협지방대 이식술의 임상적 적용

Clinical application of buccal fat pad graft

In the literature of plastic and reconstructive surgery, the abdominal or buttock fat usually had been used as a fat graft, and not many authors described the buccal fat pad as a donor source for grafting fatty tissue. The buccal fat pad forms a ready donor site for free-fat grafting and has been used as a pedicled flap to provide oral or nasal lining in closing oronasal fistulas. The current greatest interest pertains to its application in aesthetic surgery to modify the contour of patients with full cheeks and to highlight the malar eminences. Four cases presenting bad sequelae of scar tissue band and trauma are reported. The use of buccal fat pad as a donor site is described, and the advangtages and clinical application for intraoral reconstruction are emphasized with the review of literatures.