Applicability of buccal fat pad grafting for oral reconstruction
Applicability of buccal fat pad grafting for oral reconstruction
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DOI：
10.1016/j.ijom.2012.07.009
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发表时间：
2013-05-01
影响因子：
2.4
通讯作者：
Sekine, J.
中科院分区：
文献类型：
--
作者：
Toshihiro, Y.;Nariai, Y.;Sekine, J.
本研究旨在评估带蒂颊脂垫移植修复口腔外科手术后缺损的可行性。2003年至2011年间，在23例患者（5例男性，18例女性;平均年龄68.3岁）中应用颊脂垫移植物。移植物用于覆盖腭、上颌骨、上牙龈、颊粘膜、下牙龈、口底和颞下颌关节区的手术缺损。手术缺损的大小范围为15 mm x 12 mm至30 mm x 40 mm;颊脂垫的大小范围为15 mm x 12 mm至43 mm x 38 mm。通过在初次手术后切开上颌前庭制备带蒂颊脂垫，并保留周围结缔组织，以便在手术期间为蒂提供营养。将颊脂垫置于软组织创面或骨表面，与缺损周围组织缝合。术后4周内观察到完全上皮化。随访期间无并发症或功能障碍。颊脂垫移植对于手术造成的缺损是可行的，并可延伸至腭部、下颌骨、口角及颞下颌关节区。
This study evaluated the applicability of pedicled buccal fat pad grafting for the reconstruction of defects surgically created during oral surgery. A buccal fat pad graft was applied in 23 patients (5 males, 18 females; mean age 68.3 years) between 2003 and 2011. The graft was used to cover surgical defects of the palate, maxilla, upper gingiva, buccal mucosa, lower gingiva, oral floor, and temporomandibular joint region. Size of the surgical defects ranged from 15 mm x 12 mm to 30 mm x 40 mm; size of the buccal fat pad ranged from 15 mm x 12 mm to 43 mm x 38 mm. A pedicled buccal fat pad was prepared by incising the maxillary vestibule following primary surgery, and the surrounding connective tissue was preserved to supply nutrition to the pedicle during surgery. The buccal fat pad was placed on the raw surface of soft tissue or bone surface and sutured to the surrounding tissue of the defect. Complete epithelialization was observed within 4 weeks postoperatively. There were no complications or functional disorders during follow-up. Buccal fat pad grafting appears to be feasible for the reconstruction of surgically induced defects, and can be extended to the palate, mandible, mouth angle, and temporomandibular joint region.