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http://dx.doi.org/10.14402/jkamprs.2013.35.3.174

Surgical Management of Bisphosphonate Related Osteonecrosis of the Jaw Using Pedicled Buccal Fat Pad Flap  

Lee, Jang-Ha (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
Kim, Min-Keun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
Kim, Seong-Gon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
Park, Sang-Wook (Department of Dentistry, Hallym University Kangnam Sacred Heart Hospital)
Park, Young-Ju (Department of Dentistry, Hallym University Kangnam Sacred Heart Hospital)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.35, no.3, 2013 , pp. 174-177 More about this Journal
Abstract
Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a disease characterized by jaw necrosis and delayed wound healing in patients who had received bisphosphonates. Buccal fat pad (BFP) can be used as a pedicled flap in the posterior region of the oral cavity. BFP pedicle flap needs simple surgical technique and it shows less donor site morbidity and aesthetic problem than other vascularized flap. BFP pedicled flap was fed by 3 arteries-facial, internal maxillary, and transverse facial artery. Osteomyelitis was generally related with poor blood supply. Thus, rich blood supply of BFP pedicle flap can have a potential advantage to BRONJ patients. In this case report, we presented 3 BRONJ patients treated by BFP pedicle flap after sequestrectomy.
Keywords
Bisphosphonate-associated osteonecrosis of the jaw; Surgical treatment; Pedicled buccal fat pad flap;
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