Post-Operative Evaluation of the Intra-Oral Buccal Fat Pad Removal Technique: A Prospective Study

Prevalence of complications of buccal fat removal: A systematic review and meta-analysis

Removal of the buccal fat pad can be considered safe as long as there is a detailed analysis of anatomical landmarks. The objective of this study was to estimate the prevalence of intra- and postoperative complications resulting from buccal fat pad removal through a systematic review. The search strategy involved observational and/or interventional studies in humans that included at least one case of buccal fat pad removal with a description of the surgery, postoperative progress, and complications. Methodological quality assessment was performed using the JBI checklist. Study heterogeneity was assessed using the I2 test. In total, 12 studies were included. Out of 308 patients who underwent buccal fat pad removal, 81 experienced some form of complication, with an overall prevalence of 25% (95% CI = 0.04-0.46). Complications found in the data collection included edema (38.40%), trismus (30.09%), pain (19.41%), asymmetry (11.65%), facial nerve paralysis (0.97%), infection (0.48%), hematoma (0.48%), and unilateral emphysema (0.48%). All complications occurred in the postoperative period. There was high heterogeneity among the studies. One in four patients undergoing buccal fat pad removal experiences some form of postoperative complication. Consequently, the procedure should be recommended with caution because there is evidence for safety concerns and a lack of predictability in the evaluated studies.

Expansive Hematoma Following Buccal Fat Pad Reduction: An Unusual Case Report

The buccal fat pad, an intricate anatomical structure, can be used to manage minor to moderate oral defects and, by your removal, address parafunctional habits leading to intraoral trauma. It also serves esthetic purposes through reduction. Buccal fat pad reduction is typically a swift, safe procedure with a low complication rate. This report aims to illuminate an unusual case involving a late expansive hematoma following buccal fat pad reduction surgery. This complication posed a potential airway threat and led to severe trismus. Notably, our team effectively managed these issues using minimally invasive methods such as drainage, compression, and medication. This case serves as a vital reminder that late bleeding and expansive hematoma formation are possible outcomes, even when performed by a skilled surgeon. This case also highlights the feasibility of treating substantial hematomas originating from veins without the need for invasive procedures. This report underscores the importance of vigilance in these cases to ensure patient safety.