A Review of the Use of Buccal Fat Pad in Cleft Palate Repair.

IF 1.2 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Cleft Palate-Craniofacial Journal Pub Date : 2024-07-01 Epub Date: 2023-02-09 DOI:10.1177/10556656231155768
Adegbayi Adeola Adekunle, Olutayo James, Aliyah Oluwabusayo Olanbiwonnu, Wasiu Lanre Adeyemo
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引用次数: 0

Abstract

Objective: To review the available evidence on the use of the Buccal Fat Pad in primary and secondary Cleft Palate repair.

Methods: This is a narrative review. A computerized literature search was conducted for articles published till February 2022 using the Mesh phrases buccal fat pad AND cleft palate, Bichat's Fat pad AND cleft palate, buccal fat pad OR Bichats Fat pad AND cleft palate.

Results: A total of 35 articles were included in this review based on the set eligibility criteria. Most of the studies were retrospective case reviews (n  =  16, 45.7%), and the aggregate number of patients from all included studies was 666. Reported uses of the buccal fat pad (BFP) in association with cleft palate repair include the closure of central cleft palate defect and nasal floor in primary cleft palate repair, oronasal fistula repair following primary repair of cleft palate, and closure of relieving incision defect in primary repair of cleft palate. Complications reported were 24 cases of Oronasal Fistula (ONF), 2 dehiscences, and 4 transient mucosal defects.

Conclusion: The high success rate, vascularity, ease of tissue harvest, and low donor site morbidity all support its use as an adjunct flap in cleft palate repair, especially in the closure of wide palatal clefts, to prevent post-palatal repair fistula, wound contracture, and subsequently velopharyngeal insufficiency and possibly midface hypoplasia.

颊脂垫在腭裂修复中的应用综述
目的回顾颊脂垫用于初级和中级腭裂修复的现有证据:这是一篇叙述性综述。方法:这是一篇叙事性综述,使用网状短语 "颊脂垫和腭裂"、"Bichat脂肪垫和腭裂"、"颊脂垫或Bichats脂肪垫和腭裂 "对截至2022年2月发表的文章进行计算机文献检索:根据设定的资格标准,本综述共纳入 35 篇文章。大部分研究为回顾性病例综述(n = 16,45.7%),所有纳入研究的患者总数为 666 人。据报道,颊脂垫(BFP)在腭裂修复中的应用包括:在腭裂初次修复中闭合腭裂中央缺损和鼻底、在腭裂初次修复后修复口鼻瘘以及在腭裂初次修复中闭合缓解切口缺损。报告的并发症包括 24 例口鼻瘘 (ONF)、2 例开裂和 4 例短暂的粘膜缺损:成功率高、血管丰富、组织易于采集、供体部位发病率低,所有这些都支持将其作为腭裂修复的辅助皮瓣,尤其是用于闭合宽腭裂,以防止腭裂修复后出现瘘管、伤口挛缩,进而导致咽喉发育不全和可能的面中部发育不良。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.70
自引率
36.40%
发文量
215
期刊介绍: The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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