Pedicled Buccal Fat Pad Graft Research Articles

Free Buccal Fat Pad Graft in Post Cancer Surgery Trismus with the Help of Colorado Microdissection Needle: A Case Report.

A numerous complication arises after surgery and / or radiotherapy / chemotherapy performed for the management of oral and maxillofacial malignant tumour which is apparently a world-wide health threat. Trismus / fibrotic scarring is among the most widespread complications after onco-surgery and / or radiotherapy & surgical management is reserved in cases of severely restricted mouth opening. excision of the fibrotic bands with Colorado micro dissection needle is advantageous in fibrotic scarring as it causes reduced tissue necrosis & intraoperative blood loss; it also provides acceptable cosmesis without compromising wound healing. In cases of anatomical limitations free buccal fat graft (FBFG) can successfully act as alternative pedicled buccal fat pad graft for closure of post‐excision defects.

The use of a pedicled buccal fat pad for reconstruction of posterior mandibular defects

BackgroundThe pedicled buccal fat pad has been used for a long time to reconstruct oral defects due to its ease of flap formation and few complications. Many cases related to reconstruction of defects in the maxilla, such as closing the oroantral fistula, have been reported, but cases related to the reconstruction of defects in the mandible are limited. Under adequate anterior traction, pedicled buccal fat pad can be a reliable and effective method for reconstruction of surgical defects in the posterior mandible.Case presentationThis study describes two cases of reconstruction of surgical oral defects in the posterior mandible, all of which were covered by a pedicled buccal fat pad. The size of the flap was sufficient to perfectly close the defect without any tension. Photographic and radiologic imaging showed successful closure of the defects and no problems were noted in the treated area.ConclusionIn conclusion, the pedicled buccal fat pad graft is a convenient and reliable method for the reconstruction of surgical defects on the posterior mandible.

Use of autogenous bone graft of the anterior wall of the maxillary sinus in the management of oroantral fistula

Introduction: The oroantral fistula consists of a persistent communication between the maxillary sinus and the buccal cavity, being a complication resulting from traumas, pathologies or dental extractions. Objective: To present a clinical case of oroantral fistula closure using autogenous bone graft from the anterior sinus wall as a treatment option. Materials and Methods: Patient with a history of traumatic extraction of the upper left molars about 4 months ago. During the clinical examination, there was an orifice in the left maxillary alveolar crest, suggestive of oroantral fistula, responding positively to the Valsalva maneuver. Panoramic radiographic examination evidenced continuity between the oral cavity and the left maxillary sinus, which presented with opacification, suggestive of acute maxillary sinusitis on the left side. Sinusitis was treated within 15 days. After treatment, we evaluated the patient who was asymptomatic and, at that moment, the surgical procedure for the oroantral fistula closure was planned, removing a bone block from the anterior wall of the left maxillary sinus presenting the sinus membrane and grafting with fixation using System 1.5 mm with an "L" plate and four bolts. Conclusion: This surgical technique is useful for the closure of chronic oroantral fistulas in patients with oroantral fistulas.Descriptors: Oroantral Fistula; Bone Transplantation; Maxillary Sinus.ReferencesMartín-Granizo R, Naval L, Costas A, Goizueta C, Rodriguez F, Monje F, Muñoz M, Diaz F. Use of buccal fat pad to repair intraoral defects: review of 30 cases. Br J Oral Maxillofac Surg. 1997;35(2):81-4.Yilmaz T, Suslu AE, Gursel B. Treatment of oroantral fistula:experience with 27 cases. Am J Otolaryngol. 2003;24(4):221-23.Anavi Y, Gal G, Silfen R, Calderon S. Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(5):527-34.Haas R, Watzak G, Baron M. A preliminary study of monocortical bone grafts for oroantral fistula closure. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(3):263-66Zide MF, Karas ND. Hydroxylapatite block closure of oroantral fistulas: report of cases. J Oral Maxillofac Surg. 1992;50(1):71-5.Poeschl PW, Baumann A, Russmueller G, Poeschl E, Klug C, Ewers R. Closure of oroantral communications with Bichat's buccal fat pad. J Oral Maxillofac Surg. 2009;67(7):1460-6.Jain MK, Ramesh C, Sankar K, Lokesh Babu KT. Pedicled buccal fat pad in the management of oroantral fistula: a clinical study of 15 cases. Int J Oral Maxillofac Surg. 2012;41(8):1025-29.Amaratunga NA. Oro-antral fistulae--a study of clinical, radiological and treatment aspects. Br J Oral Maxillofac Surg. 1986;24(6):433-37.Proctor B. Bone graft closure of large or persistent oromaxillary fistula. Laryngoscope 1969;79(5):822-26.Visscher SH, van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature. J Oral Maxillofac Surg. 2010;68(6):1384-91.Visscher SH, van Roon MR, Sluiter WJ, van Minnen B, Bos RR. Retrospective study on the treatment outcome of surgical closure of oroantral communications. J Oral Maxillofac Surg. 2011;69(12):2956-61.Hanazawa Y, Itoh K, Mabashi T, Sato K. Closure of oroantral communications using a pedicled buccal fat pad graft. J Oral Maxillofac Surg. 1995;53(7):771-75.

Clinical Application of the Pedicled Buccal Fat Pad Flap in Immediate Reconstruction of Oral Tissue Defects in Oral Surgery.

The aim of this study was to present a new immediate reconstructive option for oral tissue defects with a pedicled buccal fat pad flap in oral surgery. Fifteen cases (10 males, 5 females; mean age: 50 years) suffering from oral tumor and attending the Affiliated Stomatology Hospital of Kunming Medical University were included in this study. All patients underwent immediate repair surgery involving a pedicled buccal fat pad graft in oral surgery, from July 2013 to August 2016. All cases underwent uneventful healing with a surviving graft flap. The buccal fat pad healed in about 9 to 10 weeks and its uncovered surface became epithelialized with similar feature to the normal mucosa. At a follow-up of 3 months to 3 years, a good outcome was obtained with minimal malfunction and face deformity. The pedicled buccal fat pad is ideal material for repair, and it is a viable option for immediate reconstruction of oral tissue defects in oral surgery.

上顎歯肉癌術後の口蓋欠損に対し頰脂肪体弁移植術を施行した1例

上顎歯肉癌術後の口蓋欠損に対し頰脂肪体弁移植術を施行した1例

PGAシートとフィブリン糊併用の有茎頬脂肪体による上顎部分切除後の上顎・口蓋再建

This study evaluated the usefulness of a pedicled buccal fat pad graft covered with a polyglycolic acid sheet and fibrin glue for reconstructing maxillopalatal defects associated with an oroantral fistula. This procedure was performed in 5 patients, and 5 other patients who underwent reconstruction using an obturator prosthesis were included as control. All patients underwent partial maxillectomy. The postoperative course and satisfaction score were compared between the two groups. The reconstruction group had no postoperative complications or functional disorders; they showed better results than the control group. Thus, this surgical technique is less invasive and is useful for the repair of maxillopalatal defects associated with an oroantral fistula.

Coronoidectomy, masticatory myotomy and buccal fat pad graft in management of advanced oral submucous fibrosis

The purpose of this study is to evaluate coronoidectomy, masticatory myotomy and buccal fat pad graft in advanced (Stage III–IV) oral sub mucous fibrosis (OSF). 10 patients with clinically and histologically confirmed advanced OSF underwent surgery entailing bilateral coronoidectomy, masticatory muscle myotomy and closure with a pedicled buccal fat pad graft followed by vigorous mouth opening exercises. The result was evaluated using the interincisal distance at maximum mouth opening as the objective outcome measure over a follow up period of 12 months. Results showed a mean interincisal opening of 14.7mm preoperatively and 32.5mm at 12 months postoperatively. Relapse was encountered in one patient who did not cooperate with the postoperative exercise regime. Results suggest this regime is effective.

Sandwich Bone Graft Covered With Buccal Fat Pad in Severely Atrophied Edentulous Maxilla: A Clinical Report

A 48-year-old woman with a severely atrophied maxilla was treated with open sinus augmentation surgery along with Le Fort I osteotomy with a pedicled buccal fat pad graft to position the maxilla in a right occlusal plane with respect to the mandible and to construct adequate bone volume allowing proper implant placement. Six dental implants were inserted in the maxilla, and a fixed metal-resin screw-retained prosthesis was fabricated for the maxilla and mandible.

Oroantral communication closure using a pedicled buccal fat pad graft

PURPOSE: This paper reports the procedure used to close a late oroantral fistula using rotating flaps of the pedicled buccal fat pad. CASE DESCRIPTION: A 66-year-old, male patient with leukoderma, in good general health, was referred for closure of an extensive late oroantral communication. Upon clinical examination, an approximately 10-mm fistula was observed connecting the oral cavity to the maxillary sinus. An outpatient surgical procedure was performed with the use of local anesthetics to close the oroantral fistula with a rotating pedicled buccal fat pad flap. The healing of the wound and closure of the defect could be seen after a 30-day postoperative period, with complete epithelialization. CONCLUSION: Grafting of the pedicled buccal fat pad is thought to be an efficient, safe and easy alternative to a larger oroantral fistula closure. Pedicled buccal fat pad grafting corrected the defect without generating any sequelae and/or great postoperative discomfort to the patient.

Use of buccal fat pad for reconstruction of intraoral defects

The buccal fat pad (BFP) is a mass of specialized fatty tissue located between the buccinator muscle and the mandibular ramus, separating the masticatory muscles from each other, from zygomatic arch and from the ramus of mandible. Owing to the ease of access and rich blood supply, the BFP is used in the repair of minor to moderate surgical defects in the oral cavity. This paper is an endeavour to highlight some cases of intraoral reconstruction of surgical defects with the pedicled BFP graft.

Histologic examination of pedicled buccal fat pad graft in oral submucous fibrosis

Purpose: This report evaluates the wound healing process of buccal fat pad (BFP) grafted on a defect of the buccal mucosa for oral submucous fibrosis (OSF). Patients and Methods: Sixteen patients with limitation of mouth opening under the diagnosis of OSF were surgically treated by cutting the fibrotic bands on the buccal mucosa (10 bilateral and 6 unilateral). The defects created were then covered by a BFP graft. The bulging BFP was trimmed postoperatively on a weekly basis until it was fully epithelialized. The specimens were stained and examined microscopically. Results: Inflammatory cell infiltrate, blood vessel congestion, and fibrinous exudates covering the BFP were obvious by week 2. At week 3, blood vessel congestion and fat cell number decreased markedly. Evidence of stratified squamous epithelium with parakeratosis was seen in the margin of the BFP graft. At week 4, the number of fat cells decreased significantly and the original BFP was almost completely replaced by granulation tissue. The original BFP was fully covered by stratified squamous epithelium by week 5. Conclusions: The BFP graft has been widely used for covering exposed defects created by fibrotic band excision for the improvement of mouth opening limitation. The healing process was documented microscopically by weekly observation. © 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:1131-1134, 2002

The use of a pedicled buccal fat pad graft for bone coverage in primary palatorrhaphy: A case report

Although the buccal fat pad graft (BFPG) has been used as an alternative method for the reconstruction of small- to medium-sized intraoral defects, it has rarely been used in primary cleft palate surgery. It is difficult to completely close the wide cleft palate without complications. Even though the surgeon performs complete closure, secondary oronasal fistulas and severe scar contracture can develop because of the large lateral raw bone surfaces. This report describes a patient in whom these surfaces were covered with bilateral pedicled BFPGs.

口腔癌切除後の欠損に対する頬脂肪体有茎移植術

口腔癌切除後の欠損に対する頬脂肪体有茎移植術

Closure of oroantral communications using a pedicled buccal fat pad graft

Purpose: This report evaluates the use of a pedicled buccal fat pad graft for closure of oroantral fistulae. Materials and Methods: Fourteen patients with oroantral communications, ranging from 8 to 20 mm in diameter, were treated by the use of a pedicled buccal fat pad graft. Results: The procedure was successful in 13 to 14 patients. Postoperatively, the orally exposed fat gradually was transformed into a granulation-like tissue and epithelization developed within 3 weeks. Conclusion: It was concluded that the procedure has wide application and a high degree of success.

Discussion: Closure of oroantral communications using a pedicled buccal fat pad graft

Discussion: Closure of oroantral communications using a pedicled buccal fat pad graft