Traumatic Herniation of Buccal Fat Pad (Traumatic Pseudolipoma) in a 4-Year-Old Boy: A Case Report

Pseudolipoma in an 18-month-old Caucasian girl: no trauma reported

“…In cases in which there is early evaluation and the protruded mass is small with minimal inflammatory changes, the lesion is able to be repositioned immediately. If the mass is too large to replace in the limited laceration injury site or necrosis has appeared, excising the mass at the base is recommended [3,4]. In this case, surgical management was complete excision of the herniated tissue.…”

“…It is frequently presented as a mass of soft tissue emanating from the buccal mucosa, generally after a minor trauma to the buccal soft tissues [6]. It is a rare traumatic disease among neonates and infants and has been called the suckling pad or "buccal fat pad of Bichat" [3,5,7]. This report describes herniation of the buccal fat pad in an 18-month-old girl.…”

Herniation of Bichat's Fat Tissue into the Oral Cavity Secondary to Trauma

“…It occurs frequently in the children, especially at the age between 5 months and 5 years, when they like keeping foreign bodies, like pencils and toothbrushes, in their mouths (9), or when they are exposed to direct intraoral trauma (10). In our case, the patient was 3 years old and exposed to direct intraoral trauma.…”

“…There are two surgical approaches for the treatment of herniated buccal fat pads due to trauma (3,9). If a patient applies in 4 hours and the size of protruded mass is small, it can be replaced easily, and the operation can be ended with primer suturation of the mucosal laceration (9).…”

“…If a patient applies in 4 hours and the size of protruded mass is small, it can be replaced easily, and the operation can be ended with primer suturation of the mucosal laceration (9). Since tissue necrosis would occur after the 4 th hour and the mass would be infected due to being in the mouth for a long time, total excision of mass can be performed (1).…”