The use of buccal fat pad (BFP) as a pedicled graft in cleft palate surgery

Gröbe, Alexander; Eichhorn, Wolfgang; Hanken, Henning; Precht, Clarissa; Schmelzle, R; Heiland, Max; Blessmann, Marco

doi:10.1016/j.ijom.2011.02.024

Cited by 41 publications

(46 citation statements)

References 26 publications

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“…Most studies that present this technique show the advantages of using the buccal fat pad, emphasizing the tissue elasticity that allows covering medium size defects, its large blood supply and soft tissue support allowing a fast epithelialization and the safety of technique when well indicated and performed by an experienced surgeon (13,16,20).…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaws with the Use of Buccal Fat Pad: Case Report

et al. 2015

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Bisphosphonate-related osteonecrosis of the jaws (BROJ) has been described since 2003 as an adverse effect of bisphosphonate medications. These drugs act on the vasculature and bone remodeling, mainly on osteoclastic activity and can cause areas of necrotic bone exposure. Treatment for the BROJ is not yet defined, but surgical treatment is one of the forms proposed, which may cause oral deformities like sinus communication in some cases. In situations like this the buccal fat pad is an important alternative for coating nasal-oral communications, due its large blood supply, elasticity, absence of restriction by age and safety. This paper presents the case of a 58-year-old woman with BROJ in the left maxilla caused by the use of zoledronic acid for metastatic breast cancer. The extensive necrotic bone area was surgically removed resulting in oral sinus communication. A buccal fat pad was used to cover the defect. More studies should be performed regarding the treatment of BROJ but, if necessary, a buccal fat pad flap could be an alternative to solve nasal-oral communications related to BROJ.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaws with the Use of Buccal Fat Pad: Case Report

et al. 2015

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“…Neder en 1983 describe su epitelización. Hudson en 1995 la usa como coadyuvante en el manejo de paladar hendido y Zhao en 1998 reporta su uso en el manejo primario en la reparación de las hendiduras palatinas (28,29). Se atribuye dentro de las funciones de las bolsas adiposa de Bichat está en la prevención de presión negativa en los neonatos durante la succión, separar los músculos de la masticación entre si y de las estructuras óseas adyacentes, aumentar el movimiento intermuscular y protección de los paquetes neurovasculares (31).…”

Section: La Bola Adiposa De Bichatunclassified

“…Se atribuye dentro de las funciones de las bolsas adiposa de Bichat está en la prevención de presión negativa en los neonatos durante la succión, separar los músculos de la masticación entre si y de las estructuras óseas adyacentes, aumentar el movimiento intermuscular y protección de los paquetes neurovasculares (31). Ranke 1884 reporta que la bolsa adiposa tiene un mecanismo de liposis propio diferente al del tejido graso subcutáneo (28,29).…”

Section: La Bola Adiposa De Bichatunclassified

Colgajos locales y pediculados en el manejo de las comunicaciones y fístulas oroantrales

Aparicio

2011

Rev. Med.

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ResumenEl manejo convencional de las comunicaciones oroantrales ha sido a través de técnicas quirúrgicas locales que a través del tiempo aun siguen vigentes para el manejo primario de dicha complicación. La mejoría del conocimiento de la anatomía detallada de la región maxilofacial ha introducido nuevas técnicas con el objetivo de mejorar e incluso tener nuevos alcances con respecto al manejo de las comunicación y fistula oro antrales que con las técnicas clásicas no se lograban. Esta revisión de tema muestra cada una de las opciones disponibles para el manejo de las comunicaciones y fistulas oro antrales con sus indicaciones, técnica quirúrgica y complicaciones.Palabras clave: Comunicación oroantral, fistula oroantral, colgajo local. LOCAL AND PEDICULATED FLAPS IN THE MANAGEMENT OF OROAN-TRAL COMMUNICATIONS AND FISTULAS SummaryThe conventional management of oroantral communications has been performed through local surgical techniques which over time are still in vigor for the primary management of that complication. The improvement in the understanding of the maxillofacial region detailed anatomy has leaded to the introduction of new techniques with the aim of improving and even obtaining new achievements regarding the management of oroantral communication and fistulas which were not accomplished with the classical techniques. This subject review shows each one of the available options for the management of oroantral communications and fistulas with their indications, surgical techniques and complications.

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“…The BFP was first described as surgical option for oral reconstruction by Egyedi [2] in 1977, but no studies on its vessel supply were conducted until 1986, when Tideman et al [3] published a detailed description of its anatomy and operative technique. During recent years, an increasing number of clinical studies on a progressively larger number of case series, have stated the utility and versatility of the BFP for the reconstruction of small-to-medium-sized oral defects, by counting various applications of BFP including the closure of surgical defects following the excision of malignant or benign tumors, the repair of surgical defects following the excision of leukoplakia and submucous fibrosis, the closure of primary and secondary palatal clefts, the coverage of maxillary and mandibular bone grafts, and the lining of the sinus surface of maxillary sinus bone grafts in the sinus lift procedure for maxillary augmentation, temporomandibular joint (TMJ) arthroplasty, elongation of the soft palate, vocal cord augmentation, osteonecrosis (ON) of the jaw, and root coverage [4-6]. …”

Section: Introductionmentioning

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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The use of buccal fat pad (BFP) as a pedicled graft in cleft palate surgery

Cited by 41 publications

References 26 publications

Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaws with the Use of Buccal Fat Pad: Case Report

Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaws with the Use of Buccal Fat Pad: Case Report

Colgajos locales y pediculados en el manejo de las comunicaciones y fístulas oroantrales

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

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