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The Application of Buccal Fat Pad to Cover Lateral Palatal Defect Causes Early Mucolization

Introduction Cleft lip and cleft palate are among the most common birth defects. These deformities lead to profound psychosocial and functional effects on cleft palate patients. Several surgical techniques have been described for the repair of the cleft. The defects lateral to mucoperiosteal flaps c...

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Autores principales: Khan, Iqra, Cho, Namiya, Ahmed, Mehtab, Ahmed, Owais, Beg, Mirza Shehab A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477267/
https://www.ncbi.nlm.nih.gov/pubmed/34603899
http://dx.doi.org/10.7759/cureus.17532
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author Khan, Iqra
Cho, Namiya
Ahmed, Mehtab
Ahmed, Owais
Beg, Mirza Shehab A
author_facet Khan, Iqra
Cho, Namiya
Ahmed, Mehtab
Ahmed, Owais
Beg, Mirza Shehab A
author_sort Khan, Iqra
collection PubMed
description Introduction Cleft lip and cleft palate are among the most common birth defects. These deformities lead to profound psychosocial and functional effects on cleft palate patients. Several surgical techniques have been described for the repair of the cleft. The defects lateral to mucoperiosteal flaps closure are sometimes covered with sterile gauze soaked with soft paraffin or tincture of benzoin or are left open for mucolization by means of secondary intention. The buccal fat pad (BFP) is used as a pedicled graft to cover the exposed bone of the lateral palatal defect, and it is associated with proposed benefits of early healing and fewer effects on transverse growth of the maxilla. Materials and methods This was a prospective study involving 42 cleft palate patients who underwent cleft palate repair; 21 patients received BFP as an additional step to cover lateral palatal defect while the rest of the patients (n=21) underwent conventional surgical cleft palate repair and the defect was covered with Surgicel (Ethicon, Inc., Bridgewater, NJ). Postoperative follow-up was conducted at first, second, and third weeks postoperatively to assess the time required for mucolization. Results Our cohort of 42 patients included an equal number of complete and incomplete cleft palate patients. Follow-up at the first postoperative week showed an equal number (n=21, 100%) patients with incomplete mucolization on both groups, while at the second postoperative follow-up, only one (4.8%) of the patients who underwent conventional cleft palate repair had complete mucolization while 20 (95.2%) among the patients who underwent BFP had complete mucolization. At the third-week postoperative follow-up, three (14.3%) patients from the conventional group had complete mucolization, while 18 (85.7%) had incomplete mucolization. Only two patients (4.8%) developed recipient area complications, and they were managed conservatively. Conclusion BFP is a good source of vascularized tissue to cover the hard palate bones after primary cleft repair. It is easy to harvest as a local tissue with a low learning curve. The epithelialization rate is faster than conventional methods with minimal complication rates.
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spelling pubmed-84772672021-09-30 The Application of Buccal Fat Pad to Cover Lateral Palatal Defect Causes Early Mucolization Khan, Iqra Cho, Namiya Ahmed, Mehtab Ahmed, Owais Beg, Mirza Shehab A Cureus Genetics Introduction Cleft lip and cleft palate are among the most common birth defects. These deformities lead to profound psychosocial and functional effects on cleft palate patients. Several surgical techniques have been described for the repair of the cleft. The defects lateral to mucoperiosteal flaps closure are sometimes covered with sterile gauze soaked with soft paraffin or tincture of benzoin or are left open for mucolization by means of secondary intention. The buccal fat pad (BFP) is used as a pedicled graft to cover the exposed bone of the lateral palatal defect, and it is associated with proposed benefits of early healing and fewer effects on transverse growth of the maxilla. Materials and methods This was a prospective study involving 42 cleft palate patients who underwent cleft palate repair; 21 patients received BFP as an additional step to cover lateral palatal defect while the rest of the patients (n=21) underwent conventional surgical cleft palate repair and the defect was covered with Surgicel (Ethicon, Inc., Bridgewater, NJ). Postoperative follow-up was conducted at first, second, and third weeks postoperatively to assess the time required for mucolization. Results Our cohort of 42 patients included an equal number of complete and incomplete cleft palate patients. Follow-up at the first postoperative week showed an equal number (n=21, 100%) patients with incomplete mucolization on both groups, while at the second postoperative follow-up, only one (4.8%) of the patients who underwent conventional cleft palate repair had complete mucolization while 20 (95.2%) among the patients who underwent BFP had complete mucolization. At the third-week postoperative follow-up, three (14.3%) patients from the conventional group had complete mucolization, while 18 (85.7%) had incomplete mucolization. Only two patients (4.8%) developed recipient area complications, and they were managed conservatively. Conclusion BFP is a good source of vascularized tissue to cover the hard palate bones after primary cleft repair. It is easy to harvest as a local tissue with a low learning curve. The epithelialization rate is faster than conventional methods with minimal complication rates. Cureus 2021-08-29 /pmc/articles/PMC8477267/ /pubmed/34603899 http://dx.doi.org/10.7759/cureus.17532 Text en Copyright © 2021, Khan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Genetics
Khan, Iqra
Cho, Namiya
Ahmed, Mehtab
Ahmed, Owais
Beg, Mirza Shehab A
The Application of Buccal Fat Pad to Cover Lateral Palatal Defect Causes Early Mucolization
title The Application of Buccal Fat Pad to Cover Lateral Palatal Defect Causes Early Mucolization
title_full The Application of Buccal Fat Pad to Cover Lateral Palatal Defect Causes Early Mucolization
title_fullStr The Application of Buccal Fat Pad to Cover Lateral Palatal Defect Causes Early Mucolization
title_full_unstemmed The Application of Buccal Fat Pad to Cover Lateral Palatal Defect Causes Early Mucolization
title_short The Application of Buccal Fat Pad to Cover Lateral Palatal Defect Causes Early Mucolization
title_sort application of buccal fat pad to cover lateral palatal defect causes early mucolization
topic Genetics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477267/
https://www.ncbi.nlm.nih.gov/pubmed/34603899
http://dx.doi.org/10.7759/cureus.17532
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