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[Prolapse of the buccal fat pad in infant]
Insights
Infants can suffer buccal fat pad prolapse from oral injuries. Surgical repair, either repositioning or removal, led to successful outcomes with no recurrence in two reported cases.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Trauma Surgery
Background:
- Buccal fat pad prolapse is a rare condition in infants, often resulting from trauma.
- Injuries from common objects like spoons or toothbrushes can cause this specific type of oral tissue displacement.
- Prompt and appropriate surgical intervention is crucial for managing such pediatric oral injuries.
Observation:
- Two infant cases of traumatic buccal fat pad prolapse were documented.
- The injuries were sustained from objects placed in the infants' mouths.
- Clinical presentation varied based on the time elapsed since injury and presence of infection.
Findings:
- Surgical treatment under local anesthesia was performed for both cases.
- The first case involved repositioning of fresh prolapsed tissue.
- The second case, presenting with infection after 3 days, required complete removal of the prolapsed tissue.
Implications:
- Successful surgical management of traumatic buccal fat pad prolapse in infants is achievable.
- Treatment strategies may differ based on tissue condition and time post-injury.
- Early intervention and appropriate surgical techniques can prevent recurrence and ensure favorable outcomes in pediatric oral trauma.
Abstract:
Two infant cases with traumatic prolapse of the buccal fat pad were presented. They suffered injuries from objects held in the mouth, such as a spoon and a tooth brush. Both received surgical treatment under local anesthesia, including closure of the wound with sutures. As the prolapsed tissue was fresh in the first case, it was repositioned. However, since the second case had passed 3 days after the accident and had a sign of infection, the prolapsed tissue was totally removed. Postoperative course was uneventful and there was no recurrence in both cases.