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International Journal of Implant... Jul 2023The purpose of this systematic review was to assess the evidence regarding the indications for placement of zygomatic implants to rehabilitate edentulous maxillae. (Review)
Review
PURPOSE
The purpose of this systematic review was to assess the evidence regarding the indications for placement of zygomatic implants to rehabilitate edentulous maxillae.
MATERIAL AND METHODS
A focused question using the PIO format was developed, questioning "in patients in need of an implant-supported rehabilitation of the edentulous maxillae, what are the indications for the use of zygomatic implants''. The primary information analyzed and collected was a clear description of the indication for the use of zygomatic implants.
RESULTS
A total of 1266 records were identified through database searching. The full-text review was conducted for 117 papers, and 10 were selected to be included in this review. Zygomatic implant indications were extreme bone atrophy or deficiency secondary to different factors. The quad zygoma concept (two zygomatic implants bilaterally placed and splinted) was applied to 107 patients, the classic zygoma concept (one zygomatic implant bilaterally placed and splinted to standard anterior implants) was used in 88 patients, and the unilateral concept (one zygomatic implant on one side, splinted with one or more conventional implants) was employed in 14 patients.
CONCLUSIONS
The main indication for the use of zygomatic implants was considered extreme maxillary bone atrophy, resulting from many factors. The clear definition of what was considered "extreme bone atrophy" is not uniquely defined in each paper. Further studies are needed to develop clear indications for zygomatic implants.
Topics: Humans; Dental Implants; Atrophy; Databases, Factual; Medicine; Mouth, Edentulous
PubMed: 37391575
DOI: 10.1186/s40729-023-00480-4 -
Aesthetic Plastic Surgery Aug 2012In principle, to achieve the most natural and harmonious rejuvenation of the face, all changes that result from the aging process should be corrected. Traditionally,... (Review)
Review
UNLABELLED
In principle, to achieve the most natural and harmonious rejuvenation of the face, all changes that result from the aging process should be corrected. Traditionally, soft tissue lifting and redraping have constituted the cornerstone of most facial rejuvenation procedures. Changes in the facial skeleton that occur with aging and their impact on facial appearance have not been well appreciated. Accordingly, failure to address changes in the skeletal foundation of the face may limit the potential benefit of any rejuvenation procedure. Correction of the skeletal framework is increasingly viewed as the new frontier in facial rejuvenation. It currently is clear that certain areas of the facial skeleton undergo resorption with aging. Areas with a strong predisposition to resorption include the midface skeleton, particularly the maxilla including the pyriform region of the nose, the superomedial and inferolateral aspects of the orbital rim, and the prejowl area of the mandible. These areas resorb in a specific and predictable manner with aging. The resultant deficiencies of the skeletal foundation contribute to the stigmata of the aging face. In patients with a congenitally weak skeletal structure, the skeleton may be the primary cause for the manifestations of premature aging. These areas should be specifically examined in patients undergoing facial rejuvenation and addressed to obtain superior aesthetic results.
LEVEL OF EVIDENCE IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Topics: Adult; Aging; Cheek; Facial Bones; Humans; Middle Aged; Nose; Orbit; Prostheses and Implants; Prosthesis Implantation; Plastic Surgery Procedures; Rejuvenation; Zygoma
PubMed: 22580543
DOI: 10.1007/s00266-012-9904-3 -
Acta Bio-medica : Atenei Parmensis Mar 2022The cranio-orbito-zygomatic (COZ) approach consists of an extension of the pterional approach characterized by the removal of the superolateral part of the orbital rim... (Review)
Review
The cranio-orbito-zygomatic (COZ) approach consists of an extension of the pterional approach characterized by the removal of the superolateral part of the orbital rim and zygoma. This key step tremendously increases the angular exposure to some deep targets and overall surgical freedom to the lesion. In this article we review the technical variations of the COZ approach, mainly focusing on the differential quantitative effects coming from the orbital osteotomy compared to the zygomatic one.
Topics: Humans; Orbit; Surgical Flaps; Zygoma
PubMed: 35441603
DOI: 10.23750/abm.v92iS4.12784 -
Folia Morphologica 2021The lateral (temporal) wall of the orbit separates it from the temporal fossa and the anterior part of the temporal muscle. Within this wall, the sphenozygomatic suture...
The lateral (temporal) wall of the orbit separates it from the temporal fossa and the anterior part of the temporal muscle. Within this wall, the sphenozygomatic suture joins the greater wing of the sphenoid bone and the zygomatic bone. We retrospectively documented in cone-beam computed tomography the anatomy of the orbit in a 56-year-old female and we found a previously unreported anatomic variant. The greater wing of the sphenoid bone and the zygomatic bone were separated, bilaterally, by a large unossified space which we termed the sphenozygomatic fissure. This was merged inferiorly with the inferior orbital fissure. A possible imbalanced mechanism of membranous ossification of both the zygomatic bone and the orbital surface of the greater wing could be speculated as a possible cause for such sphenozygomatic fissure. This previously undocumented anatomic variant is of high clinical relevance, since it may allow orbital fat to herniate (or bulge) toward the temporal fossa, it may be easily damaged during minor trauma and it should be carefully approached during the surgery of the orbit through the lateral wall.
Topics: Cone-Beam Computed Tomography; Female; Humans; Middle Aged; Orbit; Retrospective Studies; Sphenoid Bone
PubMed: 32073134
DOI: 10.5603/FM.a2020.0018 -
Indian Journal of Dental Research :... 2013Goldenhar syndrome is a syndrome of complex structures developing from first and second branchial arches during blastogenesis. The etiology of this rare disease is not...
Goldenhar syndrome is a syndrome of complex structures developing from first and second branchial arches during blastogenesis. The etiology of this rare disease is not fully understood, as it has shown itself variable genetically and of unclear causes. The disorder is characterized by a wide spectrum of symptoms and physical features that may vary greatly in range and severity from case to case. Here we present a unique case of Goldenhar syndrome with absence of left condyle, hypoplasia of the zygomatic bone, no pneumatization of the mastoid process, underdeveloped mandible, bifid tongue and the skin tags in the preauricular area.
Topics: Adolescent; Ear, External; Female; Goldenhar Syndrome; Humans; Mandible; Mandibular Condyle; Mastoid; Open Bite; Tongue; Zygoma
PubMed: 23852257
DOI: 10.4103/0970-9290.114952 -
Anatomical Record (Hoboken, N.J. : 2007) Jan 2017Establishing the homology of the zygomatic or jugal bone and tracing its origin and early evolution represents a complex issue because of large morphological gaps... (Review)
Review
Establishing the homology of the zygomatic or jugal bone and tracing its origin and early evolution represents a complex issue because of large morphological gaps between various groups of vertebrates. Using recent paleontological findings, we discuss the deep homology of the zygomatic or jugal bone in stem gnathostomes (placoderms) and examine its homology and modifications in crown gnathostomes (acanthodians, chondrichthyans and osteichthyans). The discovery of the placoderm Entelognathus from the Silurian of China (∼423 million years ago) established that the large dermal plates in placoderms and osteichthyans are homologous. In Entelognathus, the jugal was joined by a new set of bones (premaxilla, maxilla, and lachrymal), marking the first appearance of the typical vertebrate face found in tetrapods including humans. In non-Entelognathus placoderms, the jugal (homologized with the suborbital plate) occupied most of the cheek region and covered the palatoquadrate laterally. In antiarch placoderms (the most basal jawed vertebrates), the jugal (represented by the ventrally positioned mental plate) functioned as part of the upper jaw. In osteichthyans, the preopercular arose as a novel bone and separated the jugal from the opercular in piscine osteichthyans. A single bone in basal osteichthyans, the preopercular may have divided into two or three elements (the preopercular, the squamosal and/or the quadratojugal) in several later osteichthyan groups. Subsequent modifications of the jugal in the fish-tetrapod transition (its enlargement leading to its contact with the quadratojugal and the separation of the squamosal from the maxilla) brought the vertebrate face to the typical model we see in living tetrapods. Anat Rec, 300:16-29, 2017. © 2016 Wiley Periodicals, Inc.
Topics: Animals; Biological Evolution; Fossils; Paleontology; Phylogeny; Zygoma
PubMed: 28000409
DOI: 10.1002/ar.23512