Management of Complications Related to Removal of the Buccal Fat Pad

Pimentel, Thaís; Hadad, Henrique; Statkievicz, Cristian; Alcantara-Júnior, Albertino Gomes de; Vieira, Eduardo Hochuli; Souza, Francisley Ávila; Gárcia-Júnior, Idelmo Rangel

doi:10.1097/scs.0000000000006964

Cited by 11 publications

(11 citation statements)

References 22 publications

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“…In the case described here, traumas and aesthetic goals were present as procedure indications [8]. The intraoral approach is safer and could be performed with minimal complications (8.45%-18%) [5]. It is crucial to comprehensively discuss risks and bene ts and to obtain informed consent [3,9].…”

Section: Discussionmentioning

confidence: 99%

Expansive haematoma following buccal fat pad reduction: An unusual case report

Santos,

Júnior,

Muniz

2023

Preprint

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The buccal fat pad, an intricate anatomical structure, can be used to manage minor to moderate oral defects and, by your removal, address parafunctional habits leading to intraoral trauma. It also serves aesthetic purposes through reduction. Buccal fat pad reduction is typically a swift, safe procedure with a low complication rate. This report aims to illuminate an unusual case involving a later expansive hematoma following buccal fat pad reduction surgery. This complication posed a potential airway threat and led to severe trismus. Notably, our team effectively managed these issues using minimally invasive methods such as drainage, compression, and medication. This case serves as a vital reminder that late bleeding and expansive hematoma formation are possible outcomes, even when performed by a skilled surgeon. This case also highlights the feasibility of treating substantial hematomas originating from veins without the need for invasive procedures. This report underscores the importance of vigilance in these cases to ensure patient safety.

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Section: Discussionmentioning

confidence: 99%

Expansive haematoma following buccal fat pad reduction: An unusual case report

Santos,

Júnior,

Muniz

2023

Preprint

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“…Hemorrhage is the most feared complication due to the risk of hemorrhagic shock from lesions to the facial artery or other vessels derived from the external carotid artery [3,7,25,28]. Other complications include infection [20], lesions to the salivary parotid duct or stula [14,28], loss of nerve function [14], and incomplete removal [5].…”

Section: Discussionmentioning

confidence: 99%

“…However, the procedure is not without risk. Complications include damage to the buccal branch of the facial nerve, to the parotid ducts, uncontrolled bleeding, pathological scarring, among others [8,20,23]. In some cases, surgeons may overestimate the amount of buccal fat, due to a lack of parameters and indications for the procedure [10].…”

Section: Introductionmentioning

confidence: 99%

Anatomy of the buccal fat pad for structures at risk during bichatectomy

Moreno-Salinas

Treviño‐González

Casas-Murillo

et al. 2022

Preprint

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Purpose: To determine the volume of the buccal fat pad (BFP), and its relationship with the upper 2nd molar and the facial artery (FA). Methods: A cross-sectional, observational study. Computed tomography was used to obtain 3D images to determine volume, length, and width. Distances from the 2nd molar to each extension, and the nearest distance to the FA. Results: A total of 106 BFP (70 male) were included. The mean age was 51±21. The mean volume, length, and width were 13.8±5.4mL, 72.9±10.7mm, and 21.4±5.6mm, respectively. The BFP extends mainly cephalic and caudally from the second molar, reaching upto 8.5 cm and 32mL. The mean distance between the second molar and FA was 12.9mm, but as close as 3mm. The FA had a mean distance of 2.1mm to the nearest BFP extension, with 42.5% in intimate contact, and another 9.4% crossing the center of the masseter extension. There were no statistically significant differences between sexes. Conclusions: The BFP has a dynamic shape with highly variable size and volume. Although removed for cosmetic procedures or reconstructive purposes, the FA is often at risk of damage during procedures due to its proximity. Procedures must be performed by highly trained medical professionals with anatomical knowledge of its morphometry and variability.

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“…"The anatomical knowledge of this region is essential to avoid iatrogenesis in surgical procedures, which can result in temporary or permanent sequelae" [15]. "Among the complications of greater complexity in buccal fat pad removal there are: trismus, hemorrhages, facial infections, lesion of the duct of the parotid gland and facial paralysis, however common complications that are related to any surgical procedure can occur, such as edema and hematoma, despite being considered a technically simple procedure" [2].…”

Section: Fig 5 Local Edema 4 Days After Removal Of the Buccal Fad Pad...mentioning

confidence: 99%

Buccal Fat Pad Removal for Thinner Cheeks: A Case Report

Roman-Torres

Araújo

Pasquinelli

et al. 2023

JAMMR

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Aims: In recent years there has been an increasing number of procedures for removing the buccal fat pad, also known as cheek reduction or face thinning surgery. Bichat buccal fat can be used as part of the therapeutic procedure in several cases of oroantral communication and in other oral surgery procedures. The objective of this case report was to demonstrate the procedure for removing the buccal fat pad for aesthetic purposes. Study Design: Case report. Place and Duration of Study: Case carried out in 2021 in a private dental office in the city of Santos-SP- Brazil. Presentation of Case: After completing the anamnesis and oral clinical assessment, the patient underwent laboratory tests for preoperative evaluation and magnetic resonance imaging of the malar region. Buccal fat pad removal is a minor procedure, and the surgical technique is considered simple and safe if performed by trained and experienced professionals. The postoperative period requires rest in the first days and limited mouth opening is a common symptom, and the use of analgesics and anti-inflammatories adequately controls any painful symptoms. Results: The procedure can be performed by a dentist if the practitioner has a local anatomical knowledge, follows the indication for each case, and take all pre and postoperative care that is necessary to avoid complications. Conlusions: When we have the correct indication, preoperative exams that indicate that everything is correct in relation to the presence of buccal fat pad and their relationship with adjacent structures and the execution of the technique with postoperative control, there is no way that professionals and patients cannot be happy with the buccal fat pad removal results.

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Management of Complications Related to Removal of the Buccal Fat Pad

Cited by 11 publications

References 22 publications

Expansive haematoma following buccal fat pad reduction: An unusual case report

Expansive haematoma following buccal fat pad reduction: An unusual case report

Anatomy of the buccal fat pad for structures at risk during bichatectomy

Buccal Fat Pad Removal for Thinner Cheeks: A Case Report

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