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KMID : 0355620120380020116
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2012 Volume.38 No. 2 p.116 ~ p.120
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Use of the pedicled buccal fat pad in the reconstruction of intraoral defects: a report of five cases
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Youn Tae-Gyun
Lee Choong-Sang
Kim Hye-Sun
Lim Kyoung-Min
Lee Seung-June
Kim Bong-Chul
Nam Woong
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Abstract
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The buccal fat pad is specialized fat tissue located anterior to the masseter muscle and deep to the buccinator muscle. Possessing a central body and four processes it provides separation allowing gliding motion between muscles, protects the neurovascular bundles from injuries, and maintains facial convexity. Because of its many advantageous functions, the use of the buccal fat pad during oral and maxillofacial procedures is promoted for the reconstruction of defects secondary to tumor resection, and those defects resulting from oroantral fistula caused by dento-alveolar surgery or trauma. We used the pedicled buccal fat pad in the reconstruction of intraoral defects such as oroantral fistula, maxillary posterior bone loss, or defects resulting from tumor resection. Epithelization of the fat tissue began 1 week after the surgery and demonstrated stable healing without complications over a long-term period. Thus, we highly recommend the use of this procedure.
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KEYWORD
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Buccal fat pad, Oral reconstruction, Oroantral fistula
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