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#201967 10-09-2023 02:21 PM
Joined: Feb 2013
Posts: 53
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Supporting Member (50+ posts)

Joined: Feb 2013
Posts: 53
Hello Everyone!
It's been 5 years since my fifth oral cancer surgery (palatectomy) and I am very thankful to have had no recurrences during that time. I only have 6 remaining teeth in my left side of the maxilla and those teeth are beginning to fail. This is a problem as those teeth are what anchor the obturator. I have been advised to consider zygomatic implants and I wondered if anyone here has undergone that procedure?
Thank you!


Teacher Karen
DX: SCC of right maxillary alveolar ridge, 9/2010.
Surgery 11/2010, removal of 4 teeth and gum.
Surgery 11/2012, removal of 3 teeth and gum.
IMRT 1/2013-2/2013
Surgery 1/2015 retromolar trigone resection; removal of 1 tooth and gum.
Surgery 10/2015 left modified radical neck dissection, inferior parotidectomy, external carotid artery resection.
Cetuximab based chemoradiation 64.8 Gy to resection bed.
Surgery 6/19/2018 Right inferior maxillectomy, bilateral low palate resection
Joined: Jun 2021
Posts: 41
Likes: 6
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Contributing Member (25+ posts)

Joined: Jun 2021
Posts: 41
Likes: 6
Hi Karen, glad you are hanging in these days. I have not heard of zygomatic implants. It has ben quiet on the forum as of late. I hope someone way smarter than me sees this and responts

Take care

Steve


steve
72 yo
SCC 2009
Radiation/Chemo, clear 2010
Active triathlete
NPO and bad voice after 12 years
But doing great
Joined: May 2013
Posts: 185
Likes: 3
Senior Member (100+ posts)
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Senior Member (100+ posts)

Joined: May 2013
Posts: 185
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I know they attach to the cheekbone, not the jawbone. It might be an option. Other than that, I don't know much. I am going to investigate those at my next appointment with my oral surgeon in November.


Age 55 HPV 16+ SCC, BOT 050613 Stage IV
great team at OSU
Tx 6 weeks of rad started June 3
8 weeks of chemo started May 28
RTOG Phase III trial Cetuximab group.
Treatment completed 7/16/2013
PET Scan completed 10/08/13
Results discussed 10/11/13
NED - Free but am I
Next part of the journey?
1year PET 10/24/14 NED
Good reports now 10 years out.
JamesD #201972 10-26-2023 08:23 AM
Joined: Feb 2013
Posts: 53
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Feb 2013
Posts: 53
Thanks James for responding. I saw my radiation oncologist to make sure the zygomatic bone had not received too much radiation during treatment. I will be going to a maxillofacial prosthodontist on Monday to speak with a specialist about the procedure. It is promising for patients with maxilla and palatal defects from surgery. I'll update here after the appointment.


Teacher Karen
DX: SCC of right maxillary alveolar ridge, 9/2010.
Surgery 11/2010, removal of 4 teeth and gum.
Surgery 11/2012, removal of 3 teeth and gum.
IMRT 1/2013-2/2013
Surgery 1/2015 retromolar trigone resection; removal of 1 tooth and gum.
Surgery 10/2015 left modified radical neck dissection, inferior parotidectomy, external carotid artery resection.
Cetuximab based chemoradiation 64.8 Gy to resection bed.
Surgery 6/19/2018 Right inferior maxillectomy, bilateral low palate resection

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