The extent of the defect that was replaced by NLF along with BFP was much wider with minimal tension in comparison with buccal fat pad or nasolabial flap alone.
Regarding cheek flexibility, the cheeks were soft and elastic in areas covered by nasolabial flap 6 months postoperatively where as in areas covered by buccal fat pad it was slight fibrous and less elastic.
The Buccal Fat Pad (BFP) was exposed through a horizontal incision posterior to zygomatic buttress through the reflected flap.
Buccal fat pad with skin graft was first used by Egyedi in closure of maxillary defects.
The buccal fat pad is attached by 6 ligaments to the maxilla, posterior zygoma, and inner and outer rims of the infra-orbital fissure, temporalis tendon and buccinator membrane.
The parotid duct passes along the lateral surface of the buccal fat pad or penetrates the body of the fat pad before it opens on the buccinator muscle.
Functional Reconstruction Of Maxilla With Pedicled Buccal Fat Pad Flap, Prefabricated Titanium Mesh And Autologous Bone Grafts.
Use Of The Buccal Fat Pad In The Reconstruction And Prosthetic Rehabilitation Of Oncological.
Traumatic prolapse of the buccal fat pad (traumatic pseudolipoma): a case report and literature review.
Herniation of buccal fat pad, report of a clinical case in a 5 year old patient.
Key Words: Buccal fat pad, Bichat's fat pad, oral defects, oral defects reconstruction, maxillectomy defects.
Various techniques have been suggested for the closure e-g buccal mucosal graft, split thickness graft , allogenic graft, tongue flaps, fibromucosal plate flaps (the push back technique), facial artery musculo-mucosal flaps (FAMM Flap) , temporal muscle flaps and buccal fat pad flap.
Common flaps to accomplish this closure include buccal advancement flap, buccal fat pad
flap, buccal advancement closure over a metal foil, palatal rotation flap and palatal is- land flaps.
Utilization of the buccal fat pad
for closure of oroantral fistula and/or oro-nasal communications.
Repair of palatal defects with inclined buccal fat pad