Chaudhary Bikash, Gong Zhongcheng, Lin Zhaoquan, Abbas Keremu, Ling Bin, Liu Hui
From the *Oncology Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University; and †Oncology Department of Oral & Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, Stomatology School of Xinjiang Medical University, Urumqi, Xinjiang, P. R. China.
J Craniofac Surg. 2014 Nov;25(6):2174-7. doi: 10.1097/SCS.0000000000001075.
The aim of the study was to evaluate the efficacy of the buccal fat pad (BFP) in the reconstruction of various intraoral maxillary defects as well as the success, anatomy, healing process, merits, demerits, and complications of this technique.
The study was conducted in the Oral and Maxillofacial Surgery Department of the First Affiliated Hospital of of Xinjiang Medical University, China, between 2007 and 2013. The BFP was used as a pedicled graft in the reconstruction of small to medium-sized intraoral defects in patients (18 men and 9 women) ranging in age from 2 to 70 years (mean age, 36 y). The criterion taken for successful graft reconstruction was the complete epithelialization of the graft or complete closure of the perforation.
All 27 intraoral maxillary defect patients were adequately repaired. After surgery, all patients had a favorable wound healing in their first month of follow-up. The surface changed from the typical fatty yellow to a pale yellow-white color after 3 to 4 days, and all fatty surfaces were covered by newly formed reepithelized mucosa in 3 to 4 weeks. The mouth opening and graft was also satisfactory in 7 patients who received adjuvant radiotherapy for carcinoma. So, we conclude that the use of BFP in intraoral maxillary defects is a clinically effective, convenient, safe, and quick method of repair for small to medium-sized defects.
本研究的目的是评估颊脂垫（BFP）在修复各种上颌骨口腔内缺损中的疗效，以及该技术的成功率、解剖结构、愈合过程、优缺点和并发症。
本研究于2007年至2013年在中国新疆医科大学第一附属医院口腔颌面外科进行。将BFP用作带蒂移植物，用于修复年龄在2至70岁（平均年龄36岁）的患者（18名男性和9名女性）的中小型口腔内缺损。移植物重建成功的标准是移植物完全上皮化或穿孔完全闭合。
27例上颌骨口腔内缺损患者均得到充分修复。术后，所有患者在随访的第一个月伤口愈合良好。术后3至4天，表面从典型的脂肪黄色变为淡黄白色，所有脂肪表面在3至4周内被新形成的再上皮化黏膜覆盖。7例接受癌症辅助放疗的患者的开口和移植物情况也令人满意。因此，我们得出结论，在修复中小型上颌骨口腔内缺损时，使用BFP是一种临床有效、方便、安全且快速的修复方法。
