Department of Oral & Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India.
Department of Oral & Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India.
J Stomatol Oral Maxillofac Surg. 2024 Feb;125(1):101619. doi: 10.1016/j.jormas.2023.101619. Epub 2023 Sep 4.
The role of buccal fat pad (BFP) as interpositional material in the temporomandibular joint ankylosis (TMJA) have been well documented. The purpose of the present systematic review is to reinforce the role of buccal fat pad as interpositional material in preventing re-ankylosis. A systematic search was conducted in PubMed, Google Scholar, Semantic scholar and Cochrane library database from 1980 to 2022 following the PRISMA guidelines. The studies using BFP as interpositional material in TMJA with more than 10 patients with atleast a follow-up of 6-months were included. All the human studies {prospective, retrospective, case reports/series (with more than 10 subjects), randomized or non-randomized trial) reporting the outcome of BFP as interpositional material were included. The present systematic review included 11 studies (prospective=7, Retrospective=3 and ambispective=1) using BFP as interpositional material. The total number of patients were 205. The number of unilateral TMJA and bilateral TMJA were 153 and 52 respectively, making a number of joint to 257. The distribution of gender was almost equal (few studies did not report the gender distribution). The minimum follow-up was 6-months and extended up to 5.3 years. Out of 205 patients, no re-ankylosis was reported in patients. The authors concluded that the BFP is nearly ideal and a preferred interpositional material to prevent re-ankylosis in temporomandibular joint ankylosis. Its vicinity to TMJ, ease of harvesting through the same surgical site and avoiding other scar makes it a preferred interpositional material in TMJA cases.
颊脂垫（BFP）作为颞下颌关节强直（TMJA）的间置物的作用已有充分的文献记载。本系统评价的目的是强化颊脂垫作为预防再粘连的间置物的作用。按照 PRISMA 指南，我们在 PubMed、Google Scholar、Semantic scholar 和 Cochrane library 数据库中进行了系统搜索。纳入了使用 BFP 作为 TMJA 间置物的研究，这些研究有超过 10 例患者，随访时间至少为 6 个月。纳入了所有使用 BFP 作为间置物的人类研究（前瞻性、回顾性、病例报告/系列（超过 10 例）、随机或非随机试验），报告了 BFP 作为间置物的结果。本系统评价纳入了 11 项研究（前瞻性=7 项，回顾性=3 项，混合前瞻性=1 项），使用 BFP 作为间置物。患者总数为 205 例。单侧 TMJA 和双侧 TMJA 的数量分别为 153 例和 52 例，共计 257 个关节。性别分布几乎相等（少数研究未报告性别分布）。随访时间最短为 6 个月，最长为 5.3 年。在 205 例患者中，没有报告患者出现再粘连。作者得出结论，BFP 几乎是理想的，是预防颞下颌关节强直再粘连的首选间置物。它靠近 TMJ，可通过同一手术部位轻松采集，避免了其他疤痕，使其成为 TMJA 病例中首选的间置物。
