Skip to main content

Advertisement

Log in

Buccal Fat Pad Graft in Maxillofacial Surgery

  • Original Article
  • Published:
Indian Journal of Surgical Oncology Aims and scope Submit manuscript

Abstract

Despite the widespread use of pedicled buccal fat pad (BFP) flap in maxillofacial reconstruction, free nonvascular transfer of this fat is not widely used. Dermal fat transfer to the maxillofacial region is a known procedure with good results; however, it needs a skin incision in the donor site. Resorption of this graft is the other problem. Buccal fat with inherent resistance against resorption and ease of harvest is an interesting option. Six cases are reported in this article for the facial soft tissue augmentation in hemifacial microsomia, scar adhesion, temporal hallowing, and the release of TMJ bony ankylosis and check adhesion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

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

    Article  CAS  Google Scholar 

  2. Rahpeyma A, Khajehahmadi S (2017) Donor site morbidity in buccinator-based myomucosal flaps: a retrospective study. Asian J Surg 40:210–214

    Article  Google Scholar 

  3. Koc O, Tuz HH, Tosun E (2019) A novel use of buccal fat pad flap for immediate reconstruction of palatal tumor resection defect. J Craniofac Surg 30(7):e593–e595

    Article  Google Scholar 

  4. Thukral H, Roy Chowdhury SK, Nagori SA (2018) Surgical management of oral submucous fibrosis using buccal fat pad: a retrospective study of 30 cases. Oral Maxillofac Surg 22:403–408

    Article  Google Scholar 

  5. Fernando de Almeida Barros Mourao C (2019) Which treatments are best for oro-antral fistulae? Evid Based Dent 20:44–45

    Article  Google Scholar 

  6. Sahin O, Odabasi O, Ekmekcioglu C (2019) Ultrasonic piezoelectric bone surgery combined with L-PRF and pedicled buccal fat pad flap in denosumab-related osteonecrosis of the jaw. J Craniofac Surg 30(5):e434–e436

    Article  Google Scholar 

  7. Rahpeyma A, Khajehahmadi S (2018) Removal of maxillary sinus antrolith and concomitant intrasinus augmentation. J Craniofac Surg 29:e430–e432

    Article  Google Scholar 

  8. Seok H, Kim MK (2016) Reconstruction of partial maxillectomy defect with a buccal fat pad flap and application of 4-hexylresorcinol: a case report. J Korean Assoc Oral Maxillofac Surg 42:370–374

    Article  Google Scholar 

  9. Kumar D, Rattan V, Rai S, Yadav S, Sahu GR (2015) Reconstruction of anterior maxillary defect with buccal pad fat after excision of melanotic neuroectodermal tumor of infancy. Ann Maxillofac Surg 5:234–236

    Article  Google Scholar 

  10. 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 110:698–705

    Article  Google Scholar 

  11. Grover HS, Shukla S, Chug A, Singh K (2018) Root coverage with buccal fat pad placed on restored cervical abrasion: case report with three-year follow-up. J Indian Soc Periodontol 22:182–186

    Article  Google Scholar 

  12. de Castro CH, de Souza LN, Fernandes Santos Melo M (2015) Use of the buccal fat pad as free graft for closure of oronasal fistula in a cleft palate patient. J Craniofac Surg 26:e14-16

    Article  Google Scholar 

  13. Kablan F (2015) The use of Buccal fat pad free graft in regenerative treatment of peri-implantitis: a new and predictable technique. Annals Maxillofac Surg 5:179–184

    Article  Google Scholar 

  14. 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 SRA 32:427–436

    Article  Google Scholar 

  15. Manuel S, Kumar S, Nair PR (2015) The versatility in the use of buccal fat pad in the closure of oro-antral fistulas. J Maxillofac Oral Surg 14:374–377

    Article  Google Scholar 

  16. Kim SY, Alfafara A, Kim JW, Kim SJ (2017) Traumatic buccal fat pad herniation in young children: a systematic review and case report. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg 75:1926–1931

    Article  Google Scholar 

  17. Hines N, Lantos G (2006) Herniation of the buccal fat pad into the maxillary antrum: CT findings in three cases. AJNR Am J Neuroradiol 27:936–937

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Khojasteh A, Hosseinpour S (2019) Buccal fat pad-derived stem cells with anorganic bovine bone mineral scaffold for augmentation of atrophic posterior mandible: an exploratory prospective clinical study. Clin Implant Dent Relat Res 21:292–300

    Article  Google Scholar 

  19. Bennett KG, Thurston TE, Vercler CJ, Kasten SJ, Buchman SR (2017) Harvesting the buccal fat pad does not result in aesthetic deformity in cleft patients: a retrospective analysis. Plast Reconstr Surg 140:362–368

    Article  CAS  Google Scholar 

  20. Sinclair N, Gharb BB, Papay F, Rampazzo A (2019) Soft tissue reconstruction in patients with hemifacial microsomia: a systematic review of the literature. J Craniofac Surg 30:879–887

    Article  Google Scholar 

  21. Kim JT, Sasidaran R (2017) Buccal fat pad: an effective option for facial reconstruction and aesthetic augmentation. Aesthetic Plast Surg 41:1362–1374

    Article  Google Scholar 

  22. Prodinger PM, Windisch G, Hammer GP, Anderhuber F, Friedrich G (2009) Lipoaugmentation of the vocal folds: a survey on alternative donor sites for graft harvesting. J Voice Off J Voice Found 23:625–630

    Article  Google Scholar 

  23. Neder A (1983) Use of buccal fat pad for grafts. Oral Surg Oral Med Oral Pathol 55:349–350

    Article  CAS  Google Scholar 

  24. McNichols CH, Hatef DA, Cole P, Hollier LH, Thornton JF (2012) Contemporary techniques for the correction of temporal hollowing: augmentation temporoplasty with the classic dermal fat graft. J Craniofac Surg 23:e234-238

    Article  Google Scholar 

  25. 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 Off J Am Assoc Oral Maxillofac Surg 69:2530–2536

    Article  Google Scholar 

  26. Cakarer S, Isler SC, Yalcin BK, Diracoglu D, Uzun A, Sitilci T (2018) Autogenous dermis-fat graft in temporomandibular joint ankylosis surgery. Ann Maxillofac Surg 8:162–165

    Article  Google Scholar 

  27. Movahed R, Mercuri LG (2015) Management of temporomandibular joint ankylosis. Oral Maxillofac Surg Clin North Am 27:27–35

    Article  Google Scholar 

  28. Wolford LM, Karras SC (1997) Autologous fat transplantation around temporomandibular joint total joint prostheses: preliminary treatment outcomes. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg 55:245–251 (discussion 251-242)

    Article  CAS  Google Scholar 

  29. Toshihiro Y, Nariai Y, Takamura Y et al (2013) Applicability of buccal fat pad grafting for oral reconstruction. Int J Oral Maxillofac Surg 42:604–610

    Article  CAS  Google Scholar 

  30. Echlin K, Whitehouse H, Schwaiger M, Nicholas R, Fallico N, Atherton DD (2020) A cadaveric study of the buccal fat pad: implications for closure of palatal fistulae and donor-site morbidity. Plast Reconstr Surg 146:1331–1339

    Article  CAS  Google Scholar 

  31. Coleman SR (2006) Structural fat grafting: more than a permanent filler. Plast Reconstr Surg 118:108s–120s

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Saeedeh khajehahmadi.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rahpeyma, A., khajehahmadi, S. Buccal Fat Pad Graft in Maxillofacial Surgery. Indian J Surg Oncol 12, 802–807 (2021). https://doi.org/10.1007/s13193-021-01436-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13193-021-01436-z

Keywords

Navigation