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South African Journal of Surgery
On-line version ISSN 2078-5151Print version ISSN 0038-2361
S. Afr. j. surg. vol.50 n.2 Cape Town May. 2012
CASE REPORT
Buccal fat pad - a simple, underutilised flap
E. MeyerI; S. J. R. LiebenbergII; J. J. FaganIII
IM.B. Ch.B., F.C.O.R.L. (S.A.). Division of Otolaryngology, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital
IIM.B. Ch.B., M.R.C.S. (Ed.), F.C.O.R.L. (S.A.). Division of Otolaryngology, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital
IIIM.B. Ch.B., M.Med., F.C.O.R.L. (S.A.). Division of Otolaryngology, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital
ABSTRACT
The pedicled buccal fat pad is a reliable flap for the repair of small oral defects. It is durable, easy to harvest, and should be considered in settings where access to free flaps is limited and in cases where previous flaps have failed. We discuss a case in which this flap was used successfully for closure of an oro-antral fistula. The indications, anatomy and techniques of successful harvest are discussed.
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