The buccal fat pad flap in oral reconstruction

Background The aim of this study is to describe the surgical technique, indications, advantages, and possible complications of the buccal fat pad flap and to report our clinical experience with this flap for intraoral reconstruction after tumor removal. Methods The flap has been used to reconstruct...

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Bibliographic Details
Published in:Head & neck 2001-05, Vol.23 (5), p.383-388
Main Authors: Dean, Alicia, Alamillos, Francisco, García-López, Alicia, Sánchez, Juan, Peñalba, Manuel
Format: Article
Language:English
Subjects:
Adipocytes - pathology
Adult
Aged
Biological and medical sciences
buccal fat pad
Cheek - pathology
Cheek - surgery
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
intraoral defects
intraoral reconstruction
Male
Medical sciences
Middle Aged
Mouth Neoplasms - pathology
Mouth Neoplasms - surgery
oroantral communications
oronasal communications
Reconstructive Surgical Procedures
Retrospective Studies
squamous-cell carcinoma
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Surgical Flaps - adverse effects
Surgical Flaps - pathology
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Summary:Background The aim of this study is to describe the surgical technique, indications, advantages, and possible complications of the buccal fat pad flap and to report our clinical experience with this flap for intraoral reconstruction after tumor removal. Methods The flap has been used to reconstruct oral defects after tumor resection in 32 patients, who have been retrospectively analyzed. Results Adequate closure of the defect was achieved during surgery in all cases. In one case, there was partial loss of the flap; this was treated conservatively. In five cases there was some retraction in the reconstructed area. Conclusions Buccal fat pad as a flap offers an adequate reconstructive option to be born in mind when reconstructing small to medium defects in the oral cavity. It is a simple and quick surgical technique with a low incidence of complications. © 2001 John Wiley & Sons, Inc. Head Neck 23: 383–388, 2001.
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.1048