Root coverage with buccal fat pad placed on restored cervical abrasion: Case report with three-year follow-up

ABSTRACTAim of study: The aim of this study was to Compare the effectiveness of Non-pedicled buccal fat pad versus Platelet rich fibrin in treatment of Miller class II gingival recession using vistubular Incision Subperiosteal Tunnel Access TechniquePatients and methods:This study was conducted on 40 patients with class II gingival recession in anterior or premolar segment. The entire patients were selected from the out patient clinic of the Oral Medicine, Oral Diagnosis, and Periodontology Department. Faculty of Dentistry, Minya University.Forty patients with gingival recession class II were divided randomly into two groups:Group I: (20 defect) using VISTA technique with Non- pedicled buccal fat pad (NPBFP), Group II: (20 defect) using VISTA technique with platelet rich fibrin (PRF).Results: In both groups all clinical parameters were statistically significant from pre-operative period till 6 months follow up period. In the comparison between the two groups after 6 months follow up period, there were no statistically significant difference between two groups regarding all clinical parameters except percentage of root coverage; there was significant increase in percentage of root coverage after 3 and 6 months follow up period in group II with p value was less than 0.05.Conclusion: Both PRF membrane and NPBFP are effective in the management of Class II gingival recession defects using VISTA technique. PRF group has better results regarding percentage of root coverage than NPBPF group after 3 and 6 months follow up.

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Closure of Oronasal Fistula by Palatal Rotational Flap: Case Report with Two Years follow-up

Balkan Journal of Dental Medicine ◽

10.2478/bjdm-2019-0018 ◽

2019 ◽

Vol 23 (2) ◽

pp. 98-101

Author(s):

Orçun Toptaş ◽

Sinan Bulut ◽

Murat Canbolat

Keyword(s):

Case Report ◽

Surgical Repair ◽

Surgical Operation ◽

Fat Pad ◽

Buccal Fat Pad ◽

Oronasal Fistula ◽

Surgical Methods ◽

Donor Area ◽

Rotational Flap

Summary Background/Aim: Hard palate fistulas are due to pathologies such as noma, syphilitic gom, leprosy, leishmaniasis, radiotherapy, removal of cysts or tumors of the sinus or palate, trauma or tooth attraction. Symptoms of palatal fistulas include hypernasality in the phonation due to nasal air escape during a speech, nasal cavity fluid flow, and infection due to food accumulation. Surgical repair of palatal perforations is technically difficult and complicated. Different surgical methods can be used depending on the size and location of the defect. Among these techniques, the locoregional flap types used are palatal flap, nasolabial flap, a buccal fat pad and tongue flap. Case Report: In this case report, we presented a patient with oronasal fistula due to a previous surgical operation, which was surgically closed by a palatal rotational flap. Conclusions: As a result, the oronasal communucation was relieved by successful closure of the defect and the donor area healed uneventfully.

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Closure of oroantral communication with buccal fat pad after removing bilateral failed zygomatic implants: A case report and 6-month follow-up

Journal of Clinical and Experimental Dentistry ◽

10.4317/jced.51741 ◽

2015 ◽

pp. e159-e162 ◽

Cited By ~ 2

Author(s):

D. Penarrocha-Oltra ◽

R. Alonso-Gonzalez ◽

H. Pellicer-Chover ◽

A. Aloy-Prosper ◽

MA. Penarrocha-Diago

Keyword(s):

Case Report ◽

Fat Pad ◽

Buccal Fat Pad ◽

Zygomatic Implants ◽

Oroantral Communication

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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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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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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

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Combined local flap and antrostomy in recurrent oroantral fistula and chronic maxillary atelectasis: a case report

Journal of Oral Medicine and Oral Surgery ◽

10.1051/mbcb/2021020 ◽

2021 ◽

Vol 27 (3) ◽

pp. 42

Author(s):

Franklin Bouthenet ◽

Samy Amroun ◽

Narcisse Zwetyenga

Keyword(s):

Endoscopic Surgery ◽

Stage Ii ◽

Local Flap ◽

Stage Iii ◽

Fat Pad ◽

Buccal Fat Pad ◽

Medical Practitioners ◽

Oroantral Fistula ◽

Silent Sinus Syndrome

Introduction: Chronic maxillary atelectasis refers to a persistent volume decrease of the maxillary sinus by inward bowing of its walls. When associated with hypoglobus or enophthalmos, some authors use the term “silent sinus syndrome”. We aimed to report a case of accidental diagnosis of chronic maxillary atelectasis while investigating and treating a recurrent oroantral fistula. Observation: CT imaging showed a large bone defect and stage II chronic maxillary atelectasis. Closure of the oroantral fistula was performed with a combined surgical approach: functional endoscopic surgery and buccal fat pad flap. The follow up at 2 months showed no signs of recurrent oroantral fistula. Commentaries: Chronic maxillary atelectasis is separated into three stages, membranous deformity (stage I), bony deformity (stage II), and clinical deformity (stage III). The term silent sinus syndrome should be abandoned for stage III chronic maxillary atelectasis to allow for better collaboration between medical practitioners. Recurrent oroantral fistulas should be treated with a combined approach including endoscopic antrostomy and local flap. Conclusion: The association of functional endoscopic surgery and buccal fat pad flap were the key to success in this case allowing for oroantral fistula closure and treatment of chronic maxillary atelectasis.

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Use of a buccinator myomucosal flap and bilateral pedicled buccal fat pad transfer in wide palatal fistula repair: a case report

Archives of Craniofacial Surgery ◽

10.7181/acfs.2021.00269 ◽

2021 ◽

Vol 22 (4) ◽

pp. 209-213

Author(s):

Jin Mi Choi ◽

Hojin Park ◽

Tae Suk Oh

Keyword(s):

Young Patients ◽

Velopharyngeal Insufficiency ◽

Fat Pad ◽

Buccal Fat Pad ◽

Palatal Fistula ◽

Sphincter Pharyngoplasty ◽

Free Closure ◽

Buccinator Myomucosal Flap ◽

Myomucosal Flap

Primary palatoplasty for cleft palate places patients at high risk for scarring, altered vascularity, and persistent tension. Palatal fistulas are a challenging complication of primary palatoplasty that typically form around the hard palate–soft palate junction. Repairing palatal fistulas, particularly wide fistulas, is extremely difficult because there are not many choices for closure. However, a few techniques are commonly used to close the remaining fistula after primary palatoplasty. Herein, we report the revision of a palatal fistula using a pedicled buccal fat pad and palatal lengthening with a buccinator myomucosal flap and sphincter pharyngoplasty to treat a patient with a wide palatal fistula. Tension-free closure of the palatal fistula was achieved, as well as velopharyngeal insufficiency (VPI) correction. This surgical method enhanced healing, minimized palatal contracture and shortening, and reduced the risk of infection. The palate healed with mucosalization at 2 weeks, and no complications were noted after 4 years of follow-up. Therefore, these flaps should be considered as an option for closure of large oronasal fistulas and VPI correction in young patients with wide palatal defects and VPI.

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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.

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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.

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