Skip to main content

Advertisement

Log in

A review of the gross anatomy, functions, pathology, and clinical uses of the buccal fat pad

  • Review
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

The buccal fat pad is a trigone-shaped adipose tissue located in the cheek that assumes numerous functional and aesthetic clinical uses. It has been studied extensively within the past four decades, and its use in repairing common and debilitating oral defects is the motive for continued research on this topic. It is vital to understand the etiology of any oral defect or of a lesion of the buccal fat pad, for a misdiagnosis can prevent effective treatment of the underlying problem. In this review, we describe the embryology and anatomy of the buccal fat and its association with clinical condition and clinical procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Amin MA, Bailey BM, Swinson B, Witherow H (2005) Use of the buccal fat pad in the reconstruction and prosthetic rehabilitation of oncological maxillary defects. Br J Oral Maxillofac Surg 43:148–154

    Article  CAS  PubMed  Google Scholar 

  2. Bagdade JD, Hirsch J (1966) Gestational and dietary influences on the lipid content of the infant buccal fat pad. Proc Soc Exp Biol Med 122:616–619

    CAS  PubMed  Google Scholar 

  3. Baumann A, Ewers R (2000) Application of the buccal fat pad in oral reconstruction. J Oral Maxilofac Surg 58:389–392

    Article  CAS  Google Scholar 

  4. Bichat F (1802) Anatomie Generale, Applique a la Physiologie et a la Medecine. Brosson Gabon and Cie, Paris

    Google Scholar 

  5. Brooke RI, MacGregor AJ (1969) Traumatic pseudolipoma of the buccal mucosa. Oral Surg Oral Med Oral Pathol 28:223–225

    Article  CAS  PubMed  Google Scholar 

  6. Browne WG (1970) Herniation of the buccal fat pad. Oral Surg Oral Med Oral Path 29:181–183

    Article  CAS  PubMed  Google Scholar 

  7. Dean A, Alamillos F, Garcia-Lopez A, Sanchez J, Penalba M (2001) The buccal fat pad flap in oral reconstruction. Head Neck 23:383–388

    Article  CAS  PubMed  Google Scholar 

  8. Dubin B, Jackson IT, Halim A, Triplett WW, Ferreira M (1989) Anatomy of the buccal fat pad and its clinical significance. Plast Reconstr Surg 83:257–262

    Article  CAS  PubMed  Google Scholar 

  9. DuBrul EL (1980) Sicher’s oral anatomy, 7th edn. Mosby, St. Louis, p 213

    Google Scholar 

  10. Egyedi P (1977) Utilization of the buccal fat pad for closure of oro-antral/oro-nasal communications. J Maxillofac Surg 5:241–244

    Article  CAS  PubMed  Google Scholar 

  11. Fan L, Chen G, Zhao S, Hu J (2002) Clinical application and histological observation of pedicled buccal fat pad grafting. Chin Med J 115:1556–1559

    PubMed  Google Scholar 

  12. Gallia L, Rood SR, Myers EN (1981) Management of buccal space masses. Otolayngol Head Neck Surg 89:221–225

    CAS  Google Scholar 

  13. Gaughran GR (1957) Fasciae of the masticator space. Anat Rec 129:383–400

    Article  CAS  PubMed  Google Scholar 

  14. Hai HK (1988) Repair of palatal defects with unlined buccal fat pad grafts. Oral Surg 65:523–525

    Article  CAS  PubMed  Google Scholar 

  15. Jackson IT (1999) Anatomy of the buccal fat pad and its clinical significance. Plas Reconstr Surg 103:2059–2060

    Article  CAS  Google Scholar 

  16. Kahn JL, Wolfram-Gabel R, Bourjat P (2000) Anatomy and imaging of the deep fat of the face. Clin Anat 13:373–382

    Article  CAS  PubMed  Google Scholar 

  17. Kurabayashi T, Ida M, Tetsumura A, Ohbayashi N, Yasumoto M, Sasaki T (2002) MR imaging of benign and malignant lesions in the buccal space. Dentomaxillofac Radiol 31:344–349

    Article  CAS  PubMed  Google Scholar 

  18. Li WT, Xu DC, Zhong SZ (1993) Applied anatomy of the buccal fat pad transposition for the treatment of soft tissue defects in the maxillofacial region. Chin J Clin Anat 11:165–170

    Google Scholar 

  19. Loukas M, Kapos T, Louis RG Jr, Wartman C, Jones A, Hallner B (2006) Gross anatomical, CT and MRI analyses of the buccal fat pad with special emphasis on volumetric variations. Surg Radiol Anat 28:254–260

    Article  PubMed  Google Scholar 

  20. Marano PD, Smart EA, Kolodny SC (1970) Traumatic herniation of buccal fat pad into maxillary sinus: report of case. J Oral Surg 28:531–533

    CAS  PubMed  Google Scholar 

  21. Matarasso A (1991) Buccal fat pad excision: aesthetic improvement of the midface. Ann Plast Surg 26:413–418

    Article  CAS  PubMed  Google Scholar 

  22. Matarasso A (1997) Pseudoherniation of the buccal fat pad: a new clinical syndrome. Plast Reconstr Surg 100:723–730

    Article  CAS  PubMed  Google Scholar 

  23. Matarasso A (2002) Pseudoherniation of the buccal fat pad: a new clinical syndrome: follow-up. Plast Reconstr Surg 112:1716–1718

    Article  Google Scholar 

  24. Poissonet CM, Burdi AR, Bookstein FL (1983) Growth and development of human adipose tissue during early gestation. Early Hum Dev 8:1–11

    Article  Google Scholar 

  25. Rácz L, Maros TN, Seres-Sturm L (1989) Structural characteristics and functional significance of the buccal fat pad (corpus adiposum buccae). Morphol Embryol 35:73–77

    Google Scholar 

  26. Rodgers GK, Myers EN (1988) Surgical management of the mass in the buccal space. Laryngoscope 98:749–753

    Article  CAS  PubMed  Google Scholar 

  27. Shibahara T, Watanabe Y, Yamaguchi S, Noma H, Yamane GY, Abe S, Ide Y (1996) Use of the buccal fat pad as a pedicle graft. Bull Tokyo Dent Coll 37:161–165

    CAS  PubMed  Google Scholar 

  28. Stuzin JM, Baker TJ (1989) Discussion of Anatomy of the Buccal Fat Pad and Its clinical significance by Dubin B, Jackson IT, Halim A, Triplett WW, Ferreira M. Plast Reconstr Surg 82:263–264

    Google Scholar 

  29. Stuzin JM, Wagstrom L, Kawamoto HK, Baker TJ, Wolfe SA (1990) The anatomy and clinica applications of the buccal fat pad. Plast Reconstr Surg 85:29–37

    Article  CAS  PubMed  Google Scholar 

  30. Tart RP, Kotzur IM, Mancuso AA, Glantz MS, Mukherji SK (1995) CT and MRI imaging of the buccal space masses. Radiographics 15:531–550

    CAS  PubMed  Google Scholar 

  31. Tideman H, Bosanquet A, Scott J (1986) Use of the buccal fat pad as a pedicled graft. J Oral Maxillofac Surg 44:435–440

    Article  CAS  PubMed  Google Scholar 

  32. Woldford D (1981) Traumatic herniation of the buccal fat pad: report of case. J Am Dent Assoc 103:593–594

    Google Scholar 

  33. Xie WY, Zhang KQ (1981) The anatomical study of the buccal fat pad. Chin J Stomat 16:199–205

    CAS  Google Scholar 

  34. Yousif NJ, Gosain A, Matloub HS, Sanger JR, Madiedo G, Larson DL (1994) The nasolabial fold: an anatomic and histologic reappraisal. Plast Reconstr Surg 93:60–69

    Article  CAS  PubMed  Google Scholar 

  35. Zhang H-M, Yan Y-P, Qi K-M, Wang J-Q, Liu Z-F (2002) Anatomical structure of the buccal fat pad and its clinical adaptations. Plast Reconstr Surg 109:2509–2518

    Article  PubMed  Google Scholar 

  36. Zhong LP, Chen GF, Fan LJ, Zhao SF (2004) Immediate reconstruction of maxilla with bone grafts supported by pedicled buccal fat pad graft. Oral Surg Oral Med Oral Pathol 97:147–154

    Google Scholar 

  37. Zipfel TE, Street DF, Gibson WS, Wood WE (1996) Traumatic herniation of the buccal fat pad: a report of two cases and a review of the literature. Int J Pediatr Otorhinolaryngol 38:175–179

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marios Loukas.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yousuf, S., Shane Tubbs, R., Wartmann, C.T. et al. A review of the gross anatomy, functions, pathology, and clinical uses of the buccal fat pad. Surg Radiol Anat 32, 427–436 (2010). https://doi.org/10.1007/s00276-009-0596-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-009-0596-6

Keywords

Navigation