J Neurol Surg B Skull Base 2019; 80(S 01): S1-S244
DOI: 10.1055/s-0039-1679676
Poster Presentations
Georg Thieme Verlag KG Stuttgart · New York

Endoscopically Harvested Buccal Fat Pad Flap: A Review of Seven Cases

Somasundaram Subramaniam
1   Ng Teng Fong General Hospital, Singapore, Singapore
,
Ricardo L. Carrau
2   The Ohio State University, Columbus, Ohio, United States
› Author Affiliations
Further Information

Publication History

Publication Date:
06 February 2019 (online)

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    Objective: To review the clinical outcomes following the use of the buccal fat pad (BFP) flap in 7 cases, and to demonstrate its use in the reconstruction of skull base defects during an expanded endonasal approach.

    Methods: Retrospective review of seven patients who underwent an expanded endonasal approach, involving the endoscopic harvest of the pedicled buccal fat pad flap for skull base reconstruction from July 2011 to May 2017.

    Results: In all of the cases in the series (7 of 7), the buccal fat pad flap remained viable with complete take up and mucosalization. The sites covered included the PPF/ITF (1 case), Lateral recess of sphenoid sinus (1 case), clivus (1 case) nasal cavity and nasopharynx (4 cases). There were no flap-associated complications. There was no CSF leak in any of the cases following the use of the BFP flap. The range of postoperative follow-up was 13 to 76 months (mean: 39 months).

    Conclusion: The BFP flap is a useful and reliable addition to the range of reconstructive options available for endoscopic skull base reconstruction, in suitable cases and sites.


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    No conflict of interest has been declared by the author(s).