Outcomes Data

Clinical outcomes for the ZIP Flap technique

LIVE REGISTRY DATA

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

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69
Total Patients
1 contributing centre
98.6%
Flap Survival
68 of 69 flaps survived
52%
Radiotherapy
36 of 69 patients

Implant Outcomes

282
Total Implants
96.8%
Overall Survival
Implant Type Total Survival Rate
Zygomatic (Remote) 143 95.1%
Zygomatic (Conventional) 111 100%
Dental 28 92.9%
Quad Zygomatic Cases: 81.2% (56 of 69 patients)

Cases by Year

Primary Secondary

Flap Types

Flap Perforated at Surgery: 91.3% (63 of 69 patients)

Prosthetic Restoration

68/69
Patients Restored (98.6%)
23
Median Days to Prosthesis
0-228
Range (days)
13%
Immediate Prosthesis

Follow-up

Mean Follow-up: 43.2 months (3.6 years) Range: 0.2 - 10 years

Patient Demographics

Mean Age at Surgery 71 years (46-89)
Mean Hospital Stay 9.7 days (4-23)
Primary ZIP Flap 65 (94.2%)
Secondary ZIP Flap 4 (5.8%)
SCC Pathology 89.9% (62/69)

Defect Classification

Classification Count %
Brown-2b 44 63.8%
Brown-2c 11 15.9%
Brown-2d 13 18.8%
Brown-3b 1 1.4%

Implant Survival by Radiotherapy Status

No Radiotherapy

100%
135 implants • 33 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