Stage 3 Medication-Related Osteonecrosis of the Posterior Maxilla: Surgical Treatment Using a Pedicled Buccal Fat Pad Flap: Case Reports

2015 ◽  
Vol 73 (11) ◽  
pp. 2082-2086 ◽  
Author(s):  
Mattia Berrone ◽  
Filippo Umberto Florindi ◽  
Vincenzo Carbone ◽  
Carola Aldiano ◽  
Monica Pentenero
Keyword(s):  
Surgical Treatment ◽  
Case Reports ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Posterior Maxilla

scholarly journals Técnica de uso do corpo adiposo da bochecha para reconstrução orbitária

2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Breno dos Reis Fernandes ◽  
Darah Lígia Marchiori ◽  
Oswaldo Belloti Neto ◽  
Patrese Pereira de Bella ◽  
Gabriel Mulinari dos Santos ◽  
...  
Keyword(s):  
Case Reports ◽  
Modern Medicine ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Computed Tomographic ◽  
Posterior Maxilla ◽  
Zygomatic Implants ◽  
Oral Reconstruction ◽  
Oroantral Communication

O corpo adiposo da bochecha é uma massa tubular de gordura localizado no espaço bucal, entre os músculos masseter e o bucinador, auxiliando nos processos de sucção e mastigação, além de desempenhar uma função protetora de algumas estruturas da face. Devido à sua rica vascularização, tamanho semelhante em todos os indivíduos, fácil acesso e pequena taxa de complicações, é usado para vários fins terapêuticos. Neste artigo é relatado um caso clínico no qual o corpo adiposo de bichat é utilizado em uma reconstrução orbitária para dar volume ao conteúdo orbitário.Descritores: Tecido Adiposo; Corpo Adiposo; Cirurgia Bucal.ReferênciasShoja MM, Tubbs RS, Loukas M, Shokouhi G, Ardalan MR. Marie-François Xavier Bichat (1771-1802) and his contributions to the foundations of pathological anatomy and modern medicine. Ann Anat.2008;190(5):413-20Alonso-González R, Peñarrocha-Diago M, Peñarrocha-Oltra D, Aloy-Prósper A, Camacho-Alonso F, Peñarrocha-Diago M. Closure of oroantral communications with Bichat´s buccal fat pad. Level of patient satisfaction. J Clin Exp Dent. 2015;7(1):e28-33.Peñarrocha-Oltra D, Alonso-González R, Pellicer-Chover H, Aloy-Prósper A, Peñarrocha-Diago M. Closure of oroantral communication with buccal fat pad after removing bilateral failed zygomatic implants: A case report and 6-month follow-up. J Clin Exp Dent. 2015;7(1):e159-62.Baumann A, Ewers R. Application of the buccal fat pad in oral reconstruction. J Oral Maxillofac Surg. 2000;58(4):389-92.Zhang HM, Yan YP, Qi KM, Wang JQ, Liu ZF. Anatomical structure of the buccal fat pad and its clinical adaptations. Plast Reconstr Surg. 2002; 109(7):2519-20.Stuzin JM, Wagstrom L, Kawamoto HK, Baker TJ, Wolfe SA. The anatomy and clinical application of the buccal fat pad. Plast Reconstr Surg. 1990;85(1):29-37.Pessa JE, Rohrich RJ. Discussion: aging changes of the midfacial fat compartments: a computed tomographic study. Plast Reconstr Surg. 2012; 129(1):274-75.Xu J, Yu Y. A modified surgical method of lower-face recontouring. Aesth Plast Surg. 2013; 37(2):216-21.Martin-Granizo R, Naval L, Costas A, Goizueta C, Rodriguez F, Monje F et al. Use of buccal fat pad to repair intraoral defects: review of 30 cases. Br J Oral Maxillofac Surg. 1997;35(2):81-4.Carbonell A, Salavert A, Planas J. Resection of the Buccal Fat Pad in the Treatment of Hypertrophy of the Masseter Muscle. Aesthetic Plast Surg. 1991;15(3):219-22Meyer E, Liebenberg SJ, Fagan JJ. Buccal fat pad-a simple underutilised flap. S Afr J Surg. 2012; 50(2): 47-9.Berrone M, Florindi FU, Carbone V, Aldiano C, Pentenero M. Stage 3 medication-related osteonecrosis of the posterior maxilla: surgical treatment using a pedicled buccal fat pad flap: case reports. J Oral Maxillofac Surg. 2015; 73(11): 2082-86.

scholarly journals Use of buccal fat pad to repair post-extraction peri-implant bone defects in the posterior maxilla. A preliminary prospective study

2015 ◽  
pp. e699-e706 ◽  
Author(s):  
MA. Penarrocha-Diago ◽  
R. Alonso-Gonzalez ◽  
A. Aloy-Prosper ◽  
D. Penarrocha-Oltra ◽  
F. Camacho ◽  
...  
Keyword(s):  
Prospective Study ◽  
Bone Defects ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Posterior Maxilla

scholarly journals Titanium mesh and pedicled buccal fat pad for the reconstruction of maxillary defect: case report

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Joo-Hyung Yoon ◽  
Young-Wook Park ◽  
Seong-Gon Kim
Keyword(s):  
Defect Size ◽  
Titanium Mesh ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Case Presentation ◽  
Maxillary Defect ◽  
Posterior Maxilla ◽  
History Of ◽  
Maxillary Defects

Abstract Background Pedicled buccal fat pad (PBFP) has been used for the reconstruction of small-sized maxillary defects but cannot be used without hard tissue support on the defect larger than 4 cm × 4 cm × 3 cm. Case presentation A 64-year-old man had a history of squamous cell carcinoma of the left maxilla. After removal of the posterior maxilla, a complex bone defect (size, 5 cm × 4 cm × 3 cm) was immediately reconstructed using PBFP combined with a titanium mesh. A pinpoint fistula was found in the left palatal region 1 month after the surgery and was treated with a palatal sliding flap. There were no further complications during the follow-up. Conclusion The present technique demonstrated that PBFP combined with a titanium mesh could be used for the reconstruction of complex maxillary defect (size, 5 cm × 4 cm × 3 cm) without additional bone graft.

scholarly journals Study Of The Efficacy Of Pedicled Buccal Fat Pad Graft Technique In The Management Of Oro-Antral Communications

2020 ◽  
Vol 5 (1) ◽  
pp. 7-13
Author(s):  
Natashekara Mallesh ◽  
◽  
Mysuru Vasudevamurthy Akshatha ◽  
Hussameldien Hussien ◽  
◽  
...  
Keyword(s):  
Clinical Study ◽  
Minimal Risk ◽  
Graft Material ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Posterior Teeth ◽  
Recipient Site ◽  
Reliable Technique ◽  
Skilled Operator ◽  
Posterior Maxilla

Background of the study: Oro-antral communication is a complication associated with extraction of maxillary posterior teeth, surgeries of the maxillary sinus or pathologies associated with the sinus or the posterior maxilla. Such abnormal communications need to be repaired at the earliest, to maintain oral and nasal complex harmony and to prevent undue complications thereafter. These communications can be repaired by various methods, one of those being buccal fat pad pedicled graft technique which will be clinically evaluated and critically discussed in this paper. The pre-operative, immediate and post-operative measures followed, the eligibility criteria chosen and the duration of follow up period will formulate the outline for the study. A careful assessment of the criteria, clinical signs and healing is noted, to establish the outcome of the technique. Aim: The aim of this clinical study is to evaluate the effectiveness of buccal fat pad pedicled graft technique for closure of Oro-antral communications. The purpose of choosing this method is easy availability of the graft near to the recipient site, ease of technique for the surgeon, reliable technique and predictable outcome of the treatment. The effectiveness of the procedure and its predictability, in comparison to other methods is dealt in detail below. Methods: An observational study to evaluate the effectiveness of a surgical technique to repair oro-antral communications wherein the pedicled buccal fat pad is used as a graft material. 20 patients with OAC, who were presented to the department of Oral & Maxillofacial surgery, VS Dental College & Hospital, Bangalore were recruited for the study. The clinical study was conducted in accordance with the protocol and the results were evaluated on the basis of patient’s comfort towards the procedure, ease of the technique, healing time, post-operative complications and recurrence rate of the communication. The details of the technique and a review of the previous studies published were discussed in detail, to form a relevant summary. Results: The technique was found to be more effective and convenient to both the patient and operator, owing to its ease of performing, minimal risk of complications from the grafted site and the harvest site and predictable healing. Conclusions: The technique is easiest among the various methods recommended so far, pertaining to the procedure and predictability. Although, the training and experience of a skilled operator is equally important in achieving the best results.

Maxillary Myxoma: Surgical Treatment and Reconstruction with Buccal Fat Pad Flap: A Case Report

2006 ◽  
Vol 7 (1) ◽  
pp. 107-116 ◽  
Author(s):  
Melahat Öğütcen-Toller ◽  
Ismail Şener ◽  
Vildan Kasap ◽  
Nilüfer Çakir-Özkan
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Fatty Tissue ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
En Bloc ◽  
Immediate Reconstruction ◽  
Maxillary Molar

Abstract Myxoma is a benign tumor that arises from mesenchymal tissue and is found less commonly in the bone than in soft tissue. The majority of bony myxomas occur in the jaws. When compared with other odontogenic tumors, myxoma of the jaws is a rare entity. Numerous types of treatment have been used for these tumors including simple curettage, enucleation, curettage with peripheral ostectomy, and en bloc resection with or without immediate reconstruction. The buccal fat pad (BFP) is a lobulated mass of fatty tissue in the oromaxillofacial region, which has long been a source of grafts in facial augmentation. A case of an odontogenic myxoma in the left maxillary molar area of a 34-year-old female that was treated by curettage and peripheral ostectomy is presented. The surgical defect was successfully repaired with a pedicled BFP flap. Citation Öğütcen-Toller M, Şener I, Kasap V, Çakir-Özkan N. Maxillary Myxoma: Surgical Treatment and Reconstruction with Buccal Fat Pad Flap: A Case Report. J Contemp Dent Pract 2006 February;(7)1:107-116.

scholarly journals Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaws with the Use of Buccal Fat Pad: Case Report

2015 ◽  
Vol 26 (3) ◽  
pp. 317-320 ◽  
Author(s):  
Luiz Fernando Mathias Duarte ◽  
Kleber Alonso ◽  
Elaine Cristina Basso ◽  
Luciano Lauria Dib
Keyword(s):  
Surgical Treatment ◽  
Metastatic Breast ◽  
Bone Area ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Necrotic Bone ◽  
Osteonecrosis Of The Jaws ◽  
Oral Communications ◽  
Oral Deformities ◽  
Bone Exposure

Bisphosphonate-related osteonecrosis of the jaws (BROJ) has been described since 2003 as an adverse effect of bisphosphonate medications. These drugs act on the vasculature and bone remodeling, mainly on osteoclastic activity and can cause areas of necrotic bone exposure. Treatment for the BROJ is not yet defined, but surgical treatment is one of the forms proposed, which may cause oral deformities like sinus communication in some cases. In situations like this the buccal fat pad is an important alternative for coating nasal-oral communications, due its large blood supply, elasticity, absence of restriction by age and safety. This paper presents the case of a 58-year-old woman with BROJ in the left maxilla caused by the use of zoledronic acid for metastatic breast cancer. The extensive necrotic bone area was surgically removed resulting in oral sinus communication. A buccal fat pad was used to cover the defect. More studies should be performed regarding the treatment of BROJ but, if necessary, a buccal fat pad flap could be an alternative to solve nasal-oral communications related to BROJ.

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