Перспективы применения трансплантатов из щёчной области в хирургическом лечении врождённых расщелин нёба

Shaeva R.G., Shomurodov K.E., Bekmurodov E.E.

doi:10.57231/j.idmfs.2023.2.3.001

Prospects for the use of buccal grafts in the surgical treatment of congenital cleft palate

Authors

Shaeva R.G., Shomurodov K.E., Bekmurodov E.E.

DOI:

https://doi.org/10.57231/j.idmfs.2023.2.3.001

Keywords:

congenital cleft lip and palate, muco-periosteal flap, Bichat lumps, uranoplasty, buccal muscle, autonomization of the graft

Abstract

The issues of optimization of surgical treatment of congenital cleft lip and palate (CCLP) do not lose their relevance. The varying frequency of complications and the need for repeated surgery after uranoplasty by various methods necessitate the development of new more effective algorithms for surgical treatment (flap formation, suturing, etc.). Currently, of great interest is the use of a buccal mucomuscular flap (MMF) and a fat pad (Bichat lumps) for the correction of oral defects of various localization. This review of the scientific literature is devoted to the study of algorithms for the formation of modifications of buccal MMF, the production of buccal fat, the features of clinical protocols of operations, the effectiveness of their application in clinical practice.

References

Азимов М., Шомуродов К. Новый способ уранопластики у больных с врожденной расщелиной нёба // Stomatologiya. – 2017. – Т. 1. – №. 3 (68). – С. 55-57.

Гилёва К.С., Вербо Е.В., Буцан С.Б., Миронова Е.А., Газимагомедова А.Р. Устранение сквозных дефектов неба и альвеолярного отростка верхней челюсти щечным слизисто-мышечным лоскутом на лицевой артерии. Пластическая хирургия и эстетическая медицина. 2019;3:29-37.

Гилева К.С., Романова Е.М., Бернатов Ю.М., Аллахвердиева Э.З. Новая модификация FAMM-лоскута при непрерывном зубном ряде для устранения обширного дефекта нёба. Пластическая хирургия и эстетическая медицина. 2022;1:79–83.

Шомуродов К. Э., Мирхусанова Р. С. Этические принципы и клинический подход в комплексном лечении детей с расщелинами нёба //Менеджмент в здравоохранении: вызовы и риски XXI века. – 2021. – С. 203-204.

Шомуродов К. Э. Актуальные этические принципы и клинический подход в детской стоматологии //Гуманитарный трактат. – 2018. – №. 24. – С. 69-72.

Яременко А.И., Лебедев Д.В., Катина М.В. Актуальные методы использования жирового тела щеки в лечении патологических процессов и состояний челюстно-лицевой области // Современные проблемы науки и образования. – 2018. – № 3.

Arce K. (2007) Buccal fat pad in maxillary reconstruction. Atlas Oral Maxillofac Surg Clin North Am 15(1):23–32.

Azimov M. I., Shomurodov K. E. A technique for Cleft Palate Repair //Journal of research in health science. – 2018. – Т. 1. – №. 2. – С. 56-59.

Castro CHBC, Souza LN, Melo MFS. Use of the buccal fat pad as free graft for closure of oronasal fistula in a cleft palate patient. J Craniofac Surg. 2015;26(1):e14-e16.

Emad T. Daif, BDS, MSc, PhD Long-Term Effectiveness of the Pedicled Buccal Fat Pad in the Closure of a Large Oroantral Fistula // J. Oral. Maxillofac Surg. 2016, 74, p. 1718-1722.

Frohwitter G, Kesting MR, Rau A, et al. Pedicled buccal flaps as a backup procedure for intraoral reconstruction. Oral Maxillofac Surg. 2023;27(1):117-124.

Gröbe A, Eichhorn W, Hanken H, Precht C, Schmelzle R, Heiland M et al (2011) The use of buccal fat pad (BFP) as a pedicled graft in cleft palate surgery. Int J Oral Maxillofac Surg 40(7):685–689.

Hasibul K, Nakai F, Nakai Y, Jinzenji A, Iwasaki A, Ogawa T, Ohbayashi Y, Miyake M. Intra oral reconstruction with buccal fat pad: resent applications of autologous tissue transplantation as a local flap. J Plast Reconstr Anesthet Surg Open. 2016;10c(C):33-39.

Kim MK, Han W, Kim SG. The use of the buccal fat pad flap for oral reconstruction. Maxillofac Plast Reconstr Surg. 2017;39(1):5. Published 2017 Feb 25.

Kim YK (2001) The use of a pedicled buccal fat pad graft for bone coverage in primary palatorrhaphy: a case report. J Oral Maxillofac Surg 59(12):1499–1501.

Kubik S, Kretz O. Initial lymph vascular system of various tissue and organs. In: Foldi M, Foldi E eds Foldi’s Textbook of Lymphology. 2nd ed. Elsevier GmbH; 2006:24-41.

Lahiri A, Richard B. Superiorly based facial artery musculomucosal flap for large anterior palatal fistulae in clefts. Cleft Palate Craniofac J. 2007;44(5): 523-527.

Menick FJ (2009) Nasal reconstruction with a forehead flap. Clin Plast Surg 36(3):443–459.

Pribaz J, Stephens W, Crespo L, Gifford G. A new intraoral flap: facial artery musculomucosal (FAMM) flap. Plast Reconstr Surg. 1992;90(3):421-429.

Rossell-Perry P. Flap necrosis after palatoplasty in patients with cleft palate. BioMed Research International. 2015, Article ID 516375, 14.

Shetty R, Lamba S, Gupta AK. Role of facial artery musculomucosal flap in large and recurrent palatal fistulae. Cleft Palate Craniofac J. 2013;50(6): 730-733.

Surowitz JB, Most SP (2015) Use of laser-assisted indocyanine green angiography for early division of the forehead flap pedicle. JAMA facial plastic surgery 17(3):209–214.

Tezel E. Buccal mucosal flaps: a review. Plast Reconstr Surg. 2002;109:735-741.

Yaguchi K, Fujita K, Noguchi M, Nagai F, Yuzuriha S. The Palatal Fistula Closure Using Buccal Fat Graft After Palatoplasty for Cleft Palate: Two Case Reports. Cleft Palate Craniofac J. 2022;59(2):268-272.

Zhang Q, Li L, Tan W, Chen L, Gao N, Bao C (2010) Application of unilateral pedicled buccal fat pad for nasal membrane closure in the bilateral complete cleft palate. J Oral Maxillofac Surg 68(8):2029–2032.