Evaluation of the face configuration changes during extrusion of the buccal fat pad. Pilot study

Vasil’ev, Yu.L.; Zhidkov, R.A.; Tsitsiashvili, A.M.; Smilyk, I.M.; Glinskii, A.V.; Fakhrislamova, L.R.

doi:10.17116/operhirurg2023704125

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…In this regard, the main concern of practicing dental surgeons and maxillofacial surgeons may be a probable change in the facial configuration when using the BFP to repair defects in the oral cavity and maxillofacial region. However, according to the results of our experimental study and the authors' data, extrusion of the BFP does not lead to changes in the face's aesthetic parameters on the intervention side, especially when using its more deeply located extensions, such as the temporal one [19,32]. This procedure cannot be equated with a classical bichectomy.…”

Section: Discussionmentioning

confidence: 52%

“…The authors of [18] showed that BFP application can be used to prevent fistula formation after palatal plasty, wound contracture and, subsequently, velopharyngeal insufficiency with potential hypoplasia of the middle part of the face. At the same time, mobilization of the BFP from intraoral access does not significantly change the facial configuration [19].…”

Section: Introductionmentioning

confidence: 85%

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Morphological Evaluation and Immunohistochemical Analysis of the Reparative Potential of the Buccal Fat Pad

Zhidkov,

Panin,

Drobyshev

et al. 2024

Medicina

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Background and Objectives: There are many surgical techniques for oroantral communication treatment, one of which is the buccal fat pad. Of particular interest is the high reparative potential of the buccal fat pad, which may be contributed to by the presence of mesenchymal stem cells. The purpose of this work is to evaluate the reparative potential of BFP cells using morphological and immunohistochemical examination. Materials and Methods: 30 BFP samples were provided by the Clinic of Maxillofacial and Plastic Surgery of the Russian University of Medicine (Moscow, Russia) from 28 patients. Morphological examination of 30 BFP samples was performed at the Institute of Clinical Morphology and Digital Pathology of Sechenov University. Hematoxylin–eosin, Masson trichrome staining and immunohistochemical examination were performed to detect MSCs using primary antibodies CD133, CD44 and CD10. Results: During staining with hematoxylin–eosin and Masson’s trichrome, we detected adipocytes of white adipose tissue united into lobules separated by connective tissue layers, a large number of vessels of different calibers, as well as the general capsule of BFP. The thin connective tissue layers contained neurovascular bundles. Statistical processing of the results of the IHC examination of the samples using the Mann–Whitney criterion revealed that the total number of samples in which the expression of CD44, CD10 and CD133 antigens was confirmed was statistically significantly higher than the number of samples where the expression was not detected (p < 0.05). Conclusions: During the morphological study of the BFP samples, we revealed statistically significant signs of MSCs presence (p < 0.05), including in the brown fat tissue, which proves the high reparative potential of this type of tissue and can make the BFP a choice option among other autogenous donor materials when eliminating OAC and other surgical interventions in the maxillofacial region.

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Section: Discussionmentioning

confidence: 52%

Section: Introductionmentioning

confidence: 85%

Morphological Evaluation and Immunohistochemical Analysis of the Reparative Potential of the Buccal Fat Pad

Zhidkov,

Panin,

Drobyshev

et al. 2024

Medicina

Self Cite

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Anatomical and topographic features of facial fat compartments and their role in correcting signs of aging of the middle third of the face

Sharobaro,

Nikolenko,

Vinnik

et al. 2024

Rus. J. Oper. Surg. Clin. Anat.

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Clinical Features of Oroantral Communication Management Using Buccal Fat Pad by Tunnel Method

Zhidkov,

Tsitsiashvili,

Vasil'ev

et al. 2024

JBSMFS

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Background: Today, there is a wide variety of techniques for eliminating oroantral communication. One of them is the tunnel technique using a flap of the buccal fat pad. The introduction of this technique into clinical practice and the determination of the characteristics of the clinical course of the postoperative period in patients with the elimination of the oroantral communication using the tunnel method with the buccal fat pad determined the purpose of this work. Objectives: To determine the features of the clinical course of the postoperative period in patients with elimination of the oroantral communication using the tunnel method with the buccal fat pad. Materials and methods: In 30 patients aged from 35 to 72 years at the Department of Surgical Dentistry of ROSUNIMED was carried out the management of oroantral communication arising during the extraction of maxillary molars using the buccal fat pad by tunnel method. Results: In all cases of elimination of the oroantral communication after maxillary molars removal, the tunnel technique was used without completely covering the flap of the buccal fat pad with a vestibular flap. There was a general tendency for the severity of pain and swelling to increase on the 3rd day after treatment and decrease by the 7th day. During control examinations, no cases of recurrence of oroantral communication were detected. Complete epithelization of the postoperative area was observed in 29 patients (96.7%) on day 30. Conclusions: The emerging specific features of the postoperative period allow us to recommend the tunnel method of the oroantral communication management using the buccal fat pad.

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Evaluation of the face configuration changes during extrusion of the buccal fat pad. Pilot study

Cited by 3 publications

References 16 publications

Morphological Evaluation and Immunohistochemical Analysis of the Reparative Potential of the Buccal Fat Pad

Morphological Evaluation and Immunohistochemical Analysis of the Reparative Potential of the Buccal Fat Pad

Anatomical and topographic features of facial fat compartments and their role in correcting signs of aging of the middle third of the face

Clinical Features of Oroantral Communication Management Using Buccal Fat Pad by Tunnel Method

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