Traumatic herniation of the buccal fat pad
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Published on: August 15, 2025
N Horie1, T Shimoyama, T Kaneko
1Department of Oral Surgery, Saitama Medical Center, Saitama Medical School, Saitama, Japan.
Insights
Traumatic herniation of the buccal fat pad is rare, often affecting young children. Surgical repositioning or excision successfully treated two cases with no recurrence, highlighting effective management strategies for this pediatric injury.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Traumatology
- Plastic Surgery
Background:
- Traumatic herniation of the buccal fat pad is an uncommon injury.
- It typically results from penetrating trauma to the oral mucosa and buccinator muscle.
- The condition is most frequently observed in infants and young children.
Observation:
- Two pediatric cases of traumatic buccal fat pad herniation are presented.
- In the first case, the herniated fat pad was surgically repositioned.
- In the second case, the herniated fat pad was surgically excised.
Findings:
- Both surgical interventions, repositioning and excision, resulted in successful outcomes.
- No recurrence of the herniation was observed in either case following surgical management.
- This suggests that surgical repair is an effective treatment for traumatic buccal fat pad herniation.
Implications:
- These findings support surgical intervention as a viable treatment option for traumatic buccal fat pad herniation in children.
- The study underscores the importance of prompt diagnosis and appropriate surgical management to prevent recurrence.
- Further research could explore long-term outcomes and optimal surgical techniques for this rare condition.
Abstract:
Two new cases of traumatic herniation of the buccal fat pad are presented. The herniated fat pad was repositioned in case 1 and was excised in case 2. There was no recurrence after surgery in each case. Reviewing the literature, the lesion usually occurred in infants or young children under the age of 4 years as a result of traumatic penetration of the buccal mucosa and buccinator muscle with a foreign object.
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