Surgical Technique
The ZIP Flap reconstructive approach
Page in Progress
Detailed surgical protocol documentation is currently being prepared. In the meantime, please refer to our publications for comprehensive technique descriptions.
Technique Overview
The Zygomatic Implant Perforated (ZIP) Flap technique combines zygomatic implant placement at the time of low-level maxillectomy with soft tissue free flap closure of the resulting defect.
The result is a closed maxillary defect with implant abutments perforating through the flap, allowing fabrication and fitting of a fixed dental prosthesis within weeks of surgery rather than the months typically required with conventional approaches.
Key Surgical Steps
Pre-operative Planning
CT imaging, dental impressions, and prosthesis planning to determine optimal implant positions and flap design.
Tumour Resection
Low-level maxillectomy performed with appropriate oncological margins while preserving the orbital floor and zygoma.
Zygomatic Implant Placement
Oncology zygomatic implants placed into the residual zygoma to provide anchorage for the future prosthesis.
Flap Reconstruction
Microvascular free flap (typically radial forearm) inset and perforated by the implant abutments to close the defect.
Prosthesis Fabrication
Impressions taken during surgery or early post-operative period. Prosthesis fabricated during initial healing phase.
Early Loading
Fixed dental prosthesis fitted typically within 3-4 weeks of surgery, restoring function and appearance rapidly.
Learn More
For detailed technique descriptions and clinical outcomes, please explore our publications or contact us about training opportunities.