Traumatic Herniation of Buccal Fat Pad in 1 Year Old Child: Case Report and Review of Literature

Abstract

Traumatic herniation of buccal fat pad (BFP) is very rare, usually seen in infants and young children ranging from 5 months to 12 years of age. Etiology will be blunt injury to buccal mucosa from foreign objects or trauma due to teeth and fall. The suckling activity in infants may also encourage the herniation following trauma. A minor injury or perforation to the buccal mucosa can cause herniation of BFP. The size of herniated mass is very large when compared to the size of the perforation. The history of trauma, absence of prolapse before the injury, its occurrence in infants and young children, specific anatomic sites and location of perforation in mucosa, histopathological appearance of adipose tissue are the characteristic features important for diagnosing the condition. The treatment options for the herniated BFP are usually excision. Alternative to excision is repositioning of the herniated fat in its anatomical location if noticed early.

Exérese da bola de bichat em infante: relato de caso

“…A biopsia excisional relatada em vários artigos demonstra que as peças histológicas são compostas por tecido adiposo (Haria, Kidner & Shepherd, 1991;Zipfel, Street, Gibson & Wood, 1996;Desai, Vanaki, Puranik & Thanuja, 2005;Singhal & Sagar, 2010;Rathi, Dahake, Thakre & Pawade, 2012;Agrawal, Dahal & Khadka, 2013;Gadipelly, Sudheer, Neshangi, Harsha & Reddy, 2015;Kim, Alfafara, Kim & Kim, 2017), sendo histologicamente o corpo adiposo bucal caracterizado como um tecido adiposo maduro, lobulado e circunscrito, envolvido por um estroma de tecido conectivo, sem atipias ou revestimento epitelial, com um espectro de infiltrado inflamatório (Agrawal, Dahal & Khadka, 2013).…”

“…Essas estruturas são envolvidas por uma tênue cápsula fibrosa, que nos infantes, previne o prolapso da estrutura durante os movimentos de sucção. Em adultos o corpo adiposo bucal melhora a motilidade intermuscular e possui importante função no contorno facial (Samman, Cheung & Tideman, 1993;Calvet, Castro, Agostinho & Bastos, 2014;Gadipelly, Sudheer, Neshangi, Harsha & Reddy, 2015;Parise & Tassara, 2016).…”

Management of Traumatic Herniation of Buccal Fat Pad in a 22-month-old Child: A Case Report

“…An interesting characteristic of this lesion is that the size of the extruded mass is greater than the site of injury. 5 According to a report by Abdulai et al, 7 male children are more prone to injury due to their active and adventurous nature as compared to girls. But in our case, it was a girl child with her left buccal mucosa involved.…”

“…Traumatic herniation is a rare entity commonly seen in infants and young children from five months to12 years. 5 Perforation of buccinator muscle due to blunt injury of buccal mucosa by any foreign objects is the cause of large portion of buccal fat pad to herniate into the oral cavity. At the same time, sucking activity of infants further promotes its herniation through the mucosal defect.…”

Traumatic herniation of buccal fat pad into the oral cavity in an infant: A case report

“… 2 There are sparse reports of traumatic herniation of buccal fat pad to the oral cavity in the literature. 1 , 3 , 4 Herein, we discuss a case of an 8‐month‐old infant who presented with an oral lump following a traumatic injury.…”