Titanium mesh and pedicled buccal fat pad for the reconstruction of maxillary defect:case report

Author: Joo-Hyung YOON ¹ ; Young-Wook PARK ; Seong-Gon KIM
Author Information

1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, Jukheon gil 7, Gangneung, Gangwondo 25457, Republic of Korea
Publication Type:C A S E R E P O R T
From:Maxillofacial Plastic and Reconstructive Surgery 2021;43(1):10-
CountryRepublic of Korea
Language:English
Abstract: Background:Pedicled buccal fat pad (PBFP) has been used for the reconstruction of small-sized maxillary defects but cannot be used without hard tissue support on the defect larger than 4 cm × 4 cm × 3 cm.Case presentation: A 64-year-old man had a history of squamous cell carcinoma of the left maxilla. After removal of the posterior maxilla, a complex bone defect (size, 5 cm × 4 cm × 3 cm) was immediately reconstructed using PBFP combined with a titanium mesh. A pinpoint fistula was found in the left palatal region 1 month after the surgery and was treated with a palatal sliding flap. There were no further complications during the follow-up.
Conclusion:The present technique demonstrated that PBFP combined with a titanium mesh could be used for the reconstruction of complex maxillary defect (size, 5 cm × 4 cm × 3 cm) without additional bone graft.