Free Buccal Fat Pad Graft in Post Cancer Surgery Trismus with the Help of Colorado Microdissection Needle: A Case Report.
A numerous complication arises after surgery and / or radiotherapy / chemotherapy performed for the management of oral and maxillofacial malignant tumour which is apparently a world-wide health threat. Trismus / fibrotic scarring is among the most widespread complications after onco-surgery and / or radiotherapy & surgical management is reserved in cases of severely restricted mouth opening. excision of the fibrotic bands with Colorado micro dissection needle is advantageous in fibrotic scarring as it causes reduced tissue necrosis & intraoperative blood loss; it also provides acceptable cosmesis without compromising wound healing. In cases of anatomical limitations free buccal fat graft (FBFG) can successfully act as alternative pedicled buccal fat pad graft for closure of post‐excision defects.
2.Vaughan ED. An analysis of morbidity following major head and neck surgery with particular reference to mouth function. J Maxillofac Surg. 1982 Aug;10(3):129-34. [Medline: 6957515] [doi: 10.1016/S0301-0503(82)80027-1]
3.Vaughan ED, Bainton R, Martin IC. Improvements in morbidity of mouth cancer using microvascular free flap reconstructions. J Craniomaxillofac Surg. 1992 Apr;20(3):132-4. [Medline: 1613109] [doi: 10.1016/S1010-5182(05)80095-2]
4. Stuzln JM, Wagstrom L, Kawamoto HK, et al: The anatomy and clinical applications of the buccal fat pad. Plast Reconstr Surg 85:29, 1990.
5. Shiffan MA, editor. Autologous Fat Transfer: Art, Science and Clinical Practice. Springer‑Verlag Berlin Heidelberg; 2010. Part I. p. 3‑40.
6. Nguyen A, Pasyk KA, Bouvier TN, Hassett CA, Argenta LC. Comparative study of survival of autologous adipose tissue taken and transplanted by different techniques. Plast Reconstr Surg 1990; 85:378‑86.
7. Dijkstra PU, Huisman PM, Roodenburg JL. Criteria for trismus in head and neck oncology. Int J Oral Maxillofac Surg. 2006 Apr;35(4):337-42. Epub 2005 Nov 8. [Medline: 16280237] [doi: 10.1016/j.ijom.2005.08.001]
8. Dijkstra PU, Kalk WW, Roodenburg JL. Trismus in head and neck oncology: a systematic review. Oral Oncol. 2004 Oct;40(9):879-89. Review. [Medline: 15380165] [doi: 10.1016/j.oraloncology.2004.04.003].
9. Ichimura K, Tanaka T. Trismus in patients with malignant tumours in the head and neck. J Laryngol Otol. 1993 Nov;107(11):1017-20. [Medline: 8288970] [doi: 10.1017/S0022215100125149]
10. Thomas F, Ozanne F, Mamelle G, Wibault P, Eschwege F. Radiotherapy alone for oropharyngeal carcinomas: the role of fraction size (2 Gy vs 2.5 Gy) on local control and early and late complications. Int J Radiat Oncol Biol Phys 1988; 15:1097–102.
11. Steelman R, Sokol J. Quantification of trismus following irradiation of the temporomandibular joint. Mo Dent J 1986; 66:21–3.
12. Arakeri G, Brennan PA. Oral submucous fibrosis: an overview of the aetiology, pathogenesis, classification, and principles of management. Br J Oral Maxillofac Surg. 2013; 51:587-593.
13.Singh V, Kumar P. Modified microdissection electrocautery needle. Natl J Maxillofac Surg 2014; 5:243-4.
14.Papay FA, Stein J, Luciano M, et al. The microdissection cautery needle versus the cold scalpel in bi-coronal incisions. J Craniofac Surg 1998; 9:344–7.
15. Rattan V. A simple technique for use of buccal pad of fat in temporomandibular joint reconstruction. J Oral Maxillofac Surg. 2006;64(9):1447–51.
16. Scott P, Fabbroni G, Mitchell D. The buccal fat pad in the closure of oro‐antral communications: An illustrated guide. Dent Update. 2004;31(6):363–4, 366.
17. Wolford DG, Stapleford RG, Forte RA, Heath M. Traumatic herniation of the buccal fat pad: Report of case. J Am Dent Assoc. 1981;103(4):593–4.
18. Neder A. Use of buccal fat pad for grafts. Oral Surg Oral Med Oral Pathol 1983; 55:349‑50.
19. Mehrotra D, Pradhan R, Gupta S. Retrospective comparison of surgical treatment modalities in 100 patients with oral submucous fibrosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(3): e1–10.
20. Chen Z, Chen H, Huang W, Huang Q. The clinical effect of microwave radiation in treating oral mucous membrane diseases. J Clin Stomatol. 2006; 22:750.
21. Rajalalitha P, Vali S. Molecular pathogenesis of oral submucous fibrosis—a collagen metabolic disorder. J Oral Pathol Med. 2005; 34:321-328.
22. Chang YM, Tsai CY, Kildal M, Wei FC. Importance of coronoidotomy and masticatory muscle myotomy in surgical release of trismus caused by submucous fibrosis. Plast Reconstr Surg. 2004; 113:1949-1954.
23. Cherekaev V, Golbin D, Belov A. Translocated pedicle buccal fat pad: closure of anterior and middle skull base defects after tumor resection. J Craniofac Surg. 2012;23(1):98–104.
14. Colella G, Tartaro G, Giudice A. The buccal fat pad in oral reconstruction. Br J Plast Surg. 2004;57(4):326–9.
25. Chakrabarti J, Tekriwal R, Ganguli A, Ghosh S, Mishra PK. Pedicled buccal fat pad flap for intraoral malignant defects: A series of 29 cases. Indian J Plast Surg. 2009;42(1):36–42.