The objective was to describe the use of the Bichat fat ball flap in the closure of palatal defects immediately after surgical resection. Clinical cases: clinical case number 1 (60-year-old man) presented to the consultation with an increase in volume of the soft palate mucosa, ovoid in shape, not painful on palpation, similar coloration of the palate mucosa, of 3 cm in diameter and 4 months of evolution that makes it uncomfortable to talk and feed. Clinical case number 2 (a 61-year-old man) attended the consultation with a lesion in the upper jaw at the level of the palate with a pathological diagnosis of pleomorphic adenoma. In both cases, tumor resection and immediate reconstruction were performed using a Bichat fat ball. The defects were covered only by the adipose tissue mentioned, generating a restitution ad integrum of the oral mucosa, they evolved favorably, without postoperative...

Implant-prosthetic rehabilitation of severe atrophic maxilla is a challenge for clinicians. Decision making when patients lack of bone density or quantity is usually difficult. The aim of this study is to report two cases of severe atrophic maxilla treated through zygomatic implants. Two clinical reports using the Branemark methodology are presented, in which surgical alternatives are discussed. One patient had post-surgical pain in the peri orbital area and could be solved immediately. No other surgical complications were observed. Prosthetic alternatives are also discussed. After 12 and 18 months of functional loading, neither surgical nor prosthetic problems occurred. In conclusion, zygomatic implants are a viable, short time, low morbidity treatment in patients with an atrophic maxilla and present success rates similar to conventional implants.

La rehabilitación implanto-protética de maxilares con atrofia severa, presenta un desafío en la odontología actual. La falta de tejido óseo para la colocación de implantes estándares, conlleva tener que decidir una alternativa de tratamiento para el paciente. El objetivo de esta publicación es presentar dos casos clínicos del tratamiento de la atrofia de maxilar superior a través de implantes cigomáticos. Se presentan dos casos clínicos operados mediante la metodología descrita por Branemark, debatiendo las alternativas quirúrgicas actuales. Una paciente presentó dolor peri-orbitario, que fue resuelto inmediatamente. No se presentaron otras complicaciones post quirúrgicas. Se discuten alternativas protéticas de la resolución de estos casos. Transcurridos 12 y 18 meses de la rehabilitación implanto protética, no se presentaron otras complicaciones quirúrgicas ni protÃ...