Use of buccal fat pad in the surgical treatment of bisphosphonates related osteonecrosis of the jaws: case report

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.

Download Full-text

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

Brazilian Dental Journal ◽

10.1590/0103-6440201301918 ◽

2015 ◽

Vol 26 (3) ◽

pp. 317-320 ◽

Cited By ~ 3

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.

Download Full-text

Case Report: A Giant Lipoma from the Buccal Fat Pad Resembling Two Different Masses

Korean Society for Head and Neck Oncology ◽

10.21593/kjhno/2020.36.2.69 ◽

2020 ◽

Vol 36 (2) ◽

pp. 69-72

Author(s):

Taewoon Kim ◽

Sang Wha Kim

Keyword(s):

Case Report ◽

Fat Pad ◽

Buccal Fat Pad ◽

Giant Lipoma

Download Full-text

Repair of the Perforated Sinus Membrane With Buccal Fat Pad During Sinus Augmentation

Journal of Oral Implantology ◽

10.1563/1548-1336-34.6.330 ◽

2008 ◽

Vol 34 (6) ◽

pp. 330-333 ◽

Cited By ~ 7

Author(s):

Ali Hassani ◽

Arash Khojasteh ◽

Marzieh Alikhasi

Keyword(s):

Case Report ◽

Fat Pad ◽

Buccal Fat Pad ◽

Sinus Augmentation ◽

Oral Reconstruction ◽

Maxillary Defects ◽

Sinus Membrane

Abstract Several reports demonstrate successful use of the buccal fat pad (BFP) as pedicled graft in reconstructing small to medium sized maxillary defects. BFP harvesting has so far been shown to be an easy, well-tolerated, and uncomplicated technique for oral reconstruction. This case report proposes the use of BFP for repairing of the perforated sinus membrane during sinus augmentation.

Download Full-text

Use of Buccal Fat Pad in the Treatment of Peri-Implant Mucosal Defect: A Case Report

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-19-00212 ◽

2020 ◽

Vol 46 (2) ◽

pp. 128-132

Author(s):

Rodrigo Dias Nascimento ◽

Tamires Stella Gonçalves ◽

Paula Elaine Cardoso ◽

Michelle Bianchi de Moraes ◽

Fernando Vagner Raldi

Keyword(s):

Case Report ◽

Fat Pad ◽

Buccal Fat Pad ◽

Mucosal Defect ◽

Fixed Partial Denture ◽

First Case ◽

Immediate Implants ◽

Feasible Alternative ◽

Subepithelial Connective Tissue Graft ◽

Cbct Analysis

The present study describes a clinical case in which the buccal fat pad (BFP) was used to improve the contour of the peri-implant mucosa. To our knowledge, this is the first case report of such an application in the literature. A 58-year-old woman presented with teeth #2 and #3 missing and an indication for extraction of tooth #4. After clinical examination and CBCT analysis, immediate implants were placed in the region of the extracted tooth and that of tooth #2 for prosthetic rehabilitation using a three-unit fixed partial denture. There was an extensive mucosal defect in the region of tooth #3, with vertical and horizontal changes in the contour of the mucosa. As an alternative to the use of a subepithelial connective tissue graft, we opted for displacement of the BFP and its accommodation on the alveolar ridge of tooth #3 to improve the buccal tissue contour. After 5 years of follow-up, satisfactory gain and maintenance of mucosal volume were observed in the treated area, as well as improvement of buccal tissue contour. The use of BFP seems to be a feasible alternative for filling and treating peri-implant mucosal defects.

Download Full-text