Pak Kaitlynne Y, Nadeem Wasiq, Yeshoua Brandon, Lee Jay, Mallen-St Clair Jon
Division of Otolaryngology, Head and Neck Surgery, Cedars Sinai Medical Center, Los Angeles, CA.
UT Health San Antonio, Long School of Medicine, San Antonio, TX.
J Craniofac Surg. 2025 May 1;36(3):985-986. doi: 10.1097/SCS.0000000000010849. Epub 2024 Nov 8.
The pedicled buccal fat flap (PBFF) is a versatile and robust regional flap used for a variety of maxillofacial reconstructions. However, recent literature has questioned the popularity of this flap. The goal of this single-instruction, retrospective study is to review the outcomes and complications of the PBFF. Our study included 27 patients and 28 PBFFs with 13 males, 14 females, and an average age of 68. The most common primary pathologies included squamous cell carcinoma and a fistula (oroantral or oronasal). Persistent postoperative complications were experienced in 31.3% of the cohort. The most common subsite was the retromolar trigone, and the higher complication rates per subsite were noted in the hard and soft palate groups (66.7% each). Higher total complication rates were seen in cases of SCC and fistula (33.3% each). Our study demonstrates the low morbidity and high tolerance of the procedure despite a patient having older age, significant comorbidities (67.9%), smoking history (60.7%), preoperative radiation (17.9%), and postoperative radiation (28.6%). The authors conclude the PBFF remains a durable and reliable reconstructive option in a variety of patient cases.
带蒂颊脂瓣（PBFF）是一种用途广泛且可靠的局部皮瓣，用于多种颌面重建。然而，最近的文献对该皮瓣的受欢迎程度提出了质疑。这项单指令回顾性研究的目的是回顾PBFF的治疗效果和并发症。我们的研究纳入了27例患者和28个PBFF，其中男性13例，女性14例，平均年龄68岁。最常见的原发性病变包括鳞状细胞癌和瘘管（口腔鼻窦或口鼻瘘）。31.3%的队列患者出现了持续性术后并发症。最常见的亚部位是磨牙后三角区，硬腭组和软腭组每个亚部位的并发症发生率较高（均为66.7%）。鳞状细胞癌和瘘管病例的总并发症发生率较高（均为33.3%）。我们的研究表明，尽管患者年龄较大、合并症严重（67.9%）、有吸烟史（60.7%）、术前接受过放疗（17.9%）和术后接受过放疗（28.6%），但该手术的发病率较低且耐受性较高。作者得出结论，在各种患者病例中，PBFF仍然是一种持久且可靠的重建选择。
