Traumatic Prolapse of the Buccal Fat Pad (Traumatic Pseudolipoma): A Case Report and Literature Review

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

“…The intraoral herniation of the buccal fat pad (traumatic pseudolipoma) is extremely rare, and to our knowledge, only about 30 cases have been reported [1,4,6]. The literature describes that a recent trauma followed by an adiposeappearing mass in the oral cavity is the rule.…”

Surgical Removal of Traumatic Herniation of Buccal Fat Pad in Young Children

“…7 However Stuzin described it as a rounded, biconvex structure with a thin but distinctive capsule lying between the buccinator and masseter muscles. 1,5 Clinically, the buccal fat pad can be used for both reconstructive and cosmetic surgery. 8 A review detailed the clinical/ surgical anatomy pertinent to plastic surgery.…”

“…14,15 Data indicates this event typically occurs in children ranging from four months to four years; Median age of reported cases is 20 months. 5 There are two probable factors in the exclusive occurrence of the lesion in children. Firstly, the buccal fat pad is particularly prominent in neonates and infants, and has an increased risk of herniation.…”

“…There have been no reported cases of recurrence. [2][3][4][5][13][14][15][16][17][18][19] Appearance of this lesion may seem to be an alarming situation for any health care professional. A sound knowledge of specific site of occurrence of this lesion can help a professional in diagnosing and managing this lesion promptly.…”

Post-traumatic pseudolipoma of the forehead

“…Copcu and Sivrioglu (17) have described 10 cases of post-traumatic lipomas and have speculated that the formation of a post-traumatic lipoma can only occur with fat necrosis as a trigger, setting off a cascade of local inflammation to affect adipocytes and promote lipoma formation. Other reported cases have included buccal fat pad herniation into the oral cavity after blunt facial trauma and iatrogenic injury secondary to dental surgery (18,19).…”