Outcomes Data

Clinical outcomes for the ZIP Flap technique

LIVE REGISTRY DATA

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

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75
Total Patients
1 contributing centre
98.7%
Flap Survival
74 of 75 flaps survived
48%
Radiotherapy
36 of 75 patients

Implant Outcomes

304
Total Implants
97%
Overall Survival
Implant Type Total Survival Rate
Zygomatic (Remote) 152 95.4%
Zygomatic (Conventional) 122 100%
Dental 30 93.3%
Quad Zygomatic Cases: 80% (60 of 75 patients)

Cases by Year

Primary Secondary

Flap Types

Flap Perforated at Surgery: 92% (69 of 75 patients)

Prosthetic Restoration

72/75
Patients Restored (96%)
22
Median Days to Prosthesis
0-228
Range (days)
17.3%
Immediate Prosthesis

Follow-up

Mean Follow-up: 42.6 months (3.6 years) Range: 0 - 10.3 years

Patient Demographics

Mean Age at Surgery 70.7 years (46-89)
Mean Hospital Stay 9.7 days (4-23)
Primary ZIP Flap 71 (94.7%)
Secondary ZIP Flap 4 (5.3%)
SCC Pathology 88% (66/75)

Defect Classification

Classification Count %
Brown-2b 49 65.3%
Brown-2c 12 16%
Brown-2d 13 17.3%
Brown-3b 1 1.3%

Implant Survival by Radiotherapy Status

No Radiotherapy

100%
157 implants • 39 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