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Buccal Fat Pad Graft in Maxillofacial Surgery
Amin Rahpeyma1,2, Saeedeh Khajehahmadi3,4
1Oral & Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Indian Journal of Surgical Oncology
|February 3, 2022
Summary
Free buccal fat pad (BFP) transfer offers a promising solution for facial soft tissue augmentation, showing resistance to resorption and ease of harvest. This technique is effective for various maxillofacial reconstruction needs.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Regenerative Medicine
Background:
- Pedicled buccal fat pad (BFP) flaps are common in maxillofacial reconstruction.
- Free nonvascular transfer of BFP is less utilized.
- Dermal fat grafts cause donor site morbidity and resorption.
Purpose of the Study:
- To evaluate the efficacy of free nonvascular buccal fat pad transfer for facial soft tissue augmentation.
- To explore BFP's potential as an alternative to dermal fat grafts.
Main Methods:
- Retrospective case series of six patients.
- Free nonvascular transfer of buccal fat pad for facial soft tissue augmentation.
- Indications included hemifacial microsomia, scar adhesion, temporal hollowing, and TMJ ankylosis release.
Main Results:
- Buccal fat pad demonstrated inherent resistance to resorption.
- The procedure was technically straightforward with ease of harvest.
- Successful soft tissue augmentation was achieved in all reported cases.
Conclusions:
- Free nonvascular buccal fat pad transfer is a viable and effective option for maxillofacial soft tissue augmentation.
- BFP offers advantages over dermal fat grafts, including reduced resorption and donor site morbidity.
- Further research is warranted to establish its role in reconstructive surgery.
