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.
Similar content being viewed by others
References
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
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
Baumann A, Ewers R (2000) Application of the buccal fat pad in oral reconstruction. J Oral Maxilofac Surg 58:389–392
Bichat F (1802) Anatomie Generale, Applique a la Physiologie et a la Medecine. Brosson Gabon and Cie, Paris
Brooke RI, MacGregor AJ (1969) Traumatic pseudolipoma of the buccal mucosa. Oral Surg Oral Med Oral Pathol 28:223–225
Browne WG (1970) Herniation of the buccal fat pad. Oral Surg Oral Med Oral Path 29:181–183
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
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
DuBrul EL (1980) Sicher’s oral anatomy, 7th edn. Mosby, St. Louis, p 213
Egyedi P (1977) Utilization of the buccal fat pad for closure of oro-antral/oro-nasal communications. J Maxillofac Surg 5:241–244
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
Gallia L, Rood SR, Myers EN (1981) Management of buccal space masses. Otolayngol Head Neck Surg 89:221–225
Gaughran GR (1957) Fasciae of the masticator space. Anat Rec 129:383–400
Hai HK (1988) Repair of palatal defects with unlined buccal fat pad grafts. Oral Surg 65:523–525
Jackson IT (1999) Anatomy of the buccal fat pad and its clinical significance. Plas Reconstr Surg 103:2059–2060
Kahn JL, Wolfram-Gabel R, Bourjat P (2000) Anatomy and imaging of the deep fat of the face. Clin Anat 13:373–382
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
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
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
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
Matarasso A (1991) Buccal fat pad excision: aesthetic improvement of the midface. Ann Plast Surg 26:413–418
Matarasso A (1997) Pseudoherniation of the buccal fat pad: a new clinical syndrome. Plast Reconstr Surg 100:723–730
Matarasso A (2002) Pseudoherniation of the buccal fat pad: a new clinical syndrome: follow-up. Plast Reconstr Surg 112:1716–1718
Poissonet CM, Burdi AR, Bookstein FL (1983) Growth and development of human adipose tissue during early gestation. Early Hum Dev 8:1–11
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
Rodgers GK, Myers EN (1988) Surgical management of the mass in the buccal space. Laryngoscope 98:749–753
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
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
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
Tart RP, Kotzur IM, Mancuso AA, Glantz MS, Mukherji SK (1995) CT and MRI imaging of the buccal space masses. Radiographics 15:531–550
Tideman H, Bosanquet A, Scott J (1986) Use of the buccal fat pad as a pedicled graft. J Oral Maxillofac Surg 44:435–440
Woldford D (1981) Traumatic herniation of the buccal fat pad: report of case. J Am Dent Assoc 103:593–594
Xie WY, Zhang KQ (1981) The anatomical study of the buccal fat pad. Chin J Stomat 16:199–205
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
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
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
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
Author information
Authors and Affiliations
Corresponding author
Rights 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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-009-0596-6