Hwang Dae-Seok, Park Jinyoung, Kim Uk-Kyu, Park Hae-Ryoun, Kim Gyoo-Cheon, Ryu Mi-Heon
1Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University Dental Hospital, 20, Geumo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do South Korea.
2Institute of Translational Dental Sciences, Pusan National University, Yangsan, South Korea.
Maxillofac Plast Reconstr Surg. 2018 May 25;40(1):11. doi: 10.1186/s40902-018-0150-8. eCollection 2018 Dec.
Squamous cell carcinoma (SCC) is the most commonly occurring malignant tumor in the oral cavity. In South Korea, it occurs most frequently in the mandible, tongue, maxilla, buccal mucosa, other areas of the oral cavity, and lips. Radial forearm free flap (RFFF) is the most widely used reconstruction method for the buccal mucosal defect. The scar of the forearm donor, however, is highly visible and unsightly, and a secondary surgical site is needed when such technique is applied. For these reasons, buccal fat pad (BFP) flap has been commonly used for closing post-surgical excision sites since the recent decades because of its reliability, ease of harvest, and low complication rate.
In the case reported herein, BFP flap was used to reconstruct a cheek mucosal defect after excision. The defect was completely covered by the BFP flap, without any complications.
Discussed herein is the usefulness of BFP flap for the repair of the cheek mucosal defect. Also, further studies are needed to determine the possibility of using BFP flap when the defect is deep, and the maximum volume that can be harvested considering the changes in volume with age.
鳞状细胞癌（SCC）是口腔中最常见的恶性肿瘤。在韩国，它最常发生于下颌骨、舌、上颌骨、颊黏膜、口腔其他部位及唇部。桡侧前臂游离皮瓣（RFFF）是颊黏膜缺损最常用的修复方法。然而，前臂供区的瘢痕非常明显且不美观，应用该技术时需要一个二次手术部位。由于这些原因，近几十年来颊脂垫（BFP）瓣因其可靠性、易于切取及低并发症发生率，常用于关闭手术后切除部位。
在本文报道的病例中，BFP瓣用于切除术后颊黏膜缺损的修复。缺损被BFP瓣完全覆盖，无任何并发症。
本文讨论了BFP瓣修复颊黏膜缺损的实用性。此外，还需要进一步研究以确定当缺损较深时使用BFP瓣的可能性，以及考虑到随年龄变化的体积变化所能切取的最大体积。
