Synergic effect of buccal fat pad pedicled flap and dermal acellular matrix for large cheek 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.

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

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20205634 ◽

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>

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Endoscopically Harvested Buccal Fat Pad Flap: A Review of Seven Cases

10.1055/s-0039-1679676 ◽

2019 ◽

Author(s):

Somasundaram Subramaniam ◽

Ricardo Carrau

Keyword(s):

Fat Pad ◽

Buccal Fat Pad

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Treatment of recurrent oro antral fistula in left maxillary posterior region: a secondary repair procedure with buccal fat pad advancement technique

Asian Pacific Journal of Health Sciences ◽

10.21276/apjhs.2014.1.1s.10 ◽

2014 ◽

pp. 47-49

Author(s):

Siddharth Phull ◽

◽

Geetanjali Phull ◽

Divia Chugh ◽

Pardeep Sheokand

Keyword(s):

Posterior Region ◽

Fat Pad ◽

Buccal Fat Pad ◽

Repair Procedure

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Versatility of the pedicled buccal fat pad flap for the management of oroantral fistula: a retrospective study of 25 cases

Maxillofacial Plastic and Reconstructive Surgery ◽

10.1186/s40902-019-0229-x ◽

2019 ◽

Vol 41 (1) ◽

Cited By ~ 3

Author(s):

Jinyoung Park ◽

Byung-do Chun ◽

Uk-Kyu Kim ◽

Na-Rae Choi ◽

Hong-Seok Choi ◽

...

Keyword(s):

Bone Graft ◽

Graft Failure ◽

Fistula Closure ◽

Fat Pad ◽

Buccal Fat Pad ◽

Dental Surgery ◽

Female Ratio ◽

Maxillary Bone ◽

Oroantral Fistula

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.

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Effects of in vitro low oxygen tension preconditioning of buccal fat pad stem cells on in Vivo articular cartilage tissue repair

Life Sciences ◽

10.1016/j.lfs.2021.119728 ◽

2021 ◽

pp. 119728

Author(s):

Fatemeh Dehghani Nazhvani ◽

Leila Mohammadi Amirabad ◽

Arezo Azari ◽

Hamid Namazi ◽

Simzar Hosseinzadeh ◽

...

Keyword(s):

Stem Cells ◽

Articular Cartilage ◽

Tissue Repair ◽

Cartilage Tissue ◽

Low Oxygen ◽

Fat Pad ◽

Buccal Fat Pad ◽

Low Oxygen Tension

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Aging Process of Lateral Facial Fat Compartments: A Retrospective Study

Aesthetic Surgery Journal ◽

10.1093/asj/sjaa340 ◽

2021 ◽

Author(s):

Ching-Sheng Yang ◽

Yau-Li Huang ◽

Chun-Bing Chen ◽

Chih-Ying Deng ◽

Yu-Ting Liu ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Retrospective Study ◽

Aging Process ◽

Resonance Imaging ◽

Fat Pad ◽

Buccal Fat Pad ◽

Time Points ◽

Axial View ◽

Labiomandibular Fold

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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