A pedicled buccal fat pad for paranasal volume augmentation in orthognathic surgery: a case report.
Francesca Zito, Laura Tognin, Marilena Anghinoni et al.
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Case in brief
A patient with a round face and maxillary hypoplasia underwent orthognathic surgery, but the maxilla could not be advanced as far as desired for dental and aesthetic reasons. Further Le Fort I advancement risked increasing nasal tip projection and alar base width. A pedicled buccal fat pad was transposed to augment the paranasal region. The outcome was assessed by photographs, clinical observation, patient satisfaction, and radiological evaluation; the authors reported a satisfying result that remained clinically and radiologically stable after 12 months.
What made this case unusual
The buccal fat pad was used as a pedicled flap for paranasal volume augmentation when greater maxillary advancement was limited by occlusal and nasal aesthetic considerations.
Diagnostic / clinical pearl
When maxillary advancement is constrained by dental or nasal considerations, this case describes pedicled buccal fat pad transposition as an alternative way to augment paranasal volume.