[en] Some losses of matter in the posterior area of the oral cavity require reconstruction with vascularized tissue to prevent retraction and a limited mouth opening. Bichat's fat pad or Bichat's fat ball is rarely used for oral mucosal reconstruction despite its proximity, easy availability, plasticity and simple use as a flap. Bichat's fat pad is resistant to lipolysis even in case of major weight-loss. It usually herniates in the exeresis site of a jugal tumor or intermaxillary commissure. When this is not the case, it can be obtained by a horizontal vestibular incision. The fat pad is unfolded and sutured without tension to the margin of the defect. The flap may be protected by a Bourdonnet dressing. Epithelialization begins 8 to 10 days after surgery. It is completed in the second or third week. The fat volume is variable, thus filling can only be applied to areas with loss of matter under 6cm. The technique is simple and quick. Postoperative evolution is usually uneventful; healing is quick as well as recovery of normal feeding function.
Disciplines :
Otolaryngology
Author, co-author :
Lagier, Aude ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'ORL, d'audiophonologie et de chir. cervico-faciale ; Fédération d'ORL, CHU La-Timone, 13006 Marseille, France. jean-paul.lagier@wanadoo.fr
Alshawareb, F; Service d'ORL et CMF, Hôpital Henri-Deffaut, 84000 Avignon, France
Layoun, W; Cabinet libéral de chirurgie maxillo-faciale, 13100 Aix-en-Provence, France
Lagier, J-P; Cabinet libéral de chirurgie maxillo-faciale, 13100 Aix-en-Provence, France
Language :
French
Title :
Le corps adipeux de la joue dans la reconstruction des pertes de substances postérieures de la cavité buccale.
Alternative titles :
[en] Bichat's buccal fat pad for reconstruction of posterior oral cavity defects.
Publication date :
June 2010
Journal title :
Revue de Stomatologie et de Chirurgie Maxillo-Faciale
ISSN :
0035-1768
eISSN :
1776-257X
Publisher :
Elsevier Masson SAS, Issy les Moulineaux Cedex, France
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