The use of buccal fat pad (BFP) as a pedicled graft in cleft palate surgery.
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The use of buccal fat pad (BFP) as a pedicled graft in cleft palate surgery. / Gröbe, Alexander; Eichhorn, W; Hanken, Henning; Precht, C; Schmelzle, Rainer; Heiland, Max; Blessmann, Marco.
In: INT J ORAL MAX SURG, Vol. 40, No. 7, 7, 2011, p. 685-689.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The use of buccal fat pad (BFP) as a pedicled graft in cleft palate surgery.
AU - Gröbe, Alexander
AU - Eichhorn, W
AU - Hanken, Henning
AU - Precht, C
AU - Schmelzle, Rainer
AU - Heiland, Max
AU - Blessmann, Marco
PY - 2011
Y1 - 2011
N2 - The buccal fat pad (BFP) as pedicled graft was originally used in reconstructing medium sized intraoral defects. Promising results concerning the use of BFP in cleft palate surgery have been published recently. The aim of this article is to report on the use of BFP as a pedicled graft in cleft palate surgery and to discuss promising results for this reconstructive surgical concept. A retrospective evaluation of 24 patients who had BFP pedicled flaps used for the prevention and repair of Type III (Pittsburgh Fistula Classification) cleft palate fistulas, to obstruct the retromolar space of Ernst and in case of wide clefts, from 2005 to 2010, was conducted. In all cleft palate patients, the recipient area fully epithelialized within 4 weeks or less. No recurrence was seen and the donor site healed well without aesthetic or significant functional impairment. This series confirms the excellent and predictable healing of BFP intraorally and the minimal morbidity associated with the use of such grafts. The results of this study allow the authors to recommend that the BFP pedicled flap is considered as a reliable alternative procedure to expand the therapeutic options. The BFP graft provides an advantage in reconstructive cleft palate surgery.
AB - The buccal fat pad (BFP) as pedicled graft was originally used in reconstructing medium sized intraoral defects. Promising results concerning the use of BFP in cleft palate surgery have been published recently. The aim of this article is to report on the use of BFP as a pedicled graft in cleft palate surgery and to discuss promising results for this reconstructive surgical concept. A retrospective evaluation of 24 patients who had BFP pedicled flaps used for the prevention and repair of Type III (Pittsburgh Fistula Classification) cleft palate fistulas, to obstruct the retromolar space of Ernst and in case of wide clefts, from 2005 to 2010, was conducted. In all cleft palate patients, the recipient area fully epithelialized within 4 weeks or less. No recurrence was seen and the donor site healed well without aesthetic or significant functional impairment. This series confirms the excellent and predictable healing of BFP intraorally and the minimal morbidity associated with the use of such grafts. The results of this study allow the authors to recommend that the BFP pedicled flap is considered as a reliable alternative procedure to expand the therapeutic options. The BFP graft provides an advantage in reconstructive cleft palate surgery.
KW - Humans
KW - Male
KW - Female
KW - Adolescent
KW - Treatment Outcome
KW - Child
KW - Follow-Up Studies
KW - Child, Preschool
KW - Infant
KW - Retrospective Studies
KW - Adipose Tissue/transplantation
KW - Cheek/surgery
KW - Cicatrix/prevention & control
KW - Cleft Palate/surgery
KW - Maxillary Diseases/prevention & control
KW - Oral Fistula/prevention & control
KW - Palatal Muscles/surgery
KW - Palate, Hard/pathology
KW - Palate, Soft/pathology
KW - Postoperative Complications/prevention & control
KW - Reconstructive Surgical Procedures/methods
KW - Surgical Flaps
KW - Transplant Donor Site/surgery
KW - Wound Healing/physiology
KW - Humans
KW - Male
KW - Female
KW - Adolescent
KW - Treatment Outcome
KW - Child
KW - Follow-Up Studies
KW - Child, Preschool
KW - Infant
KW - Retrospective Studies
KW - Adipose Tissue/transplantation
KW - Cheek/surgery
KW - Cicatrix/prevention & control
KW - Cleft Palate/surgery
KW - Maxillary Diseases/prevention & control
KW - Oral Fistula/prevention & control
KW - Palatal Muscles/surgery
KW - Palate, Hard/pathology
KW - Palate, Soft/pathology
KW - Postoperative Complications/prevention & control
KW - Reconstructive Surgical Procedures/methods
KW - Surgical Flaps
KW - Transplant Donor Site/surgery
KW - Wound Healing/physiology
M3 - SCORING: Journal article
VL - 40
SP - 685
EP - 689
JO - INT J ORAL MAX SURG
JF - INT J ORAL MAX SURG
SN - 0901-5027
IS - 7
M1 - 7
ER -