Applicability of buccal fat pad grafting for oral reconstruction

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  • Yoshino Aya
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine
  • Nariai Yoshiki
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine Department of Oral and Maxillofacial Surgery, Matsue City Hospital
  • Karino Masaaki
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine Department of Plastic, Reconstructive and Aesthetic Surgery, Fukuoka University
  • Tatsumi Hiroto
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine
  • Tsunematsu Koji
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine Division of Maxillofacial Surgery, National Hospital Organization Hamada Medical Center
  • Takamura Yutaro
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine Department of Oral Growth and Development, Division of Clinical Dentistry, Fukuoka Dental College
  • Kanno Takahiro
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine
  • Yanai Chie
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine Division of Oral Implant, Nippon Dental University Hospital
  • Kondo Seiji
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine Department of Oral and Maxillofacial Surgery, Showa University
  • Sekine Joji
    Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine

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Other Title
  • 頬脂肪体を用いた顎口腔再建術の有用性に関する検討

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Description

The pedicled buccal fat pad (BFP) fills an anatomical gap formed by the buccinator muscle, the masseter muscle, and the ramus of the mandible. It has a sufficient blood supply from the surrounding arteries. We have been using BFP grafting for the reconstruction of oral defects induced by ablative surgery for a tumor, ankylosis of the temporomandibular joint and so on. This study aimed to evaluate the applicability of pedicled BFP grafting following oral and maxillofacial surgery. We retrospectively evaluated 50 graftings in 49 cases. The grafts were applied for defects of the lower gingiva (n=14), the upper gingiva (n=13), the palate (n=9), the buccal mucosa (n=8), the ramus of the mandible (n=3), and other regions (n=3). According to the primary diseases, we applied it for cases of squamous cell carcinoma (n=24), carcinoma in situ (n=4), pleomorphic carcinoma (n=3), ankylosis of the temporomandibular joint (n=3), verrucous carcinoma (n=2), osteoradionecrosis of the jaw (n=2), and other lesions (n=12). Complete epithelialization of the BFP occurred within 4 weeks in 49 of the 50 graftings. BFP grafting appears to be suitable for the reconstruction of surgical defects in the oral region.

Journal

  • Toukeibu Gan

    Toukeibu Gan 41 (4), 406-410, 2015

    Japan Society for Head and Neck Cancer

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