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Evaluation of versatility and effectiveness of pedicled buccal fat pad used in the reconstruction of intra oral defects.
[oral submucous fibrosis]
The
use
of
buccal
fat
pad
as
a
grafting
source
in
the
closure
of
intraoral
defects
has
gained
popularity
in
the
last
quarter
of
this
century
.
Because
of
the
ease
of
access
and
rich
blood
supply
,
its
use
in
oral
defects
is
an
attractive
concept
.
The
study
comprised
of
8
patients
with
oral
submucous
fibrosis
,
1
patient
with
oroantral
fistula
,
1
patient
with
verrucous
hyperplasia
.
The
acquired
oral
defects
following
resection
of
pathology
in
the
oral
cavity
,
were
reconstructed
with
pedicled
buccal
fat
pad
.
The
Post
operative
follow
up
at
the
intervals
of
1
st
,
7
th
and
15
th
day
,
followed
by
1
st
month
,
2nd
month
and
3rd
month
was
done
.
The
procedure
was
successful
in
all
the
patients
.
Healing
was
satisfactory
with
no
breakdown
or
liquefaction
necrosis
post
operatively
.
All
the
patients
had
definitive
colour
change
at
the
end
of
1
st
post
operative
month
owing
to
the
epithelialisation
.
Residual
defect
was
present
in
one
patient
diagnosed
of
verrucous
hyperplasia
on
the
1
st
and
the
7
th
post
operative
day
which
subsequently
healed
.
In
8
patients
with
oral
submucous
fibrosis
post
operative
mouth
opening
was
measured
in
and
was
observed
to
be
in
the
range
of
12
-
26
Â
mm
on
the
1
st
post
operative
day
and
34
-
42
Â
mm
during
3rd
month
post
operatively
.
The
results
of
this
study
support
the
view
that
the
use
of
buccal
fat
pad
is
a
simple
,
convenient
and
reliable
method
for
the
reconstruction
of
small
to
medium
sized
intra
oral
defects
.
