Application of the buccal fat pad in oral reconstruction.

PURPOSE: This report evaluates the use of the buccal fat pad in reconstruction of defects of the hard and soft palate.

PATIENTS AND METHODS: Twenty-nine patients with different indications (oroantral fistula, tumor of the hard and soft palate, posterior fistula in cleft patients, covering of bone transplants in augmentation procedure) were treated with a pedicled buccal fat pad without lining. The maximum reconstructed defect was 5.5 x 4 cm.

RESULTS: All inserted fat grafts healed well without any aesthetic disturbances. The surface of the fat converted to normal mucosa.

CONCLUSIONS: Use of the buccal fat pad is a safe and easy method to reconstruct defects in the posterior maxilla and soft palate. Good vascularization, ease of access, and minimal donor site morbidity make it a reliable soft tissue graft.