Clinical analysis of 19 cases of maxillary local tissue defects repaired by buccal fat pad flaps
Objective To investigate the clinical effect of buccal fat pad flaps on the restoration of maxillary defects. Methods Nineteen cases with oral-nasal communications and maxillary soft and hard tissue defects ranging from 3.0 cm×2.0 cm-5.0 cm×4.0 cm after resection of the primary tumor foci were repai...
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| Format: | Article |
| Language: | zho |
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Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases
2022-09-01
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| Series: | 口腔疾病防治 |
| Subjects: | |
| Online Access: | http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2022.09.007 |
| _version_ | 1811332915046383616 |
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| author | LIU Yingkun LI Jia TAO Boqiang MIN Fenghe LIU Weiwei |
| author_facet | LIU Yingkun LI Jia TAO Boqiang MIN Fenghe LIU Weiwei |
| author_sort | LIU Yingkun |
| collection | DOAJ |
| description | Objective To investigate the clinical effect of buccal fat pad flaps on the restoration of maxillary defects. Methods Nineteen cases with oral-nasal communications and maxillary soft and hard tissue defects ranging from 3.0 cm×2.0 cm-5.0 cm×4.0 cm after resection of the primary tumor foci were repaired with a pedicled buccal fat pad flap, and the maxillary sinus cavity and oral-nasal communication were closed. The survival, healing and complications of the flap were observed during the 3-month follow-up. Results The buccal fat pad flaps of 19 patients all survived. Five days after the operation, the buccal fat pad flap was dark red with slight edema, and the maxillary defect area collapsed. Ten days after the operation, most of the buccal fat pad flap turned pink, and the collapse was alleviated. One month after the operation, the buccal fat pad flap had no obvious collapse, and its surface was epithelialized, with a shape and color close to those of the normal mucosa. The opening was slightly limited. Three months after the operation, the buccal fat pad flap was completely epithelialized, with no difference from the surrounding tissue, and the opening was approximately 3 transverse fingers. No complications, such as swelling and necrosis of the buccal fat pad flap, limitation of mouth opening, maxillary sinus fistulas, oral-nasal communications and facial changes occurred in 19 patients within 3 months after the operation. Conclusion The application of a buccal fat pad flap has a good effect to repair maxillary tissue defects and close oral maxillary sinus communication with diameters less than 5 cm, so it can be widely used in the clinic. |
| first_indexed | 2024-04-13T16:44:13Z |
| format | Article |
| id | doaj.art-e59ea26d7c4a45b0b76fb4dd0a9080a1 |
| institution | Directory Open Access Journal |
| issn | 2096-1456 |
| language | zho |
| last_indexed | 2024-04-13T16:44:13Z |
| publishDate | 2022-09-01 |
| publisher | Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases |
| record_format | Article |
| series | 口腔疾病防治 |
| spelling | doaj.art-e59ea26d7c4a45b0b76fb4dd0a9080a12022-12-22T02:39:08ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562022-09-0130965866210.12016/j.issn.2096-1456.2022.09.007Clinical analysis of 19 cases of maxillary local tissue defects repaired by buccal fat pad flapsLIU Yingkun0LI Jia1TAO Boqiang2MIN Fenghe3LIU Weiwei4Second Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin UniversityDepartment of Oral and Maxillofacial Surgery Out-patient, Hospital of Stomatology, Jilin UniversitySecond Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin UniversitySecond Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin UniversitySecond Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin UniversityObjective To investigate the clinical effect of buccal fat pad flaps on the restoration of maxillary defects. Methods Nineteen cases with oral-nasal communications and maxillary soft and hard tissue defects ranging from 3.0 cm×2.0 cm-5.0 cm×4.0 cm after resection of the primary tumor foci were repaired with a pedicled buccal fat pad flap, and the maxillary sinus cavity and oral-nasal communication were closed. The survival, healing and complications of the flap were observed during the 3-month follow-up. Results The buccal fat pad flaps of 19 patients all survived. Five days after the operation, the buccal fat pad flap was dark red with slight edema, and the maxillary defect area collapsed. Ten days after the operation, most of the buccal fat pad flap turned pink, and the collapse was alleviated. One month after the operation, the buccal fat pad flap had no obvious collapse, and its surface was epithelialized, with a shape and color close to those of the normal mucosa. The opening was slightly limited. Three months after the operation, the buccal fat pad flap was completely epithelialized, with no difference from the surrounding tissue, and the opening was approximately 3 transverse fingers. No complications, such as swelling and necrosis of the buccal fat pad flap, limitation of mouth opening, maxillary sinus fistulas, oral-nasal communications and facial changes occurred in 19 patients within 3 months after the operation. Conclusion The application of a buccal fat pad flap has a good effect to repair maxillary tissue defects and close oral maxillary sinus communication with diameters less than 5 cm, so it can be widely used in the clinic.http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2022.09.007maxillary neoplasmpalatal pleomorphic adenomapalatal mucoepidermoid carcinomaresectionmaxillary sinus fistulaoral-nasal communicationtissue defectbuccal fat pad flaprepair |
| spellingShingle | LIU Yingkun LI Jia TAO Boqiang MIN Fenghe LIU Weiwei Clinical analysis of 19 cases of maxillary local tissue defects repaired by buccal fat pad flaps 口腔疾病防治 maxillary neoplasm palatal pleomorphic adenoma palatal mucoepidermoid carcinoma resection maxillary sinus fistula oral-nasal communication tissue defect buccal fat pad flap repair |
| title | Clinical analysis of 19 cases of maxillary local tissue defects repaired by buccal fat pad flaps |
| title_full | Clinical analysis of 19 cases of maxillary local tissue defects repaired by buccal fat pad flaps |
| title_fullStr | Clinical analysis of 19 cases of maxillary local tissue defects repaired by buccal fat pad flaps |
| title_full_unstemmed | Clinical analysis of 19 cases of maxillary local tissue defects repaired by buccal fat pad flaps |
| title_short | Clinical analysis of 19 cases of maxillary local tissue defects repaired by buccal fat pad flaps |
| title_sort | clinical analysis of 19 cases of maxillary local tissue defects repaired by buccal fat pad flaps |
| topic | maxillary neoplasm palatal pleomorphic adenoma palatal mucoepidermoid carcinoma resection maxillary sinus fistula oral-nasal communication tissue defect buccal fat pad flap repair |
| url | http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2022.09.007 |
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