Maxillofacial Plastic and Reconstructive Surgery

  • 제39권
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  • Pages.5.1-5.9
  • /
  • 2017
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
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The use of the buccal fat pad flap for oral reconstruction

  • Kim, Min-Keun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Han, Wonil (Han Dental Clinic) ;
  • Kim, Seong-Gon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
  • 투고 : 2016.12.29
  • 심사 : 2017.02.01
  • 발행 : 2017.12.31
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초록

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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참고문헌

  1. Soutar DS, Scheker LR, Tanner NSB, McGregor IA (1983) The radial forearm flap: a versatile method for intra-oral reconstruction. Br J Plast Surg 36(1):1-8 https://doi.org/10.1016/0007-1226(83)90002-4
  2. Sadig W, Almas K (2004) Risk factors and management of dehiscent wounds in implant dentistry. Implant Dent 13(2):140-147 https://doi.org/10.1097/01.ID.0000127518.60701.A1
  3. Ashtiani AK, Bohluli B, Kalantar Motamedi MH, Fatemi MJ, Moharamnejad N (2011) Effectiveness of buccal fat in closing residual midpalatal and posterior palatal fistulas in patients previously treated for clefts. J Oral Maxillofac Surg 69(11):e416-e419 https://doi.org/10.1016/j.joms.2011.02.010
  4. Ashtiani AK, Fatemi MJ, Pooli AH, Habibi M (2011) Closure of palatal fistula with buccal fat pad flap. Int J Oral Maxillofac Surg 40(3):250-254 https://doi.org/10.1016/j.ijom.2010.09.027
  5. Daif ET (2016) Long-term effectiveness of the pedicled buccal fat pad in the closure of a large oroantral fistula. J Oral Maxillofac Surg 74(9):1718-1722 https://doi.org/10.1016/j.joms.2016.04.033
  6. Adams T, Taub D, Rosen M (2015) Repair of oroantral communications by use of a combined surgical approach: functional endoscopic surgery and buccal advancement flap/buccal fat pad graft. J Oral Maxillofac Surg 73(8):1452-1456 https://doi.org/10.1016/j.joms.2015.03.004
  7. Toshihiro Y, Nariai Y, Takamura Y, Yoshimura H, Tobita T, Yoshino A et al (2013) Applicability of buccal fat pad grafting for oral reconstruction. Int J Oral Maxillofac Surg 42(5):604-610 https://doi.org/10.1016/j.ijom.2012.07.009
  8. Liu YM, Chen GF, Yan JL, Zhao SF, Zhang WM, Zhao S et al (2006) Functional reconstruction of maxilla with BFP, prefabricated titanium mesh and autologous bone grafts. Int J Oral Maxillofac Surg 35(12):1108-1113 https://doi.org/10.1016/j.ijom.2006.09.012
  9. Melville JC, Tursun R, Shum JW, Young S, Hanna IA, Marx RE (2016) A technique for the treatment of oral-antral fistulas resulting from medicationrelated osteonecrosis of the maxilla: the combined buccal fat pad flap and radical sinusotomy. Oral Surg Oral Med Oral Pathol Oral Radiol 122(3):287-291 https://doi.org/10.1016/j.oooo.2016.03.015
  10. El Deeb M, Roszkowski M, El Hakim I (1990) Tissue response to hydroxylapatite in induced diabetic and nondiabetic rats: histologic evaluation. J Oral Maxillofac Surg 48(5):476-481 https://doi.org/10.1016/0278-2391(90)90234-S
  11. Drake DB, Oishi SN (1995) Wound healing considerations in chemotherapy and radiation therapy. Clin Plast Surg 22(1):31-37
  12. Colen SR, Shaw WW, McCarthy JG (1986) Review of the morbidity of 300 free-flap donor sites. Plast Reconstr Surg 77(6):948-953 https://doi.org/10.1097/00006534-198606000-00013
  13. Egyedi P (1977) Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. J Maxillofac Surg 5(4):241-244 https://doi.org/10.1016/S0301-0503(77)80117-3
  14. Arce K (2007) Buccal fat pad in maxillary reconstruction. Atlas Oral Maxillofac Surg Clin North Am 15(1):23-32 https://doi.org/10.1016/j.cxom.2006.11.003
  15. Singh J, Prasad K, Lalitha RM, Ranganath K (2010) Buccal pad of fat and its applications in oral and maxillofacial surgery: a review of published literature (February) 2004 to (July) 2009. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110(6):698-705 https://doi.org/10.1016/j.tripleo.2010.03.017
  16. Tostevin PM, Ellis H (1995) The buccal pad of fat: a review. Clin Anat 8(6):403-406 https://doi.org/10.1002/ca.980080606
  17. Stuzln JM, Wagstrom L, Kawamoto HK, Baker TJ, Wolfe SA (1990) The anatomy and clinical applications of the buccal fat pad. Plast Reconstr Surg 85(1):29-37 https://doi.org/10.1097/00006534-199001000-00006
  18. Poeschl PW, Baumann A, Russmueller G, Poeschl E, Klug C, Ewers R (2009) Closure of oroantral communications with Bichat's buccal fat pad. J Oral Maxillofac Surg 67(7):1460-1466 https://doi.org/10.1016/j.joms.2009.03.049
  19. Alkan A, Dolanmaz D, Uzun E, Erdem E (2003) The reconstruction of oral defects with buccal fat pad. Swiss Med Wkly 133(33/34):465-470
  20. Abad-Gallegos M, Figueiredo R, Rodriguez-Baeza A, Gay-Escoda C (2011) Use of Bichat's buccal fat pad for the sealing of orosinusal communications. A presentation of 8 cases. Med Oral Patol Oral Cir Bucal 16(2):e215-e219
  21. Hanazawa Y, Itoh K, Mabashi T, Sato K (1995) Closure of oroantral communications using a pedicled buccal fat pad graft. J Oral Maxillofac Surg 53(7):771-775 https://doi.org/10.1016/0278-2391(95)90329-1
  22. Nezafati S, Vafaii A, Ghojazadeh M (2012) Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication. Int J Oral Maxillofac Surg 41(5):624-628 https://doi.org/10.1016/j.ijom.2011.11.011
  23. Hariram, Pal US, Mohammad S, Singh RK, Singh G, Malkunje LR (2010) Buccal fat pad versus sandwich graft for treatment of oroantral defects: a comparison. Natl J Maxillofac Surg 1(1):6-14 https://doi.org/10.4103/0975-5950.69148
  24. Zhang Q, Li L, Tan W, Chen L, Gao N, Bao C (2010) Application of unilateral pedicled buccal fat pad for nasal membrane closure in the bilateral complete cleft palate. J Oral Maxillofac Surg 68(8):2029-2032 https://doi.org/10.1016/j.joms.2010.02.042
  25. Levi B, Kasten SJ, Buchman SR (2009) Utilization of the buccal fat pad flap for congenital cleft palate repair. Plast Reconstr Surg 123(3):1018-1021 https://doi.org/10.1097/PRS.0b013e318199f80f
  26. Kim YK (2001) The use of a pedicled buccal fat pad graft for bone coverage in primary palatorrhaphy: a case report. J Oral Maxillofac Surg 59(12):1499-1501 https://doi.org/10.1053/joms.2001.28294
  27. Musgrave RH, Bremner JC (1960) Complications of cleft palate surgery. Plast Reconstr Surg Transplant Bull 26:180-189
  28. Khouw YL, van der Wal KG, Bartels F, van der Biezen JJ (2004) Bilateral palatal reconstruction using 2 pedicled buccal fat pads in rhinolalea aperta after extensive necrotizing tonsillitis: a case report. J Oral Maxillofac Surg 62(6):749-751 https://doi.org/10.1016/j.joms.2003.12.016
  29. Grobe A, Eichhorn W, Hanken H, Precht C, Schmelzle R, Heiland M et al (2011) The use of buccal fat pad (BFP) as a pedicled graft in cleft palate surgery. Int J Oral Maxillofac Surg 40(7):685-689 https://doi.org/10.1016/j.ijom.2011.02.024
  30. Nabil S, Ramli R (2012) The use of buccal fat pad flap in the treatment of osteoradionecrosis. Int J Oral Maxillofac Surg 41(11):1422-1426 https://doi.org/10.1016/j.ijom.2012.04.001
  31. Marx RE (2009) Reconstruction of defects caused by bisphosphonate-induced osteonecrosis of the jaws. J Oral Maxillofac Surg 67(5 Suppl):107-119
  32. Freiberger JJ (2009) Utility of hyperbaric oxygen in treatment of bisphosphonate-related osteonecrosis of the jaws. J Oral Maxillofac Surg 67(5 Suppl):96-106
  33. Chang DW, Oh HK, Robb GL, Miller MJ (2001) Management of advanced mandibular osteoradionecrosis with free flap reconstruction. Head Neck 23(10):830-835 https://doi.org/10.1002/hed.1121
  34. Rotaru H, Kim MK, Kim SG, Park YW (2015) Pedicled buccal fat pad flap as a reliable surgical strategy for the treatment of medication-related osteonecrosis of the jaw. J Oral Maxillofac Surg 73(3):437-442 https://doi.org/10.1016/j.joms.2014.09.023
  35. Wong JK, Wood RE, McLean M (1997) Conservative management of osteoradionecrosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 84(1):16-21 https://doi.org/10.1016/S1079-2104(97)90287-0
  36. Beumer J, Harrison R, Sanders B, Kurrasch M (1984) Osteoradionecrosis: predisposing factors and outcomes of therapy. Head Neck Surg 6(4):819-827 https://doi.org/10.1002/hed.2890060404
  37. Tideman H, Bosanquet A, Scott J (1986) Use of the buccal fat pad as a pedicled graft. J Oral Maxillofac Surg 44(6):435-440 https://doi.org/10.1016/S0278-2391(86)80007-6
  38. Samman N, Cheung LK, Tideman H (1993) The buccal fat pad in oral reconstruction. Int J Oral Maxillofac Surg 22(1):2-6 https://doi.org/10.1016/S0901-5027(05)80346-7
  39. Fujimura N, Nagura H, Enomoto S (1990) Grafting of the buccal fat pad into palatal defects. J Craniomaxillofac Surg 18(5):219-222 https://doi.org/10.1016/S1010-5182(05)80415-9
  40. Hao SP (2000) Reconstruction of oral defects with the pedicled buccal fat pad flap. Otolaryngol Head Neck Surg 122(6):863-867 https://doi.org/10.1016/S0194-5998(00)70015-5
  41. Zhong LP, Chen GF, Fan LJ, Zhao SF (2004) Immediate reconstruction of maxilla with bone grafts supported by pedicled buccal fat pad graft. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(2):147-154 https://doi.org/10.1016/j.tripleo.2003.09.011
  42. Vuillemin T, Raveh J, Ramon Y (1988) Reconstruction of the maxilla with bone grafts supported by the buccal fat pad. J Oral Maxillofac Surg 46(2):100-106 https://doi.org/10.1016/0278-2391(88)90258-3
  43. Colella G, Tartaro G, Giudice A (2004) The buccal fat pad in oral reconstruction. Br J Plast Surg 57(4):326-329 https://doi.org/10.1016/j.bjps.2004.02.005
  44. Yousuf S, Tubbs RS, Wartmann CT, Kapos T, Cohen-Gadol AA, Loukas M (2010) A review of the gross anatomy, functions, pathology, and clinical uses of the buccal fat pad. Surg Radiol Anat 32(5):427-436 https://doi.org/10.1007/s00276-009-0596-6
  45. Rapidis AD, Alexandridis CA, Eleftheriadis E, Angelopoulos AP (2000) The use of the buccal fat pad for reconstruction of oral defects: review of the literature and report of 15 cases. J Oral Maxillofac Surg 58(2):158-163 https://doi.org/10.1016/S0278-2391(00)90330-6
  46. Mehrotra D, Pradhan R, Gupta S (2009) Retrospective comparison of surgical treatment modalities in 100 patients with oral submucous fibrosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(3):e1-e10
  47. Sharma R, Thapliyal GK, Sinha R, Menon PS (2012) Use of buccal fat pad for treatment of oral submucous fibrosis. J Oral Maxillofac Surg 70(1):228-232 https://doi.org/10.1016/j.joms.2011.02.089
  48. Rai A, Datarkar A, Rai M (2014) Is buccal fat pad a better option than nasolabial flap for reconstruction of intraoral defects after surgical release of fibrous bands in patients with oral submucous fibrosis? A pilot study: a protocol for the management of oral submucous fibrosis. J Craniomaxillofac Surg 42(5):e111-e116 https://doi.org/10.1016/j.jcms.2013.07.006
  49. Lambade P, Dawane P, Thorat A (2016) Efficacy of buccal fat pad in the surgical management of oral submucous fibrosis: a prospective study. Oral Maxillofac Surg 20(2):167-170 https://doi.org/10.1007/s10006-016-0546-5
  50. Chao CK, Chang LC, Liu SY, Wang JJ (2002) Histologic examination of pedicled buccal fat pad graft in oral submucous fibrosis. J Oral Maxillofac Surg 60(10):1131-1134 https://doi.org/10.1053/joms.2002.34981
  51. Wolford LM, Karras SC (1997) Autologous fat transplantation around temporomandibular joint total joint prostheses: preliminary treatment outcomes. J Oral Maxillofac Surg 55(3):245-251 https://doi.org/10.1016/S0278-2391(97)90535-8
  52. Rattan V (2006) A simple technique for use of buccal pad of fat in temporomandibular joint reconstruction. J Oral Maxillofac Surg 64(9):1447-1451 https://doi.org/10.1016/j.joms.2005.07.017
  53. Bansal V, Bansal A, Mowar A, Gupta S (2015) Ultrasonography for the volumetric analysis of the buccal fat pad as an interposition material for the management of ankylosis of the temporomandibular joint in adolescent patients. Br J Oral Maxillofac Surg 53(9):820-825 https://doi.org/10.1016/j.bjoms.2015.06.019
  54. Singh V, Dhingra R, Sharma B, Bhagol A, Kumar P (2011) Retrospective analysis of use of buccal fat pad as an interpositional graft in temporomandibular joint ankylosis: preliminary study. J Oral Maxillofac Surg 69(10):2530-2536 https://doi.org/10.1016/j.joms.2011.02.022
  55. Singh V, Dhingra R, Bhagol A (2012) Prospective analysis of temporomandibular joint reconstruction in ankylosis with sternoclavicular graft and buccal fat pad lining. J Oral Maxillofac Surg 70(4):997-1006 https://doi.org/10.1016/j.joms.2011.02.129
  56. 6 Gaba S, Sharma RK, Rattan V, Khandelwal N (2012) The long-term fate of pedicled buccal pad fat used for interpositional arthroplasty in TMJ ankylosis. J Plast Reconstr Aesthet Surg 65(11):1468-1473 https://doi.org/10.1016/j.bjps.2012.05.016
  57. Rubio-Bueno P, Ardanza B, Pinas L, Murillo N (2013) Pedicled buccal fat pad flap for upper lip augmentation in orthognathic surgery patients. J Oral Maxillofac Surg 71(4):e178-e184 https://doi.org/10.1016/j.joms.2012.11.012
  58. Cherekaev VA, Golbin DA, Belov AI (2012) Translocated pedicled buccal fat pad: closure of anterior and middle skull base defects after tumor resection. J Craniofac Surg 23(1):98-104 https://doi.org/10.1097/SCS.0b013e318240fae9
  59. Kim JT, Naidu S, Kim YH (2010) The buccal fat: a convenient and effective autologous option to prevent Frey syndrome and for facial contouring following parotidectomy. Plast Reconstr Surg 125(6):1706-1709 https://doi.org/10.1097/PRS.0b013e3181d4fde4
  60. Kim YK, Yun PY, Oh JS, Kim SG (2014) Prognosis of closure of large sinus membrane perforations using pedicled buccal fat pads and a resorbable collagen membrane: case series study. J Korean Assoc Oral Maxillofac Surg 40(4):188-194 https://doi.org/10.5125/jkaoms.2014.40.4.188
  61. Alonso-Gonzalez R, Penarrocha-Diago M, Penarrocha-Oltra D, Aloy-Prosper A, Camacho-Alonso F, Penarrocha-Diago M (2015) Closure of oroantral communications with Bichat's buccal fat pad. Level of patient satisfaction. J Clin Exp Dent 7(1):e28-e33
  62. Stajcic Z (1992) The buccal fat pad in the closure of oro-antral communications: a study of 56 cases. J Craniomaxillofac Surg 20(5):193-197 https://doi.org/10.1016/S1010-5182(05)80314-2
  63. Baumann A, Ewers R (2000) Application of the buccal fat pad in oral reconstruction. J Oral Maxillofac Surg 58(4):389-392 https://doi.org/10.1016/S0278-2391(00)90919-4
  64. Jain MK, Ramesh C, Sankar K, Lokesh Babu KT (2012) Pedicled buccal fat pad in the management of oroantral fistula: a clinical study of 15 cases. Int J Oral Maxillofac Surg 41(8):1025-1029 https://doi.org/10.1016/j.ijom.2012.02.014
  65. Chaudhary B, Gong Z, Lin Z, Abbas K, Ling B, Liu H (2014) Reconstruction of intraoral maxillary defect with buccal fat pad. J Craniofac Surg 25(6):2174-2177

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