Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, Nigeria.
Cleft Palate Craniofac J. 2024 Jul;61(7):1116-1124. doi: 10.1177/10556656231155768. Epub 2023 Feb 9.
To review the available evidence on the use of the Buccal Fat Pad in primary and secondary Cleft Palate repair.
This is a narrative review. A computerized literature search was conducted for articles published till February 2022 using the Mesh phrases buccal fat pad AND cleft palate, Bichat's Fat pad AND cleft palate, buccal fat pad OR Bichats Fat pad AND cleft palate.
A total of 35 articles were included in this review based on the set eligibility criteria. Most of the studies were retrospective case reviews (n = 16, 45.7%), and the aggregate number of patients from all included studies was 666. Reported uses of the buccal fat pad (BFP) in association with cleft palate repair include the closure of central cleft palate defect and nasal floor in primary cleft palate repair, oronasal fistula repair following primary repair of cleft palate, and closure of relieving incision defect in primary repair of cleft palate. Complications reported were 24 cases of Oronasal Fistula (ONF), 2 dehiscences, and 4 transient mucosal defects.
The high success rate, vascularity, ease of tissue harvest, and low donor site morbidity all support its use as an adjunct flap in cleft palate repair, especially in the closure of wide palatal clefts, to prevent post-palatal repair fistula, wound contracture, and subsequently velopharyngeal insufficiency and possibly midface hypoplasia.
回顾颊脂垫在原发性和继发性腭裂修复中的应用证据。
这是一篇叙述性综述。使用 Mesh 短语“颊脂垫和腭裂”、“Bichat 脂肪垫和腭裂”、“颊脂垫或 Bichat 脂肪垫和腭裂”，对截止 2022 年 2 月发表的文章进行了计算机文献检索。
根据设定的纳入标准，本综述共纳入 35 篇文章。大多数研究为回顾性病例分析（n=16，45.7%），所有纳入研究的患者总数为 666 例。报道的颊脂垫（BFP）在腭裂修复中的应用包括：原发性腭裂修复中关闭中央腭裂缺损和鼻底；原发性腭裂修复后修复口鼻腔瘘；原发性腭裂修复中缓解切口的闭合。报道的并发症有 24 例口鼻腔瘘（ONF）、2 例裂开和 4 例短暂性黏膜缺损。
BFP 具有较高的成功率、血管化程度、组织采集容易和较低的供区并发症发生率，支持其作为腭裂修复的辅助皮瓣，尤其是在关闭宽的腭裂时，以预防腭裂修复后的后腭瘘、伤口挛缩，进而导致腭咽闭合不全和可能的面中部发育不良。
