Buccal Fat Pad Flap in Reconstruction of Oral Cavity Defects: a Case Series of Five Patients

We present a case series of five patients who were operated for various oral lesions in Rehman Medical Institute over a period of six months. In these cases resulting defects were repaired by using pedicaled buccal fat pad flap. In this paper we discuss indication, complication and technique involved in raising this flap. All four flaps survived, however one flap had to be removed due to continuous bleeding and one flap developed marginal necrosis. In conclusion buccal fat pad is an excellent choice for reconstruction of small to medium size defects. It should be manipulated gently and haemostasis should be achieved meticulously during this surgery. It should not be sutured under tension. Correspondence: Dr. Zubair Durrani FFDRCS, FRCS, FRCS (OMFS) Consultant Oral and Maxillofacial Surgeon Rehman Medical Institute Peshawar, Pakistan Cell: 0302-5138404 E-mail: [email protected]