Pedicled Buccal Fat Pad Flap for Upper Lip Augmentation in Orthognathic Surgery Patients

Rubio-Bueno, Pilar; Ardanza, Bruno; Piñas, Laura; Murillo, Noemí

doi:10.1016/j.joms.2012.11.012

Cited by 16 publications

(11 citation statements)

References 9 publications

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“…Despite the buccal fat pad surgical intervention occurs to harmonize the facial contour, as this anatomical structure provides fullness to the cheek and is responsible for the facial contour [7,17], in Dentistry, many other clinical applications for the buccal fat pad use are listed in the literature such as: harmonizing the facial contour in cases of masseter hypertrophy; repairing defects caused by tumor resections, maxillary cysts and oro-antral communication [18][19][20][21][22][23][24][25][26]; post-traumatic defect correction [19][20][21]; reconstruction of the soft palate and the hard palate defects [27]; use as an aesthetic filler to provide lip, premaxilla and paranasal volume [28]; in the malar region [29,30] use as a filler in cases of maxillary sinus membrane perforation [31]. In cases 1 and 3 reported in this research study, the purpose of the surgical intervention was to change the facial contour of the patients, making it softer and more pleasant.…”

Section: Discussionmentioning

confidence: 99%

Complications associated with the bichectomy surgery

Klüppel

Marcos

Shimizu

et al. 2018

RGO, Rev. Gaúch. Odontol.

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This research study aimed at reviewing, in the literature, the aspects related to the buccal fat pad structure, named the Bichat Ball, evaluating the anatomy of the area, the buccal fat pad clinical applications and the possible complications of its surgical removal, as well as reporting a series of cases that presented such complications. The most important anatomical structures surrounding the buccal fat pad and that are frequently involved in surgical complications are the parotid gland duct, the facial nerve branches, the blood vessels and the muscular tissues. In Dentistry, the buccal fat pad clinical application has an aesthetic purpose and it can be removed or repositioned. The removal occurs to avoid intra-oral trauma, "nibbling", and the pedicle repositioning occurs for protection or to be used as a graft. The complications of the surgical removal of the buccal fat pad are not frequent, however, hematoma, infection, facial nerve and facial vessel injuries may occur. Therapies involved in it include drug therapy, drainage, laser therapy and compresses. RESUMOEste trabalho teve por objetivo levantar na literatura aspectos referentes ao corpo adiposo bucal denominado de Bola de Bichat quanto à anatomia da área, as aplicações clínicas da referida gordura e as possíveis complicações cirúrgicas da remoção da mesma, e relatar uma série de casos de remoção estética do corpo adiposo bucal que tiveram complicações. As estruturas anatômicas mais importantes que circundam o corpo adiposo bucal e estão muitas vezes envolvidas nas complicações da cirurgia de remoção são os ductos da glândula parótida, ramos do nervo facial, vasos sanguíneos e tecidos musculares. As aplicações clínicas do corpo adiposo bucal na área da odontologia são para fins estéticos removendo ou reposicionando-o, remoção para evitar trauma intra-oral, "mordiscamento", devido ao seu volume e reposicionamento pediculado para proteger ou usar como enxertia. Complicações do procedimento cirúrgico de remoção do corpo adiposo bucal não são frequentes, no entanto, hematoma, infecção, lesão do nervo facial, lesão dos vasos faciais podem vir a ocorrer. E as terapêuticas envolvidas nesta eventualidade compreendem terapêutica medicamentosa, drenagem, laser terapia e compressas.Termos de indexação: Tecido adiposo. Odontologia. Face. Cirurgia geral.

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Section: Discussionmentioning

confidence: 99%

Complications associated with the bichectomy surgery

Klüppel

Marcos

Shimizu

et al. 2018

RGO, Rev. Gaúch. Odontol.

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“…Other application for the BFP includes TMJ reconstruction, where a minimal gap of 6–7 mm is recommended for the arthroplasty [82-88], upper-lip profile improvement after maxillary advancement surgery by Le Fort I osteotomy [89], skull-base defect repair after tumor resection [90], prevention of Frey syndrome after parotid surgery [91, 92], repair of the maxillary sinus membrane after dental implant [93, 94], vocal cord augmentation [95], and reconstruction of facial contour deformity even after facial trauma [96-98]. …”

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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“…As a relatively concealed donor site, oral soft tissues have been found useful for esthetic and dermatological needs, notably for lip reconstruction 39 . FGGs have been used for repair of “whistling” lip deformities, 40 while BFPs have been recently used for lip augmentation with good to excellent long‐term esthetic outcomes 41 . BFPs have been suggested for midfacial augmentation, facial reconstruction, and as an interpositional graft over the facial nerve to prevent Frey syndrome 25 …”

Section: Clinical Scenarios and Managementmentioning

confidence: 99%

Extraoral Uses of Autologous Oral Soft Tissue Grafts: A Different Bridge Between Mouth and Body Health

Gordon

Parashis

Tatakis

2017

Clin Adv Periodontics

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Focused Clinical Question: Are there any extraoral uses for intraoral soft tissue grafts? Summary: Despite extensive literature on the intraoral uses of soft tissue autografts harvested from oral sites, the periodontal literature is lacking information on the extraoral uses of such grafts. The purpose of this article is to review the autologous use of certain oral soft tissue grafts for extraoral indications. A literature search revealed that several medical specialties, including otolaryngology, ophthalmology, dermatology, plastic surgery, and urology, have a track record of positive outcomes with the use of free gingival, buccal fat pad, and buccal mucosa grafts for a wide variety of reconstructive procedures at diverse body sites. Conclusions: The numerous successful extraoral uses of oral soft tissue autografts underscore the versatility of these tissues in reconstructive surgery and suggest there is potential for collaboration between periodontal and medical specialists for the benefit of patients in need of such reconstructions. Broader awareness of these applications of oral soft tissue grafts could help expand their current uses and would allow practitioners to better answer possible patient inquiries.

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Pedicled Buccal Fat Pad Flap for Upper Lip Augmentation in Orthognathic Surgery Patients

Cited by 16 publications

References 9 publications

Complications associated with the bichectomy surgery

Complications associated with the bichectomy surgery

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

Extraoral Uses of Autologous Oral Soft Tissue Grafts: A Different Bridge Between Mouth and Body Health

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