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

  • By

  • Dan Holtzclaw

  • September 1, 2026

  • 15 min

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

Overview

This case report details the dental implant treatment of a 61-year-old female patient with Goldenhar syndrome, utilizing zygomatic and pterygoid implants. The patient has functioned for nearly 5 years post-surgery.

Background

Goldenhar syndrome is a rare congenital disorder characterized by craniofacial anomalies, affecting approximately 1 in 5,600 live births. It often leads to significant dental complications due to asymmetric underdevelopment of craniofacial structures.

Data Highlights

The patient received a combination of zygomatic, pterygoid, and conventional dental implants using the PATZi protocol. All implants were immediately loaded, and final restorations were completed after 7 months of healing.

Key Findings

  • Goldenhar syndrome is associated with various systemic maladies and craniofacial anomalies.
  • The patient in this case report underwent treatment with zygomatic and pterygoid implants.
  • All implants were immediately loaded.
  • The patient has maintained function for nearly 5 years following the procedure.

Clinical Implications

The use of remote anchorage implants in this case suggests a method for addressing the prosthetic needs of adults with Goldenhar syndrome.

Conclusion

This case report documents the use of zygomatic and pterygoid implants for dental rehabilitation in a patient with Goldenhar syndrome.

Related Resources & Content

  1. Balshi TJ, Wolfinger GJ, Balshi SF, Compendium, 2012 -- Using Computer-Guided Surgery for Partial Guidance of Zygoma Implants
  2. Moscovitch M, Compendium, 2015 -- A Complex Implant-Supported Reconstruction with Monolithic-Minimally Veneered Zirconia: A Clinical Report
  3. Pikos MA, Magyar CW, Llop DR, Compendium, 2015 -- Guided Full-Arch Immediate-Function Treatment Modality for the Edentulous and Terminal Dentition Patient
  4. StatPearls, NCBI Bookshelf, 2026 -- Oculo-Auriculo-Vertebral Spectrum (Goldenhar Syndrome)
  5. Consensus Report of Group 2 of the 1st Global Consensus for Clinical Guidelines for the Rehabilitation of the Edentulous Maxilla, 2026
  6. inside dental technology — Partially Guided Remote Anchorage With a Full-Arch Digital Workflow
  7. Partially Guided Remote Anchorage With a Full-Arch Digital Workflow
  8. Oculo-Auriculo-Vertebral Spectrum (Goldenhar Syndrome) - StatPearls - NCBI Bookshelf
  9. Consensus Report of Group 2 of the 1st Global Consensus for Clinical Guidelines for the Rehabilitation of the Edentulous Maxilla: Zygomatic, Standard‐Length, and Short Implant‐Supported Prostheses
  10. Journal of Clinical Medicine Systematic Review Cli

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