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Órgano Oficial de la Asociación Dental Mexicana

2017, Number 3

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Rev ADM 2017; 74 (3)

Effectiveness of the use of the Bichats fat pad for the reconstruction of defects in the palate. Report a case

Palencia GA, Porte CJP, Martínez TJA, Guerra LDA

Language: Spanish
References: 14
Page: 159-162
PDF size: 550.01 Kb.


ABSTRACT

Bichat’s buccal fat pad is constituted by a body and three extensions of adipose tissue within the buccal space and extending to the anterior-superior border of the masseter muscle. To this days, the use of the buccal fat pad as a pedicled graft has shown excellent results on oral post tumoral reconstruction treatment. This is due to its great vascularity, histological composition and perhaps to the presence of stem cells that promotes a metaplasia, turning adipose tissue into fibrous and superficially epithelized tissue within five week after surgery. Surgical approach and repositioning technique of the pedicled graft was modified, extirpating part of the maxillary tuberosity, to preserve vascularity and cover up a hard-soft tissue defect caused by a pleomorphic adenoma on a patient’s palate. Buccal fat pad’s qualities and characteristics are taken into consideration to demonstrate the effectiveness on its surgical reconstructive uses.


REFERENCES

  1. Colella G, Tartaro G, Giudice A. The buccal fat pad in oral reconstruction. Br J Plastic Surg. 2004; 57 (4): 326-329.

  2. Baumann A, Ewers R. Application of the buccal fat pad in oral reconstruction. J Oral Maxillofac Surg. 2000; 58 (4): 389-392.

  3. Ye W, Song Y, Ying B, Hu J, Zhang C, Zhang Z. Use of the buccal fat pad in the immediate reconstruction of palatal defects related to cancer surgery with postoperative radiation therapy. J Oral Maxillofac Surg. 2014; 72 (12): 2613-2620.

  4. Amin MA, Bailey BM, Swinson B, Witherow H. Use of the buccal fat pad in the reconstruction and prosthetic rehabilitation of oncological maxillary defects. Br J Oral Maxillofac Surg. 2005; 43 (2): 148-154.

  5. Tideman H, Bosanquet A, Scott J. Use of the buccal fat pad as a pedicled graft. J Oral Maxillofac Surg. 1986; 44 (6): 435-440.

  6. Samman N, Cheung LK, Tideman H. The buccal fat pad in oral reconstruction. Int J Oral Maxillofac Surg. 1993; 22 (1): 2-6.

  7. Bither S, Halli R, Kini Y. Buccal fat pad in intraoral defect reconstruction. J Maxillofac Oral Surgery. 2013; 12 (4): 451-455.

  8. Egyedi P. Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. J Maxillofac Surg. 1977; 5 (4): 241-244.

  9. Rapidis AD, Alexandridis CA, Eleftheriadis E, Angelopoulos AP. 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. 2000; 58 (2): 158-163.

  10. Toshihiro Y, Nariai Y, Takamura Y, Yoshimura H, Tobita T, Yoshino A. Applicability of buccal fat pad grafting for oral reconstruction. Int J Oral Maxillofac Surg. 2013; 42 (5): 604-610.

  11. Trottier V, Marceau-Fortier G, Germain L, Vincent C, Fradette J. IFATS collection: using human adipose-derived stem/stromalcells for the production of new skin substitutes. Stem Cells. 2008; 26 (10): 2713-2723.

  12. Chaudhary B, Gong Z, Lin Z, Abbas K, Ling B, Liu H. Reconstruction of intraoral maxillary defect with buccal fat pad. J Craniofac Surg. 2014; 25 (6): 2174-2177.

  13. Farré-Guasch E, Martí-Pagč C, Hernádez-Alfaro F, Klein-Nulend J, Casals N. Buccal fat pad, an oral access source of human adipose stem cells with potential for osteochondral tissue engineering: an in vitro study. Tissue Eng Part C Methods. 2010; 16 (5): 1083-1093.

  14. Kevin C. Hicok. Human adipose-derived adult stem cells produce osteoid in vivo. Tissue Eng. 2004; 10: 371-380.




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