Clinical Application of the Pedicled Buccal Fat Pad Flap in Immediate Reconstruction of Oral Tissue Defects in Oral Surgery

Youmei Zhang, Xiaoqiang Zhao, Shuai Fu, Yong Wu
Journal of Craniofacial Surgery 2017, 28 (6): 1531-1533

OBJECTIVE: The aim of this study was to present a new immediate reconstructive option for oral tissue defects with a pedicled buccal fat pad flap in oral surgery.

MATERIALS AND METHODS: Fifteen cases (10 males, 5 females; mean age: 50 years) suffering from oral tumor and attending the Affiliated Stomatology Hospital of Kunming Medical University were included in this study. All patients underwent immediate repair surgery involving a pedicled buccal fat pad graft in oral surgery, from July 2013 to August 2016.

RESULTS: All cases underwent uneventful healing with a surviving graft flap. The buccal fat pad healed in about 9 to 10 weeks and its uncovered surface became epithelialized with similar feature to the normal mucosa. At a follow-up of 3 months to 3 years, a good outcome was obtained with minimal malfunction and face deformity.

CONCLUSIONS: The pedicled buccal fat pad is ideal material for repair, and it is a viable option for immediate reconstruction of oral tissue defects in oral surgery.

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