Use of pedicled fat pad graft as an adjunct in the reconstruction of palatal cleft defects

Hudson, John W.; Anderson, Jacinta; Russell, Robert M.; Anderson, Nicholas; Chambers, Keith

doi:10.1016/s1079-2104(95)80011-5

Cited by 45 publications

(23 citation statements)

References 4 publications

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“…Pedicled buccal fat pad has also been employed in the closure of surgical defects following tumor excision [7,16], excision of leukoplakia and sub mucous fibrosis [16,18], as well as closure of primary and secondary palatal clefts [5,19].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Versatility and Effectiveness of Pedicled Buccal Fat Pad Used in the Reconstruction of Intra Oral Defects

Nandini

Balakrishna

2012

J. Maxillofac. Oral Surg.

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Introduction The use of buccal fat pad as a grafting source in the closure of intraoral defects has gained popularity in the last quarter of this century. Because of the ease of access and rich blood supply, its use in oral defects is an attractive concept. Methodology The study comprised of 8 patients with oral submucous fibrosis, 1 patient with oroantral fistula, 1 patient with verrucous hyperplasia. The acquired oral defects following resection of pathology in the oral cavity, were reconstructed with pedicled buccal fat pad. The Post operative follow up at the intervals of 1st, 7th and 15th day, followed by 1st month, 2nd month and 3rd month was done.Results The procedure was successful in all the patients. Healing was satisfactory with no breakdown or liquefaction necrosis post operatively. All the patients had definitive colour change at the end of 1st post operative month owing to the epithelialisation. Residual defect was present in one patient diagnosed of verrucous hyperplasia on the 1st and the 7th post operative day which subsequently healed. In 8 patients with oral submucous fibrosis post operative mouth opening was measured in and was observed to be in the range of 12-26 mm on the 1st post operative day and 34-42 mm during 3rd month post operatively. Conclusion The results of this study support the view that the use of buccal fat pad is a simple, convenient and reliable method for the reconstruction of small to medium sized intra oral defects.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Versatility and Effectiveness of Pedicled Buccal Fat Pad Used in the Reconstruction of Intra Oral Defects

Nandini

Balakrishna

2012

J. Maxillofac. Oral Surg.

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“…Pedicled buccal fat pad has also been employed in the closure of surgical defects following tumor excision 7 , excision of leukoplakia and submucous fibrosis 15,16 , as well as closure of primary and secondary palatal clefts 9,17 , and coverage of maxillary and mandibular bone grafts 6,18 . Although, no complication was observed in our case, complications in large series range between 3.1-6.9% 4,7,8,19 .…”

Section: Discussionmentioning

confidence: 99%

Closure of oro-antral fistula with pedicled buccal fat pad. A case report and review of literature

Adeyemo

Ogunlewe

Ladeinde

et al. 2004

Afr. J. Oral. Health

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SummaryObjectives: Chronic oro-antral fistula following dental extraction is not uncommon. Application of pedicled buccal fat pad (BFP) in the repair of the fistula is rather uncommon in our environment. This article demonstrates the use of BFP in the repair of chronic oro-antral fistula. Methods: A case of a chronic oro-antral fistula of 5-year duration in a 56-year old man successfully repaired with pedicled buccal fat pad after unsuccessful several attempts with other local flaps is presented. A review of relevant literature using MEDLINE is also presented. Results: Complete epithelization of the pedicled BFP was observed after 4 weeks with no postoperative complication. Conclusion: Pedicled buccal fat pad is a reliable flap for the repair of oro-antral fistula. The easy mobilization of the BFP and its excellent blood supply and minimal donor site morbidity makes it an ideal flap. It should also be considered as a reliable back-up procedure in the event of failure of other techniques.

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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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Use of pedicled fat pad graft as an adjunct in the reconstruction of palatal cleft defects

Cited by 45 publications

References 4 publications

Evaluation of Versatility and Effectiveness of Pedicled Buccal Fat Pad Used in the Reconstruction of Intra Oral Defects

Evaluation of Versatility and Effectiveness of Pedicled Buccal Fat Pad Used in the Reconstruction of Intra Oral Defects

Closure of oro-antral fistula with pedicled buccal fat pad. A case report and review of literature

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

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