Use of the temporal extension of the buccal fat pad for closure of oro-antral communications

Rathod, Neelam; Khobaragade, B.; Ganesan, Kandasamy

doi:10.1016/j.ijom.2021.02.030

Cited by 11 publications

(10 citation statements)

References 10 publications

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“…When comparing the epithelialization time in the tunnel technique of OAC treatment with the use of a trapezoidal vestibular Rehrmann flap and a lingual flap from the palate, including the use of a vestibular flap with complete overlap of the covering flap, complete epithelialization occurred significantly later in the first case. 3,6,11 Comparable data on clinical manifestations at The operative time was comparable in both groups (average 27-29 minutes). Pain and edema were less pronounced in the first group, and restriction of mouth opening in the second group.…”

Section: Discussionmentioning

confidence: 83%

“…One of the alternative techniques is the method of OAC management using the buccal fat pad (BFP). 11 The BFP is a cluster of specialized adipose tissue with a lobular structure. It has a body and 4 extensions: cheek, pterygoid, pterygo-palatine, and temporal.…”

Section: Introductionmentioning

confidence: 99%

“…12 In scientific studies on OAC management, access to the BFP is usually obtained by peeling off a wide full-layer trapezoidal flap in the distal maxillary region and dissecting the periosteum at its base. 11,13 At the same time, it seems possible to use the tunnel technique, which implies the treatment of OAC with the BFP, which is carried out under a fulllayer tunnel from the vestibule, where access to the BFP was obtained, to the socket of the tooth where OAC was detected. 14 Implementation of this technique into clinical practice and determination of specific features of the postoperative period in patients with OAC treatment using the tunnel method with the BFP have determined the relevance of this work.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…The authors note the positive properties of the BFP as an autogenous donor material for surgical operations in the maxillofacial region, including the elimination of OAC-its anatomical proximity to the surgical area, high plasticity, as well as the ability to repair the lost tissue in the defect area and accelerated healing and epithelialization, even in open wound management-which is possible due to its high reparative potential [7,[33][34][35][36].…”

Section: Discussionmentioning

confidence: 99%

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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“…The BFP has the shape of a gutter with a vertical axis and a posterior concavity, it is a lobulated mass that lies in the masticatory and buccal spaces. Anatomically, it is bounded medially by the buccinator muscle, anterolaterally by the zygomatic arch, deep cervical fascia, and muscles of facial expression, and posteriorly by the parotid gland and mandibular ramus with attached masticatory muscles [20] .…”

Section: Clinical Discussionmentioning

confidence: 99%

Diagnosis and Management of oro-antral fistula: Case series and review

Azzouzi

Hallab

Chbicheb

2022

International Journal of Surgery Case Reports

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Use of the temporal extension of the buccal fat pad for closure of oro-antral communications

Cited by 11 publications

References 10 publications

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

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

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

Diagnosis and Management of oro-antral fistula: Case series and review

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