Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

THE USE OF BUCCAL FAT PAD AS A PEDICLED GRAFT FOR THE RECONSTRUCTION OF ORAL MUCOSAL DEFECT

구강점막 결손 재건시 유경협지방대이식술의 임상적 적용

  • Lee, Dong-Soo (Dept. of OMFS, College of Dentistry, Kyungpook National University) ;
  • Kim, Chin-Soo (Dept. of OMFS, College of Dentistry, Kyungpook National University) ;
  • Lee, Sang-Han (Dept. of OMFS, College of Dentistry, Kyungpook National University) ;
  • Jang, Hyun-Jung (Dept. of OMFS, College of Dentistry, Kyungpook National University) ;
  • Choi, Jae-Kab (Dept. of Oral Medicine, College of Dentistry, Kyungpook National University) ;
  • Ki, Woo-Cheon (Dept. of Oral Medicine, College of Dentistry, Kyungpook National University)
  • 이동수 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 김진수 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 이상한 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 장현중 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 최재갑 (경북대학교 치과대학 구강내과학교실) ;
  • 기우천 (경북대학교 치과대학 구강내과학교실)
  • Received : 1998.06.03
  • Accepted : 1998.09.15
  • Published : 1998.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Various local flaps and distant flaps including tongue flap, palatal island flap, and buccal flap as well as skin grafts have been used for the reconstruction of oral mucosal defect. In the posterior region of oral cavity and the buccal cheek area, buccal fat pad can be used as a pedicled graft. The buccal fat pad is different from other subcutaneous fat tissue and it is easily accessible. There are many advantages in pedicled buccal fat pad graft for the closure of oral mucosal defect. The procedure is easy, there is no visible scar in the donor site, it is capable of reconstruction of various contour, and it has good viability. We had used buccal fat pad as a pedicled graft for the closure of oral mucosal defect after the excision of tumor and the oroantral fistula. From the results of these cases, we concluded that the use of the buccal fat pad flaps was worth of the consideration for the reconstruction of oral mucosal defect in the regions of the buccal cheek, and posterior oral cavity.

Keywords