China Journal of Oral and Maxillofacial Surgery ›› 2019, Vol. 17 ›› Issue (4): 364-367.doi: 10.19438/j.cjoms.2019.04.018

• Clinical Reports • Previous Articles     Next Articles

Clinical application of the pedicled buccal fat pad flap in immediate reconstruction of oral tissue defects during oral surgery

ZHU Hua-jun, XIAO Wan-shu, TANG Jing, GE Zi-li   

  1. Department of Stomatology, the First Affiliated Hospital of Soochow University.Suzhou 215006, Jiangsu Province, China
  • Received:2019-04-10 Revised:2019-06-03 Online:2019-07-20 Published:2019-08-12

Abstract: PURPOSE: The aim of this study was to investigate the effect and indication of the application of pedicled buccal fat pad flap for oral tissue defects during oral surgery. Methods: Eight-six cases (58 males, 28 females; mean age: 50 years) suffering from oral tumor were included in this study. The defect after tumor resection was immediately repaired by pedicled buccal fat pad transplantation. The effect and postoperative complications were observed. Results: All cases underwent uneventful healing with a surviving graft. 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 facial deformity. Complications were only 3.5%. Conclusions: The pedicled buccal fat pad is ideal material for repair. It has fewer complications and is a viable option for immediate reconstruction of oral tissue defects during oral surgery.

Key words: Buccal fat pad, Reconstruction, Tissue defect

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