Treatment of a Goldenhar Syndrome Patient With Zygomatic and Pterygoid Implants Using the PATZi Protocol: A Case Report.

INTRODUCTION

A 61-year-old woman with lifelong Goldenhar syndrome was treated with a combination of zygomatic, pterygoid, and conventional dental implants using the PATZi protocol algorithm. All implants were immediately loaded and the patient received final restorations after 7 months of healing. Since that time, the patient has received yearly maintenance.

RESULTS

The patient healed uneventfully and has functioned for close to 5 years from the date of surgery.

DISCUSSION: Craniofacial structures affected by Goldenhar syndrome typically result in several dental complications, including malocclusion, increased potential for decay, and challenging environments for the placement of dental implants. While a few publications have reviewed treatment of children and adolescents afflicted with Goldenhar syndrome, none have documented treatment of adults. Asymmetric mandibular hypoplasia and secondary underdevelopment of associated maxillary and malar structures make prosthetic restoration of these patients difficult. These craniofacial deficits may be addressed using remote anchorage fixtures including zygomatic and pterygoid dental implants.

CONCLUSION

With nearly 5 years of successful outcome, treatment of the patient in this case report indicates that remote anchorage implants may be a potential solution to address prosthetic needs of persons affected by Goldenhar syndrome.