[Computer-assisted insertion of zygomatic implants (Brånemark system) after extensive tumor surgery].

Installation of fixtures for prosthetic reconstruction of the upper jaw in patients with extensive bone and soft tissue defects is still a challenge. The new fixture developed by Brånemark System achieves immediate prosthetic reconstruction by anchoring implants in the zygomatic bone to offer sufficient support without bone grafts. The dimension of these zygomatic fixtures and the complex anatomy due to previous surgical procedures demand specific treatment for a precise and safe insertion of the implants. On the basis of an axial spiral CT data set, the STN navigation system (Stryker-Leibinger/Zeiss) was used for preoperative planning and intraoperative control of the insertion of zygomatic fixtures after subtotal maxillectomy. Computer-assisted insertion of zygomatic fixtures was successfully completed. The implants could be positioned precisely as preoperatively planned. The use of zygomatic fixtures after ablative tumor surgery with resection of the maxillary bone provides immediate prosthetic reconstruction without additional bone grafting. Computer-assisted insertion of these implants improves preoperative planning and facilitates clinical procedure.