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The buccal fat pad in recostruction of malignant lesions of the oral cavity: our experience on 31 cases

Authors
Journal
BMC Geriatrics
1471-2318
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Volume
10
Identifiers
DOI: 10.1186/1471-2318-10-s1-a59
Keywords
  • Meeting Abstract
Disciplines
  • Biology
  • Medicine

Abstract

The buccal fat pad in recostruction of malignant lesions of the oral cavity: our experience on 31 cases MEETING ABSTRACT Open Access The buccal fat pad in recostruction of malignant lesions of the oral cavity: our experience on 31 cases M Giudice*, A Giudice, W Colangeli, M G Cristofaro From de Senectute: Age and Health Forum Catanzaro, Italy. 5-7 December 2009 Background The use of the Buccal Fat Pad (BFP) as a pedicled graft in the closure of intra-oral defects after oncological resections has gained in popularity, it is probably due to the ease of access, the rich blood supply and the low morbidity. The purpose of this study is to show our clinical experience and the results related to the use of the BFP in the repair selective malignant lesions of the oral cavity. Material and methods This study included a series of 31 patients, from January 2001 to January 2009, with BFP primary reconstruction after medium intraoral malignant lesions excision. After tumors excision, the BFP was gently exposed in the region of the molars by blunt dissection with the goal of keeping the fascial envelope intact and to preserve BFP vascular supply. The graft is then sutured covering the defect margins by interrupted resorbable sutures (Figure 1). The success criterion was the complete epithelialization of the graft and the absence of the graft’s infection and fistulae occurrences. All the patients underwent primary closure of defects with the buccal fat pad. Four patients who underwent the operation also had adjuvant radiotherapy. Patients underwent one year follow-up. Results All intraoral defects were adequately repaired but there was partial loss of the BFP in one case and complete loss in another (Table 1). Patients with an uneventful immediate postoperative period had signs of BFP epithelialization by the end of the first week. One month later, most of the patients had the BFP replaced by a thin whitish streak covered by normal mucosa, with very minimal fibrosis. The mouth opening was sa

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