scholarly journals PROSPECTS OF THE USE OF BUCCAL FAT PAD FOR CLOSING DEFECTS OF THE ALVEOLAR PROCESS OF THE JAWS

2018 ◽  
pp. 47-51
Author(s):  
O. V. Ruzhytska

In modern surgical dental practice, doctors often face the necessity to close the soft tissue defects of the oral cavity. In recent years numerous studies are aimed at developing such surgical techniques, which and promote the would provide sanation of the inflammatory focus, support physiological processes on sites of soft tissue defects or promote their recovery and normal functioning. The easy access to buccal fat pad continues to attract interest regarding its application for the closure of defects. The aim of work is to analyze and study the literature data on various techniques of application of buccal fat pad in autotransplantation for closing defects of the maxillofacial area in comparison with the use of other transplants. Results. In recent years, the reconstructive plastic surgery techniques in using autotransplantats have been paid much attention. In the literature there are data on the positive results of surgical closure of tissue defects by autotransplantation of adipose tissue and, in particular, the buccal fat pad. The buccal fat pad has its own connective tissue capsule and well-developed vascular net, provides nutrition to the transplant and rapid healing of the postoperative wound; does not require prior preparation and adaptation to the recipient's bed. It allows to use it in maxillofacial surgery to close the defects of the upper jaw, elimination of oral-antral connection, in the reconstruction of intraoral defects such as oral-antral fistula, with loss of bone mass of the lower jaw in the area of molars and premolars, to eliminate defects in cancer pathology of the face. Conclusions. Advantageous anatomical position, a good blood circulation and lack of innervation of buccal fat pad facilitates the task of surgeon and gives better results of operations. The study has shown the process of wound epithelialization occurs within a week after surgery as well as a stable clinical course without complications in the long-term follow-up that proves the relevance of the use of buccal fat pad in modern maxillofacial surgery in order to improve conventional methods of autotransplantation and to develop new ones.

2019 ◽  
Vol 52 (01) ◽  
pp. 026-036 ◽  
Author(s):  
O-Wern Low ◽  
Sandeep J. Sebastin ◽  
Andre E. J. Cheah

AbstractLower extremity soft tissue defects frequently result from high-energy trauma or oncological resection. The lack of suitable muscle flap options for the distal leg and foot makes defects in these locations especially challenging to reconstruct and free tissue transfer is commonly used. Another option that has become more popular in the past two decades are pedicled perforator flaps. Based on a thorough literature review and the authors’ experience on leg perforator flaps for over a decade, this article presents a historical review, the anatomical basis of common perforator flaps of the leg and foot, patient selection, wound selection, perforator selection, flap design, surgical techniques, refinements, and postoperative care. A review of the clinical outcomes and complications of these flaps was also performed and was noted to be comparable to the outcomes of free tissue transfer with significantly lower total flap failure rate. It is hoped that this review will assist surgeons in the formulation of a comprehensive step-by-step guide in performing pedicled perforator flap reconstruction of the lower extremity.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Yong-Qing Xu ◽  
Yue-Liang Zhu ◽  
Xin-Yv Fan ◽  
Tao Jin ◽  
Yang Li ◽  
...  

The development of a deep wound infection in the presence of internal hardware presents a clinical dilemma. The purpose of the present study was to evaluate the treatment outcomes of vancomycin cement with other advances of surgical techniques for implant-related infection (IRI) in the tibia. This study included 217 consecutive patients who had sustained IRI of the tibia. Of them, 152 patients had soft tissue defects and the internal hardware was exposed. Repeated debridement and negative pressure assisted closure were used. All the infected internal hardware was removed. External fixations and flaps were used. Custom-made vancomycin cement was inserted into the dead space of the wounds and left in site for a month. The follow-up was from 12 months to 108 months, averaging 37.5 months. For all the 217 patients, the general osteomyelitis healing rate and bone union rate were 86.6% and 97.2%, respectively. This study shows high rates of healing of IRI in the tibia if the new advances of surgery could be effectively combined into the treatment strategy with vancomycin cement as an important treatment.


2014 ◽  
Vol 30 (S 01) ◽  
Author(s):  
Matei Ileana ◽  
Alexandru Georgescu ◽  
Radu Lacatus ◽  
Manolis Daskalakis

Hand Clinics ◽  
1997 ◽  
Vol 13 (2) ◽  
pp. 189-205
Author(s):  
Robert J. Goitz ◽  
John G. Westkaemper ◽  
Matthew M. Tomaino ◽  
Dean G. Sotereanos

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