Bichectomia ou remoção do tecido adiposo bucal – revisão de literatura

2021 ◽  
Vol 2 (7) ◽  
pp. 68-72
Author(s):  
Yuri Marcel Estevam Menezes ◽  
Allyssia Vitória Souza da Silva ◽  
Vivian Eduarda de Lemos Cordeiro ◽  
Ana Karina Fonseca de Carvalho Calderan Correa
Keyword(s):  
Surgical Removal ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
The Face ◽  
Face Contour ◽  
Masticatory Stress

The surgical removal of the buccal fat pad or Bichectomy is an aesthetic-functional procedure with aesthetic attributions associated with the face contour, smoothness and symmetry of facial lines, in addition to its therapeutic performance linked to the reduction of intraoral lesions caused by repetitive masticatory stress, as well as aid in the closure of spaces created by tumors, oral-sinus communication and others; this tissue also offers the possibility of being used as a graft for the treatment of intraoral pathologies and covering bone exposures in defective implants. The performance of this procedure is by intraoral access and its final result can be observed after approximately three months.

Buccal Fat Pad Sculpting for Lower Facial Contouring With 3-Dimensional Volume Assessment

2020 ◽  
pp. 074880682098086
Author(s):  
Robert T. Cristel ◽  
Benjamin P. Caughlin
Keyword(s):  
Soft Tissue ◽  
Volume Change ◽  
3D Imaging ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Volume Changes ◽  
Tissue Volume ◽  
Soft Tissue Volume ◽  
The Face ◽  
The Mean

Buccal fat pad sculpting and removal (BFPS) can create narrowing of the lower 1/3rd of the face by selective removal and reduction of soft tissue volume. Three-dimensional (3D) imaging allows for quantitative and objective assessment of volume changes over traditional 2-dimensional photographs that has not been previously studied in BFPS. A prospective study was designed in consecutive subjects undergoing BFPS from April 2018 through March 2020. Only those patients that underwent solely BFPS were included. VectraXT 3D imaging and software was used to compare preoperative and postoperative volume changes. Fifteen patients were enrolled in the study with 2 males and 13 females. The mean length of follow up was 7.7 months (range: 1-21 months). All patients were found to have volume reduction in the area evaluated. The mean volume reduction of the selected mid-lower face in the frontal view was 7.2 mL on the left side and 7.5 mL on the right side. There was no statistical difference between the volume change when the 2 sides were compared (P= 0.82). This study demonstrate the use of 3D photography to objectively and quantitatively assess volume change following BFPS and that the volume removed is significant enough to demonstrate favorable results using 3D imaging. Buccal fat pad sculpting is a safe and reliable option for creating a narrowed lower one-third of the face. This is accomplished by selective fat removal and cautery induced reduction of the lower one-third of the face soft tissue volume. VectraXT 3D imaging and analysis is a powerful tool to objectively and quantitatively assess volume changes in BFPS.

scholarly journals Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Carmen Lucia Mueller Storrer ◽  
Leonardo Luiz Muller ◽  
Janes Francio Pissaia ◽  
Carla Frehner Andrade ◽  
Claudia Roberta Tenório Trevisani ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Mucosa ◽  
Gingival Recession ◽  
Class I ◽  
Surgical Removal ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Recipient Site ◽  
Oral Health Problem ◽  
To Receive

Gingival recession is an oral health problem that affects a large part of the population. Several treatments are suggested in the current literature; among them is the use of buccal fat pad grafting. The objective of this case report is to describe the treatment of a Miller Class I gingival recession using a nonpedicled buccal fat pad graft immediately after performing the surgery for buccal fat pad removal (bichectomy technique). First, bilateral surgical removal of the buccal fat pad was performed with the main objective of eliminating oral mucosa biting. The recipient site was prepared to receive a portion of the fat pad that was cut and macerated in a size that was sufficient to cover the recession. The patient was followed up at 15, 30, 60, and 365 days postsurgery, and the results showed an elimination of the oral mucosa biting and complete coverage of the gingival recession. It was concluded that the nonpedicled buccal fat pad graft is another option for the treatment of Miller Class I recessions.

scholarly journals Surgical Removal of Traumatic Herniation of Buccal Fat Pad in Young Children

2015 ◽  
Vol 11 (3) ◽  
pp. 247-249 ◽  
Author(s):  
NK Agrawal ◽  
S Dahal ◽  
R Khadka
Keyword(s):  
Young Children ◽  
Oral Cavity ◽  
Buccal Mucosa ◽  
Soft Tissues ◽  
Surgical Removal ◽  
Minor Trauma ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Traumatic Lesion ◽  
Buccinator Muscle

Intraoral herniation of the buccal fat pad is traumatic lesion of oral cavity occurring in young children. It frequently presents as an expanding pedunculated mass of soft tissue emanating from the buccal mucosa following a minor trauma to the buccal soft tissues. This article aims to report an interesting and rare lesion, wherein a tiny traumatic perforation of the buccal mucosa and buccinator muscle forced a large portion of the buccal fat pad to extrude into the oral cavity in a young boy. Such a situation can alarm any clinician and reinforces the importance of careful history taking and thorough examination, before treating patients. DOI: http://dx.doi.org/10.3126/kumj.v11i3.12514 Kathmandu Univ Med J 2013; 43(3):247-249

scholarly journals Complications associated with the bichectomy surgery

2018 ◽  
Vol 66 (3) ◽  
pp. 278-284
Author(s):  
Leandro KLÜPPEL ◽  
Rafael Baltazar MARCOS ◽  
Isabela Almeida SHIMIZU ◽  
Marcos André Duarte da SILVA ◽  
Ricarda Duarte da SILVA
Keyword(s):  
Drug Therapy ◽  
Facial Nerve ◽  
Research Study ◽  
Clinical Applications ◽  
Surgical Removal ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Anatomical Structures ◽  
Gland Duct ◽  
Muscular Tissues

ABSTRACT This research study aimed at reviewing, in the literature, the aspects related to the buccal fat pad structure, named the Bichat Ball, evaluating the anatomy of the area, the buccal fat pad clinical applications and the possible complications of its surgical removal, as well as reporting a series of cases that presented such complications. The most important anatomical structures surrounding the buccal fat pad and that are frequently involved in surgical complications are the parotid gland duct, the facial nerve branches, the blood vessels and the muscular tissues. In Dentistry, the buccal fat pad clinical application has an aesthetic purpose and it can be removed or repositioned. The removal occurs to avoid intra-oral trauma, "nibbling", and the pedicle repositioning occurs for protection or to be used as a graft. The complications of the surgical removal of the buccal fat pad are not frequent, however, hematoma, infection, facial nerve and facial vessel injuries may occur. Therapies involved in it include drug therapy, drainage, laser therapy and compresses.

scholarly journals Post-Operative Evaluation of the Intra-Oral Buccal Fat Pad Removal Technique: A Prospective Study

2020 ◽  
Vol 14 (1) ◽  
pp. 324-328
Author(s):  
Caio Roman-Torres ◽  
Nilton R.A.P. Domingues ◽  
Angelica C. Pimentel ◽  
Heloisa F. Marão ◽  
Wilson R. Sendyk
Keyword(s):  
Operative Procedure ◽  
Mouth Opening ◽  
Visual Assessment ◽  
Pain Scale ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Operative Care ◽  
Informed Consent Form ◽  
The Face ◽  
A Prospective Study

Background: In recent years, the number of procedures for buccal fat pad removal has increased. In cases of thinning of the face, bite injuries or bruxism, partial removal of the corpuscle is performed, always taking into account facial harmonization. Objective: The aim of the present study was to demonstrate the post-operative procedure of the removal of the BFP by pain parameters, mouth opening and presence of edema. This longitudinal cohort study was registered in clinical trials and all participants had access to the informed consent form. Methods: Forty BFP removal surgeries were performed with the technique of intraoral access. After the bichectomy procedure, the individuals were followed for 4, 7, 10, 15, 30, and 90 days. Visual pain scale, mouth opening measurements and clinical visual assessment were performed at all times. Results: We observed that the presence of edema and limited mouth opening for about 15 days were the changes most commonly found in surgeries performed. The results showed a significant decrease in painful symptoms after 15 days, regarding mouth opening, the results showed a return to normal levels after 30 days (p <0.05), the presence of edema ceased after 15 days. Conclusion: We conclude that the BFP removal, when performed following a precise indication, properly and with the recommendations of post-operative care, followed correctly, promotes limitation in mouth opening and painful symptoms by 15 days. The procedure is becoming a new area for the dental surgeon, who can perform the procedure safely, reliably and with aesthetic and therapeutic results.

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

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

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

2019 ◽  
Vol 41 (1) ◽  
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.

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

Life Sciences ◽  
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

Aging Process of Lateral Facial Fat Compartments: A Retrospective Study

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 &lt; 0.05). On the sagittal view, the superficial temporal fat elongated from 38.89 mm to 43.74 mm (P &lt; 0.05). The buccal fat compartment also lengthened from 68.73 mm to 74.39 mm (P &lt; 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.

Sign in / Sign up

Export Citation Format

Share Document