Buccal Fat Pad Graft in Maxillofacial Surgery

Rahpeyma, Amin; Khajehahmadi, Saeedeh

doi:10.1007/s13193-021-01436-z

Cited by 6 publications

(13 citation statements)

References 31 publications

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“…An interesting fact is that this portion of fat in the BFP, despite weight loss and exercise, does not reduce its size, shape, and volume. Because of the following anatomical features, it can also be a source of adipose stem cells [10][11][12][13][14][15]. These two facts, along with the pedicular nature of the BFP, good blood supply, and stable volume, might be related to good surgical results because of its usage in various oral cavity and adjacent areas surgeries [5,7,[10][11][12][15][16][17].…”

Section: Detailed Anatomymentioning

confidence: 99%

“…There are also quite different approaches known, especially those using the BFP as a free, not pedicled, transfer. Resorption of the BFP used as a free graft is limited, as reported by some authors, so over-augmentation is not recommended [12][13][14].…”

Section: Surgical Relevancementioning

confidence: 99%

“…Suturing the first layer with mattress sutures improves its good and stable position. The second layer of sutures is mostly consisted of the interrupted sutures once [10][11][12][13][14][15][16].…”

Section: Surgical Relevancementioning

confidence: 99%

“…It was originally recommended to use it in cases of small-to moderate-size communications up to 4 cm in diameter [3]. The BFP's size should enable good closure of the defect, regardless if it will be used with a skin graft, covered by a second layer of tissues (the mucoperiosteal flap) or left sutured in situ in the defect [6,9,[13][14][15]. It is especially used in fistulas in the vestibular side of the alveolar process rather than on the palatal side due to location issues, the degree of surrounding bone, maxillary tuberosity prominence, surrounding bone volume, or other factors.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

“…The buccal fat pad can be used as a pedicled flap or as a free graft. The great advantage of this flap is the ability to be keratinized in time when used for oral cavity reconstruction [14]. The fat cells act as stem cells, and this flap may change into any kind of tissue given the right circumstances [13][14][15][16][17].…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

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Anatomical and Surgical Implications of the Usage of Bichat Fat Pad in Oroantral Communication, Maxillary, Palatal, and Related Surgeries—Narrative Review

Nelke

Morawska

Błaszczyk

et al. 2023

JCM

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The buccal fat pad, also called the Bichat’s fat pad (BFP), is an encapsulated fat mass located in the cheek. This type of specialized fat mass can be used both as a pedicular or free graft in various surgeries and approaches. Due to its easy access from the oral cavity approach, it is commonly used for oroantral and palatal fistula closure. The knowledge of its anatomy and surrounding tissues plays a role in its mobilization and suturing onto the desired defect in the palatal or maxillary region. The BFP is mostly associated with the primary approach used for a fistula or bone surgery. Alternatively, the procedure can be performed with a single approach incision, which does not compromise the appearance or the function of the operating or adjacent areas. The most important inclusion criteria for BFP usage and surgical limitations are highlighted. The BFP is used for multiple purposes in reconstructive and oncology surgery and also has its use in esthetic and facial contouring procedures. The amount, volume, and shape of the BFP are mostly associated with the scope of their usage. The aim of the following narrative review is to present the surgical and anatomical implications of fat pads in maxillary and palatal surgeries.

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Section: Detailed Anatomymentioning

confidence: 99%

Section: Surgical Relevancementioning

confidence: 99%

Section: Surgical Relevancementioning

confidence: 99%

Section: Indications and Contraindicationsmentioning

confidence: 99%

Section: Indications and Contraindicationsmentioning

confidence: 99%

See 3 more Smart Citations

Anatomical and Surgical Implications of the Usage of Bichat Fat Pad in Oroantral Communication, Maxillary, Palatal, and Related Surgeries—Narrative Review

Nelke

Morawska

Błaszczyk

et al. 2023

JCM

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Efficacy of buccal pad fat as a new approach in the treatment of gingival recession: a systematic review

Abdel-Fatah,

Saleh,

El-Sharkawy

2024

BMC Oral Health

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Objective This systematic review evaluates the efficacy of buccal pad fat (BPF) as an autologous graft in the treatment of gingival recession (GR). Thus, the research question explores if the BPF can serve as a viable alternative to the gold standard connective tissue graft. Materials and methods Only seven studies met the inclusion criteria were critically appraised including the randomized controlled clinical trials, and case series. The inclusion criteria were systemically healthy individuals in the age range (18–65 years old) with Miller’s classification of GR either class I, II, III, or IV while exclusion criteria were patients with poor oral hygiene, pregnant and lactating patients, teeth with caries, any prior surgery in the relevant regions, and use of medications. Results The review included 117 patients with 136 GR defects. The age of participants ranges from 20 to 65 years old with the higher percentage of root coverage (%RC) at 6 months in the pedicled BPF group which was 89.30%while the lowest (%RC) at 6 months in the same group was 46.78%. The BPF group’s width of keratinized gingiva (WKG) values indicate a notable improvement, suggesting a positive impact on WKG compared to the control group. Conclusions BPF can be considered as a promising graft to augment gingival tissues at different sites in the oral cavity with different Miller’s classes of GR providing a new era in GR treatment.

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