Translocated Pedicled Buccal Fat Pad

Cherekaev, V A; Golbin, Denis A.; Belov, A.I.

doi:10.1097/scs.0b013e318240fae9

Cited by 15 publications

(4 citation statements)

References 8 publications

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“…Following the first report of Egyedi in 1977, 7 many reports have followed, with clear evidence of its versatility and reliability in reconstruction within the oral cavity. Various reports have shown its use in the closure of oroantral communications/oronasal communication, 41,42 primary and secondary cleft palate repair, 31 closure of soft tissue and bony defects in the oral cavity, 43–45 closure of skull base defects, 46 interposition material in TMJ surgery, 47 sinus grafting, 48 facial sculpting and malar augmentation, 49–51 periodontal surgery, 52–54 dental pulp revascularization 55 and stem cell research. 56 This current study is focused on a narrative review of its use in cleft palate repair only.…”

Section: Discussionmentioning

confidence: 99%

A Review of the Use of Buccal Fat Pad in Cleft Palate Repair

Adekunle

James

Olanbiwonnu

et al. 2023

The Cleft Palate Craniofacial Journal

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Objective To review the available evidence on the use of the Buccal Fat Pad in primary and secondary Cleft Palate repair. Methods This is a narrative review. A computerized literature search was conducted for articles published till February 2022 using the Mesh phrases buccal fat pad AND cleft palate, Bichat's Fat pad AND cleft palate, buccal fat pad OR Bichats Fat pad AND cleft palate. Results A total of 35 articles were included in this review based on the set eligibility criteria. Most of the studies were retrospective case reviews (n = 16, 45.7%), and the aggregate number of patients from all included studies was 666. Reported uses of the buccal fat pad (BFP) in association with cleft palate repair include the closure of central cleft palate defect and nasal floor in primary cleft palate repair, oronasal fistula repair following primary repair of cleft palate, and closure of relieving incision defect in primary repair of cleft palate. Complications reported were 24 cases of Oronasal Fistula (ONF), 2 dehiscences, and 4 transient mucosal defects. Conclusion The high success rate, vascularity, ease of tissue harvest, and low donor site morbidity all support its use as an adjunct flap in cleft palate repair, especially in the closure of wide palatal clefts, to prevent post-palatal repair fistula, wound contracture, and subsequently velopharyngeal insufficiency and possibly midface hypoplasia.

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Section: Discussionmentioning

confidence: 99%

A Review of the Use of Buccal Fat Pad in Cleft Palate Repair

Adekunle

James

Olanbiwonnu

et al. 2023

The Cleft Palate Craniofacial Journal

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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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“…To improve the upper lip profile, BFP can be used as an augmentation material [ 57 ]. Skull base defect after tumor surgery also can be repaired by BFP [ 58 ]. After parotid gland resection, BFP can be used for the prevention of Frey syndrome [ 59 ].…”

Section: Reviewmentioning

confidence: 99%

The use of the buccal fat pad flap for oral reconstruction

Kim

Han

Kim

2017

Maxillofac Plast Reconstr Surg

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Many congenital and acquired defects occur in the maxillofacial area. The buccal fat pad flap (BFP) is a simple and reliable flap for the treatment of many of these defects because of its rich blood supply and location, which is close to the location of various intraoral defects. In this article, we have reviewed BFP and the associated anatomical background, surgical techniques, and clinical applications. The surgical procedure is simple and has shown a high success rate in various clinical applications (approximately 90%), including the closure of oroantral fistula, correction of congenital defect, treatment of jaw bone necrosis, and reconstruction of tumor defects. The control of etiologic factors, size of defect, anatomical location of defect, and general condition of patient could influence the prognosis after grafting. In conclusion, BFP is a reliable flap that can be applied to various clinical situations.

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Translocated Pedicled Buccal Fat Pad

Cited by 15 publications

References 8 publications

A Review of the Use of Buccal Fat Pad in Cleft Palate Repair

A Review of the Use of Buccal Fat Pad in Cleft Palate Repair

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

The use of the buccal fat pad flap for oral reconstruction

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