title: [Immediate maxillary reconstruction after tumor excision by using lined buccal-fat-pad flap with bone graft technique].
abstract: OBJECTIVE
  To evaluate the role of buccal-fat-pad flap in the lined coverage of the maxillary bone graft for the maxillary reconstruction after the tumor excision.
  
  
  METHODS
  Based on the cadaver anatomical observation of the buccal-fat-pad, 38 patients with the maxillary tumors were undertaking the treatment in this paper. Under general anesthesia, the buccal-fat-pad flap was elevated and transferred to the anterior or nasal cavities as a line of the sinus after the tumor was immediately excised through an intro-oral or external approach. The bone from the ribs was then grafted in the place for the maxillary support.
  
  
  RESULTS
  After the anatomical evaluation, 38 patients were carried out the operation successfully. All of the grafted bones were well covered without bone exposure. The aesthetic appearance was achieved.
  
  
  CONCLUSIONS
  Bone graft lined by the pedicled buccal fat pad flap may be a safe and good method for reconstruction of the maxilla with a lower rate of re-absorption and sequestration.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital, Zhejiang University, Hangzhou 310009, China.
authors.forename: Guan-fu
authors.initials: GF
authors.lastname: Chen
authors.forename: Junlie
authors.initials: J
authors.lastname: Yan
authors.forename: Lai-ping
authors.initials: LP
authors.lastname: Zhong
authors.forename: Li-jie
authors.initials: LJ
authors.lastname: Fan
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D002610:Cheek; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D012272:Ribs / Q000637:transplantation*; D013524:Surgical Flaps