Outcomes Data

Clinical outcomes for the ZIP Flap technique

LIVE REGISTRY DATA

Real-time outcomes from the annonymised ZIP Flap Registry data • Last updated: March 2026

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70
Total Patients
1 contributing centre
98.6%
Flap Survival
69 of 70 flaps survived
51%
Radiotherapy
36 of 70 patients

Implant Outcomes

286
Total Implants
96.9%
Overall Survival
Implant Type Total Survival Rate
Zygomatic (Remote) 145 95.2%
Zygomatic (Conventional) 113 100%
Dental 28 92.9%
Quad Zygomatic Cases: 81.4% (57 of 70 patients)

Cases by Year

Primary Secondary

Flap Types

Flap Perforated at Surgery: 91.4% (64 of 70 patients)

Prosthetic Restoration

69/70
Patients Restored (98.6%)
23
Median Days to Prosthesis
0-228
Range (days)
14.3%
Immediate Prosthesis

Follow-up

Mean Follow-up: 43.7 months (3.6 years) Range: 0 - 10.1 years

Patient Demographics

Mean Age at Surgery 71 years (46-89)
Mean Hospital Stay 9.6 days (4-23)
Primary ZIP Flap 66 (94.3%)
Secondary ZIP Flap 4 (5.7%)
SCC Pathology 90% (63/70)

Defect Classification

Classification Count %
Brown-2b 45 64.3%
Brown-2c 11 15.7%
Brown-2d 13 18.6%
Brown-3b 1 1.4%

Implant Survival by Radiotherapy Status

No Radiotherapy

100%
139 implants • 34 patients

Pre-operative RT

100%
11 implants • 3 patients

Post-operative RT

93.4%
136 implants • 33 patients

Explore the Evidence

For detailed methodology and peer-reviewed analysis, please refer to our publications.

Data source: ZIP Flap Patient Registry • Anonymised aggregate statistics • Updated in real-time