scholarly journals Application of Buccal Fat Pad as Adjunct Flap for Lateral Defect Closure in Palatoplasty

2021 ◽  
Vol 8 (1) ◽  
pp. 6-9
Author(s):  
Nurwahida Nurwahida ◽  
Connie Christina ◽  
Malvin Jonathan
Keyword(s):  
Cleft Lip ◽  
Reliable Method ◽  
Cleft Lip And Palate ◽  
Graft Loss ◽  
Pedicled Flap ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Case Subject ◽  
Fast Healing ◽  
Lateral Defect

Summary: Cleft lip and palate are the most widely recognized craniofacial congenital malformation. The buccal fat pad (BFP) can be utilized to close lateral fistulas at the time of palatoplasty due to its rich blood supply and simple accessibility. The aim is to report on the use of BFP as a pedicled flap in cleft palate surgery and to discuss promising results for this reconstructive concept. The case subject was a five-year-old male born with cleft lip and palate; the cleft lip was operated on 4 months old. The patient was operated on using Bardach's two flap palatoplasty techniques, and for the closure of the lateral lining defect, the BFP was used as a pedicled flap. After the surgery, no abnormality was found, including infection, graft loss, palatal fistulas, or cheek depression. All wounds were fully epithelialized. In palatoplasty, BFP is a safe and reliable method with a fast healing benefit.

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

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Hyen Woo Lee ◽  
Sung ok Hong ◽  
Heeyeon Bae ◽  
Youngjin Shin ◽  
Yu-jin Jee
Keyword(s):  
Reliable Method ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Case Presentation ◽  
Oroantral Fistula ◽  
Treated Area ◽  
Radiologic Imaging ◽  
Long Time

Abstract Background The 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 presentation This 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. Conclusion In conclusion, the pedicled buccal fat pad graft is a convenient and reliable method for the reconstruction of surgical defects on the posterior mandible.

scholarly journals DOUBLE LAYERED FLAP FOR CLOSURE OF RECURRENT OROANTRALFISTULAUSING BUCCAL FAT PAD AND PALATAL PEDICLED FLAP – A CASE REPORT.

2016 ◽  
Vol 4 (11) ◽  
pp. 244-250
Author(s):  
Dr.D. Yesuratnam ◽  
◽  
Dr.D.Naga Sujata ◽  
Dr.S. Balasubramanyam ◽  
Dr.P. Anitha ◽  
...  
Keyword(s):  
Case Report ◽  
Pedicled Flap ◽  
Fat Pad ◽  
Buccal Fat Pad

A Preliminary Study of Anatomical Changes Following the Use of a Pedicled Buccal Fat Pad Flap During Primary Palatoplasty

2021 ◽  
pp. 105566562110140
Author(s):  
Katelyn J. Kotlarek ◽  
Michael S. Jaskolka ◽  
Xiangming Fang ◽  
Charles Ellis ◽  
Silvia S. Blemker ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Surgical Techniques ◽  
Future Research ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Significant Difference ◽  
Comparison Groups ◽  
Preliminary Study ◽  
Magnetic Resonance Imaging Mri ◽  
Post Hoc

Objective: The purpose of this study was to examine the surgical impact of the pedicled buccal fat pad (BFP) flap on the levator veli palatini (LVP) muscle and surrounding velopharyngeal (VP) anatomy following primary palatoplasty using magnetic resonance imaging (MRI). Design: Observational, prospective. Setting: MRI studies were completed at 3 different facilities. All participants with BFP flap were operated on by the same surgeon. Participants: Five pediatric participants with cleft palate with or without cleft lip (CP±L) who underwent primary palatoplasty with BFP flap placement. Comparison groups consisted of 10 participants: 5 with CP±L who did not receive the BFP flap and 5 healthy controls. Interventions: All participants underwent nonsedated MRI 2 to 5 years postoperatively. Main Outcomes and Measures: Anatomical measures of the velopharynx and LVP among the 3 participant groups. Results: Median values were significantly different among groups for velar length ( P = .042), effective velar length ( P = .048), effective VP ratio ( P = .046), LVP length ( P = .021), extravelar LVP length ( P = .009), and LVP origin–origin distance ( P = .030). Post hoc analysis revealed a statistically significant difference between the BFP and traditional repair groups for effective VP ratio ( P = .040), extravelar LVP length ( P = .033), and LVP length ( P = .022). Conclusions: This study provides preliminary support that the BFP flap creates a longer velum, with increased distance between the posterior hard palate and the LVP, and a larger effective VP ratio compared to traditional surgical techniques. Future research is needed to determine whether this procedure provides a more favorable mechanism for VP closure.

scholarly journals A rare case of bilateral buccal lesions reconstructed with bipaddle submental artery island flap and buccal fat pad flap along with review of literature

2020 ◽  
Vol 7 (1) ◽  
pp. 137
Author(s):  
Viresh Arora ◽  
Bhushan Kathuria ◽  
Madhuri Arora
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Pedicled Flap ◽  
Island Flap ◽  
Uneventful Recovery ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Submental Artery ◽  
Cutaneous Flap ◽  
Facial Wounds

<p class="abstract">Reconstruction of full-thickness buccal defect involving oral commissure which demanding, it requires restoring competency of commissure besides providing lining for two surfaces simultaneously. Such defects prerequisites a pedicled flap each for mucosal and cutaneous surfaces else a free flap with double-paddle skin is needed. We present a case of a 45-year-old gentleman with bilateral buccal mucosa lesions; left side proliferative squamous cell carcinoma (T4N0M0) infiltrating into the cheek and right-sided large verrucous lesion. Reconstruction of verrucous lesion defect was done with buccal fat pad flap following wide local excision, while the SCC lesion resulting defect was reconstructed with de-epithelized bipaddle submental artery island flap (SAIF). Postoperatively patient had an uneventful recovery. The bipaddled SAIF has emerged as innovative modification of the conventional submental flap for reconstruction of composite oro-facial wounds provides lining for both surfaces, requires a shorter operative time than a free flap and avoids donor site deformity associated with double paddled Pectoralis cutaneous flap. The complexity of bilateral buccal defects and utilization of bipaddled design for reconstruction warrants submission of this case with just two cases reported in the literature.  </p>

Treating Velopharyngeal Inadequacy Using Bilateral Buccal Flap Revision Palatoplasty

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
A Priori ◽  
Sufficient Evidence ◽  
Obstructive Sleep ◽  
Before And After ◽  
Buccal Flap

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352

Orthodontic Management Of The Cleft Lip And Palate Patient

1993 ◽  
Vol 20 (4) ◽  
pp. 733-753 ◽  
Author(s):  
Alvaro A. Figueroa ◽  
John W. Polley ◽  
Mimis Cohen
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Palate Patient

Cleft lip and palate care in the UK: the CSAG report

BDJ ◽  
1998 ◽  
Vol 185 (7) ◽  
pp. 320-321 ◽  
Author(s):  
Biase Di ◽  
A Markus
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
The Uk
Sign in / Sign up

Export Citation Format

Share Document