title: A novel report on the use of an oncology zygomatic implant-retained maxillary obturator in a paediatric patient.
abstract: This report details the use of zygomatic oncology osseointegrated implants to support and retain a maxillary obturator in a 13-year-old male patient who underwent a right-sided hemi-maxillectomy (Brown Class 2b) (Brown and Shaw, Lancet Oncol 11:1001-8, 2010) for a myxoid spindle cell carcinoma. At the time of maxillary resection, two zygomatic oncology implants were inserted into the right zygomatic body and subsequently utilised to provide in-defect support and retention for a bar-retained maxillary acrylic obturator prosthesis, which restored the patient's aesthetics and function to a very high level. Close follow-up over 2 years demonstrated ongoing excellent function and disease control with no deleterious effects on facial or dento-alveolar growth clinically. This is the first clinical report of its kind in the published literature detailing the use of a zygomatic implant-retained obturator in a paediatric patient.
authors.affiliation: Oral and Maxillofacial Surgery, Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, UK.
authors.forename: Amit
authors.initials: A
authors.lastname: Dattani
authors.affiliation: Maxillofacial Surgery, Regional Craniofacial Unit, Alder Hey Children's Hospital, Liverpool, UK.
authors.forename: David
authors.initials: D
authors.lastname: Richardson
authors.affiliation: Maxillofacial Prosthodontics, Regional Maxillofacial Unit, University Hospital Aintree, Longmoor Lane, Liverpool, L9 7AL, UK. c.butterworth@liv.ac.uk.
authors.forename: Chris J
authors.initials: CJ
authors.lastname: Butterworth
keywords: Hemi-maxillectomy; Maxillary obturator; Myxoid spindle cell carcinoma; Oncology implant; Zygomatic Implant; Zygomatic fixtures