How does pedicled buccal fat pad flap (PBFPF) compare with buccal flap (BF) for treating patients with oro-antral communication and fistulae due to dental procedures?

2021 ◽  
Author(s):  
Karen Pettersen ◽  
Christopher Bunt
2009 ◽  
Vol 42 (01) ◽  
pp. 104-105
Author(s):  
Puneet Tuli ◽  
Atul Parashar ◽  
Vipul Nanda ◽  
Ramesh K. Sharma

ABSTRACTBuccal musculomucosal flap is commonly used in cleft palate surgery for providing additional lining when nasal mucosa is inadequate. We report an unusual complication of progressively increasing fat herniation from the sutured donor site which started appearing on the third postoperative day. This necessitated excision of the protruding fat pad on the seventh postoperative day. The possible mechanism and precautions for prevention of this complication are discussed.


2012 ◽  
Vol 6 (1) ◽  
pp. 94-98 ◽  
Author(s):  
Andrea Enrico Borgonovo ◽  
Frederick Valerio Berardinelli ◽  
Marco Favale ◽  
Carlo Maiorana

Oral fistula (OAF) is a pathological communication between the oral cavity and maxillary sinus which has its origin either from iatrogenic complications or from dental infections, osteomyelitis, radiation therapy or trauma. OAF closures can be achieved using different flaps which show both advantages and limitations. Therefore they all need careful consideration in order to select the best approach depending on the situation. The most widely employed flaps are of three types: vestibular flap, palatal flap and buccal fat pad Flap(BFP). The authors present three cases of OAF with the different techniques. It is suggested that the buccal flap is best applied in the case of large fistulas located in the anterior region, the palatal flap is suitable to correct premolar defects and the BFP flap for wide posterior OAFs.


2019 ◽  
Vol 8 (8) ◽  
Author(s):  
Júlio Leite de Araújo Júnior ◽  
Alexandre Machado de Araújo ◽  
Rebeca Buarque Olegário ◽  
Maria do Carmo Franco Magalhães ◽  
Marco Antonio Farias de Paiva ◽  
...  

Introdução: A comunicação bucoantral tem como principais causas etiológicas os processos patológicos, traumatismos e cirurgias. Sendo comum sua ocorrência durante exodontias de elementos dentários superiores posteriores devido ao íntimo contato dos ápices radiculares com o assoalho do seio maxilar. Objetivo: Realizar um relato de caso de um paciente com comunicação bucoantral tratado com o uso da técnica da bola adiposa de Bichat. Caso Clínico: Paciente do sexo feminino, com 51 anos de idade, apresentando comunicação bucoantral há 6 anos após exodontia do elemento dental 16. Realizado fechamento da comunicação bucoantral sob anestesia local com tracionamento e sutura da bola de Bichat sobre a falha óssea. Após 01 ano de proservação, observamos a ausência de comunicação bucoantral, bem como da sintomatologia, resultando no sucesso do tratamento. Conclusão: Conclui-se que a utilização do retalho pediculado do corpo adiposo bucal é uma alternativa útil para o fechamento e tratamento de comunicações buco sinusais, sendo que o deslizamento da bola de Bichat é um método seguro para fechamento de tais comunicações e que esta é uma técnica de simples execução, com poucas complicações e limitações.Descritores: Seio Maxilar; Sinusite Maxilar; Fistula Bucoantral.ReferênciasZartida AIG, Lugo RR. Reconstruction of anterior palatal fistula with anterior-based lingual flap: case report. Rev Odontol Mex. 2016;20(1):550-62.Mohan S, Kankariya H, Harjani B. The use of the buccal fat pad for reconstruction of oral defects, review of  the literature and report of cases. J Maxillofac Oral Surg. 2012;11(2):128-31.Yang S, Jee YJ, Ryu DM. Reconstruction of large oroantral defects using a pedicled buccal fat pad.  Maxillofac Plast Reconstr Surg. 2018;40(1):7.Sahoo NK, Desai AP, Roi ID, Kulkarni V. Oro-Nasal Communication. J Craniofac Surg. 2016;27(6);1.Manuel S, Surej K, Nair PR. The versatility in the use of buccal fat pad in the closure of  oro-antral fistulas. J Maxillofac Oral Surg. 2015;14(2);374-77.Kim MK, Han W, Kim SG. The use of the buiccal fat pad flap for oral reconstruction. Maxillaofac plast reconstr Surg. 2017;39(1):5.Daif ET. Long-term effectiveness of the pedicled buccal fat pad in the closure of a large oroantral fistula. J Oral Maxillofac Surg. 2016;74(9):1718-22.Melville JC, Tursun R, Shum JW, Young S, Hanna IA, Marx RE. A technique for the treatment of oral-antral fistulas resulting from medication-related osteonecrosis of the maxilla. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;122(3):287-91.Nezafati S, Vafail A, Ghojazadeh M. Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication. Int J Oral Maxillofac Surg. 2012;41;624-28.Grobe A, Eichhorn W, Hanken H, Precht C, Schmelzle R, Heiland M et al. The use of buccal fat pad (BFP) as a pedicled graft in cleft palate surgery. Int J Oral Maxillofac Surg. 2011;40(7):685-89.


2009 ◽  
Vol 42 (1) ◽  
pp. 104
Author(s):  
Atul Parashar ◽  
Vipul Nanda ◽  
RameshK Sharma ◽  
Puneet Tuli

2019 ◽  
Author(s):  
Somasundaram Subramaniam ◽  
Ricardo Carrau
Keyword(s):  
Fat Pad ◽  

Author(s):  
Jinyoung Park ◽  
Byung-do Chun ◽  
Uk-Kyu Kim ◽  
Na-Rae Choi ◽  
Hong-Seok Choi ◽  
...  

Abstract Purpose Maxillary bone grafts and implantations have increased over recent years despite a lack of maxillary bone quality and quantity. The number of patients referred for oroantral fistula (OAF) due to implant or bone graft failure has increased, and in patients with an oroantral fistula, the pedicled buccal fat pad is viewed as a robust, reliable option. This study was conducted to document the usefulness of buccal fat pad grafts for oroantral fistula closure. Materials and methods We retrospectively studied 25 patients with OAF treated with a buccal fat pad graft from 2015 to 2018. Sex, age, OAF location, cause, duration, presence of systemic disease, smoking, previous dental surgery, and side effects were investigated. Results A total of 25 patients were studied. Mean patient age was 54.8 years, and the male to female ratio was 19:6. Causes of oroantral fistula were cyst enucleation, tumor resection, implant removal, bone graft failure, and extraction. Excellent results were obtained in 23 (92%) of the 25 patients. In the other two patients that both smoked, a small fistula was observed during follow-up. No recurrence of oroantral fistula was observed after 2 months to 1 year of follow-up. Conclusions The incidence of oroantral fistula is increasing due to implant and bone graft failures. Oroantral fistula closure using a pedicled buccal fat pad was found to have a high success rate.


Life Sciences ◽  
2021 ◽  
pp. 119728
Author(s):  
Fatemeh Dehghani Nazhvani ◽  
Leila Mohammadi Amirabad ◽  
Arezo Azari ◽  
Hamid Namazi ◽  
Simzar Hosseinzadeh ◽  
...  

Author(s):  
Ching-Sheng Yang ◽  
Yau-Li Huang ◽  
Chun-Bing Chen ◽  
Chih-Ying Deng ◽  
Yu-Ting Liu ◽  
...  

Abstract Background Since 2007, when the anatomy of facial fat compartment was described, an increasing number of studies on the aging process of the compartment of cadavers has emerged. Objectives The authors evaluated the aging changes of lateral facial fat compartments on the same person. Methods Sixty-three patients were included in this retrospective study. All patients had magnetic resonance imaging scans with at least 4 years apart. The authors targeted the fat compartments of the superficial temporal, subcutaneous temporal, and buccal fat pad, comparing the data on different time points. Results The thickness of the subcutaneous temporal fat did not change significantly. The 3 diameters of the superficial temporal fat compartment all became thinner on the axial view (P < 0.05). On the sagittal view, the superficial temporal fat elongated from 38.89 mm to 43.74 mm (P < 0.05). The buccal fat compartment also lengthened from 68.73 mm to 74.39 mm (P < 0.05) and had a positive correlation with follow-up duration only. Conclusions The study revealed the fat compartment change on the same person with time. The temporal hollow mainly originates from the thinner part of the superficial temporal fat. The descending of the buccal fat pad aggravates the labiomandibular fold. By understanding the aging process more fully, we can rejuvenate our patients more naturally.


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