Technique of the Buccal Fat Pad Flap as an Alternative for the Surgical Defect of Pleomorphic Adenoma
| Autor: | Daniel Ximenes da Silveira, Jair Queiroz de Oliveira Neto, Abrahão Cavalcante Gomes de Souza Carvalho, Gabriel Silva Andrade, Edson Luiz Cetira Filho |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Surgical Wound Adenoma Pleomorphic Physical examination Malignancy Palpation Fat pad Surgical Flaps Pleomorphic adenoma 03 medical and health sciences 0302 clinical medicine medicine Humans 030223 otorhinolaryngology Aged Buccal fat pad medicine.diagnostic_test business.industry Palate Mouth Mucosa 030206 dentistry General Medicine Plastic Surgery Procedures medicine.disease Salivary Gland Neoplasms Surgery Benign Salivary Gland Neoplasm Cheek Otorhinolaryngology Adipose Tissue Oral and maxillofacial surgery Neoplasm Recurrence Local business |
| Zdroj: | The Journal of craniofacial surgery. 30(3) |
| ISSN: | 1536-3732 |
| Popis: | Pleomorphic adenoma (PA) is the most common benign salivary gland neoplasm, and its malignant transformation rarely occurs. Diagnosis is based on clinical features of local or regional malignancy or distant metastasis, and histological identification of invasion and cellular atypia. Buccal fat pad, also called Bichat fat pad, is an excellent option to create tissue coverage over surgically treated areas, providing great blood supply. Thus, this study aims to report a surgical treatment of a patient who reported to the Oral and Maxillofacial Surgery and Traumatology service of a hospital in the city of Fortaleza, presenting a large lesion in the right side of the palate. Clinical examination revealed a nodular volume increase with smooth surface, sessile insertion, firm to palpation and coloration similar to the mucosa, no pain complaints, and 2 years of evolution. Orthopantomographic examination did not reveal alterations in the adjacent anatomical structures. After clinical and radiographic evaluation, an incisional biopsy was performed and histopathological diagnosis was PA. Patient was submitted to surgery for tumor excision with narrow surgical margins, including oral lining mucosa to reduce recurrence chances. In the same surgical act, after the excision of the lesion, the right buccal fat pad pedicle flap was sutured onto the residual mucosa in order to act as a framework for re-epithelialization of the palatal mucosa, phenomenon of metaplasia, and reduction of patient's morbidity. Surgical piece obtained was sent to anatomopathological study, confirming initial diagnosis. After 12-month follow-up, patient is esthetically and functionally rehabilitated, and satisfied with clinical and surgical plans executed. |
| Databáze: | OpenAIRE |
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