Effectiveness of Buccal Fat in Closing Residual Midpalatal and Posterior Palatal Fistulas in Patients Previously Treated for Clefts

Ashtiani, Abbas Kazemi; Bohluli, Behnam; Motamedi, Mohammad Hosein Kalantar; Fatemi, Mohammad Javad; Moharamnejad, Nima

doi:10.1016/j.joms.2011.02.010

Cited by 25 publications

(22 citation statements)

References 20 publications

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“…Since Indonesia - as a developing country - has a considerable amount of low economic population with poor oral hygiene maintenance, this can lead to a serious and possibly fatal complication over the result of conventional palatoplasty procedure such as infection, wound dehiscence, risk of fistula, scarring, hematoma and partial necrosis ( 5 , 9 , 10 ). Due to this fact, one of the main consideration when planning surgical procedures using BFP as pedicled graft in our cases is the excellent healing of BFP with minimal complication.…”

Section: Discussionmentioning

confidence: 99%

Utilization of pedicled buccal fat pads for coverage of the lateral relaxing wound: A review of literature and a case series of 15 patients

et al. 2018

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BackgroundThe buccal fat pad (BFP) is an encapsulated mass originated from a specific fat tissue in various volume throughout the life of each person and BFP has been used in various surgeries as a source of useful graft material due to its easy accessibility and rich vascularization.Case ReportThis report describes fifteen patients who were treated with buccal fat pads (BFP) as a pedicled graft for lateral relaxing wound closure in primary cleft palate surgery. A review of relevant literature is also presented.ResultsAll patients had a mean follow-up of 3.7 weeks with a minimum follow-up time of three weeks and a maximum follow-up of four weeks. All patients who had an uneventful immediate postoperative period showed signs of BFP epithelialization characterized by a yellowish tissue beginning in the first week and ending within 3–4 weeks after surgery.ConclusionsThe use of BFP for the small to medium-sized defects reconstruction in palatoplasty is a safe and reliable method with fast healing. Even older patients who would not be able to tolerate time-consuming flap reconstruction procedures had good results. Key words:Cleft palate, buccal fat pads, lateral relaxing wound.

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Section: Discussionmentioning

confidence: 99%

Utilization of pedicled buccal fat pads for coverage of the lateral relaxing wound: A review of literature and a case series of 15 patients

et al. 2018

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“…Despite the absence of comparative studies, a global case series involving 223 patients showed the capacity of the BFP technique to prevent palatal fistula and cover the raw bone surface after sealing the palatal flap. It showed good results also as salvage option for secondary palatal defects with a comprehensive failure rate of 0.9% with no velopharyngeal insufficiency claims, no impairment in the function and growth of the palate observed, and no aesthetic deformity reported [35, 38-50]. A contraindication to BFP use exists in cases of anterior palatal defects, although Pinto and Debnath [51] have described a surgical technique using BFP for lining a nasal defect during a releasing pushback palatoplasty.…”

Section: Discussionmentioning

confidence: 99%

Buccal Fat Pad: Report of 24 Cases and Literature Review of 1,635 Cases of Oral Defect Reconstruction

Mannelli

Arcuri

Comini

et al. 2018

ORL

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Objective: The buccal fat pad (BFP) has been progressively introduced into clinical practice for oral defect reconstruction. This study describes our experience with this technique and compares indications in the literature and outcomes. Methods: We prospectively enrolled 24 patients presenting oral surgical defects and treated between January 2012 and January 2015 at our institution. They all were eligible for BFP defect reconstruction. A comprehensive literature review was performed from 1977 onwards and surgical indications and results were compared. Results: All 24 BFP procedures showed excellent recovery and uneventful follow-up. Literature review confirmed a global success rate of 96.2% for a reported number of 1,635 patients with multiple surgical indications. BFP showed very low morbidity and failure rates in accordance with the outcomes reported in the literature, and the high patient compliance together with the easy harvesting of this surgical technique make it a good reconstructive option in cases of small-to-medium size oral defects in patients with a high rate of comorbidities or as salvage/second option. Conclusion: The BFP is worthy of consideration for the reconstruction of selected mouth defects, due to its easy mobilization, excellent blood supply, and minimal donor-site morbidity, where shape and size represent its main limitations, and a defect’s location influences its pliability.

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“…Buccal fat may also be used . These flaps certainly avoid free‐flap procedures and provide medium amount of tissues.…”

Section: Discussionmentioning

confidence: 99%

“…Buccal fat may also be used. 16 These flaps certainly avoid free-flap procedures and provide medium amount of tissues. In case of larger defects, bilateral flaps from both the cheeks can be harvested and some authors state, donor site morbidity was virtually absent, when buccal fat pad is used for donor site closure, which is not our experience.…”

Section: Discussionmentioning

confidence: 99%

Intraoral anastomosis of a prelaminated radial forearm flap in reconstruction of a large persistent cleft palate

et al. 2013

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In this report, we present a case of a prelaminated radial forearm flap in reconstruction of a large persistent cleft palate with transoral single arterial and three venous anastomoses. A 17-years-old female patient presented a large cleft palate defect and complete dentition, dysmelia of both arms and bilateral thumb aplasia. A radial flap was prelaminated using oral mucosa 5 days prior to transplantation. Five days after flap prelamination, the facial artery and vein, submandibular vein, and a venous branch to the masseter muscle behind the buccinator muscle fibers were exposed through an intraoral incision lateral to the inferior right mucogingival junction. The radial artery, its bilateral accompanying veins, and the cephalic vein of transplanted flap were anastomosed transorally to the facial vessels, submandibular vein, and masseter branch. The vessel pedicle ran through the palatoglossal arch dorsal to the second upper molar. Good flow and flap perfusion were evinced, and further-on successful healing was achieved. The case encourages similar treatment in comparable situations avoiding facial nerve hazard and extraoral scars.

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Effectiveness of Buccal Fat in Closing Residual Midpalatal and Posterior Palatal Fistulas in Patients Previously Treated for Clefts

Cited by 25 publications

References 20 publications

Utilization of pedicled buccal fat pads for coverage of the lateral relaxing wound: A review of literature and a case series of 15 patients

Utilization of pedicled buccal fat pads for coverage of the lateral relaxing wound: A review of literature and a case series of 15 patients

Buccal Fat Pad: Report of 24 Cases and Literature Review of 1,635 Cases of Oral Defect Reconstruction

Intraoral anastomosis of a prelaminated radial forearm flap in reconstruction of a large persistent cleft palate

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