing ZIP flap techniques are primarily for microvascular reconstructions.

Purpose of the Study:

• To present the unique experience with the ZIP-Temporalis flap for maxillary rehabilitation in CAM patients.
• To detail the methods, advantages, and limitations of this specific flap technique.
• To offer an alternative reconstructive option for post-CAM maxillectomy defects.

Main Methods:

• Description of the surgical technique utilizing the temporalis muscle for flap creation.
• Application of the ZIP-Temporalis flap in patients undergoing maxillectomy due to CAM.
• Subsequent dental prosthetic rehabilitation (fixed or removable) to restore function and aesthetics.

Main Results:

• The ZIP-Temporalis flap provides a viable option for maxillary reconstruction after CAM.
• This technique facilitates the subsequent placement of dental prostheses, improving patient outcomes.
• The study outlines the specific advantages and limitations encountered in clinical application.

Conclusions:

• The ZIP-Temporalis flap is a unique and effective method for rehabilitating patients with maxillectomy defects caused by CAM.
• It offers a valuable alternative to traditional flaps, particularly in the context of CAM sequelae.
• Further research can explore long-term functional and aesthetic outcomes.