title: Intra- and extraoral prostheses retained by zygoma implants following resection of the upper lip and nose.
abstract: Upper lip cancers are infrequent lesions, being aggressive unless diagnosed and treated early. After the surgical resection, maxillofacial defects require special care in rehabilitation. This article describes the maxillofacial rehabilitation of an edentulous patient diagnosed with upper lip squamous cell carcinoma. The treatment consisted of a large amount of upper lip and nose tissue resection, followed by chemoradiotherapy. After the first surgical healing, zygoma implants were inserted in a two-step procedure. The maxillary and nasal prostheses were installed and fixed by a titanium framework. After 6 years follow-up, no recurrences were observed, and the patient did not develop metastases. Tissues around implants were in good health, and the prostheses remained well-fitted. The use of implant-retained prostheses improved the quality of life, and the patient was extremely satisfied with the final result. The implant-retained prostheses are well accepted by the patient, improving comfort and safety during function while recovering her esthetic apperance.
authors: Graduate and Post Graduate Program in Dentistry, Ceuma University-UniCEUMA, São Luís, Maranhão, Brazil.
authors: Letícia Machado
authors: LM
authors: Gonçalves
authors: Thais Marques Simek Vega
authors: TM
authors: Gonçalves
authors: Antônio Henrique Corrêa
authors: AH
authors: Rodrigues
authors: Marcos Dias
authors: MD
authors: Lanza
authors: Paulo Roberto Gomes
authors: PR
authors: do Nascimento
authors: Francisco Mauro da Silva
authors: FM
authors: Girundi
mesh_terms: D000539:Alveolar Process / Q000601:surgery; D015921:Dental Implants; D005260:Female; D006801:Humans; D008046:Lip / Q000601:surgery*; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D009666:Nose / Q000601:surgery*; D015050:Zygoma / Q000601:surgery*
chemical_list: D015921:Dental Implants
keywords: Upper lip carcinoma; maxillofacial prosthesis; oral rehabilitation; zygoma implants