Management of verrucous hyperplasia involving the buccal mucosa using the buccal fat pad: A case report

Abstract

Verrucous hyperplasia (VH) is a rare and potentially malignant exophytic oral mucosal lesion with a verrucous or papillary surface. VH has a tendency to transform into its malignant counterpart, verrucous carcinoma, which is clinically indistinguishable, yet histologically variable. The most common site of predilection is the buccal mucosa and VH more prevalent in patients with habits of areca nut chewing or smoking. A biopsy of the lesion with the surrounding normal mucosa and adequate depth should be performed to histopathologically to diagnose the condition and provide treatment management accordingly. The present study describes the case of a 37‑year‑old male with VH of the buccal mucosa that was successfully managed by surgical excision and reconstruction using the buccal fat pad (BFP). BFP was used due to its higher vascularity, its proximity to the donor site and to provide less scar contracture. The patient was followed up regularly and the surgical site was health with uneventful healing and complete mucolisation.