The use of buccal fat free graft in palatal defect after removal of palatal pleomorphic adenoma: A case report

Choi, Si-On; Jeong, Hoi-Bin; Baek, Jin-A

doi:2025.63.7.228

J Korean Dent Assoc > Volume 63(7); 2025 > Article

Case Report

Journal of Korean Dental Association 2025;63(7):228-232.
DOI: https://doi.org/10.22974/jkda.2025.63.7.003 Published online July 31, 2025.

The use of buccal fat free graft in palatal defect after removal of palatal pleomorphic adenoma: A case report

Si-On Choi

, Hoi-Bin Jeong

, Jin-A Baek

Department of Oral and Maxillofacial Surgery, School of Dentistry, Jeonbuk National University, Jeonju, Korea

Correspondence: Jin-A Baek, Tel: +82) 63-250-2068,
Email: chsion0830@gmail.com

Received: 27 March 2025 • Revised: 23 June 2025 • Accepted: 28 July 2025

Abstract

Autologous buccal fat pad graft is widely utilized for the closure of oroantral and oronasal fistulas, as well as for reconstructing intraoral post-operative soft tissue defects. However, its primary use is as a pedicled flap, which may lead to complications such as necrosis, graft failure, hematoma, infection, facial nerve injury, arterial bleeding, donor site morbidity, trismus, wound dehiscence, and excessive granulomatous tissue formation. To address these limitations, numerous clinical reports have emerged advocating the use of buccal fat free grafts. In this manuscript, buccal fat free graft was performed on a 26-year-old female patient following the removal of a pleomorphic adenoma on the palatal side, resulting in successful healing. This illustrates that buccal fat free graft may be an effective surgical method for the reconstruction of various intraoral defects.

Key Words: Adipose Tissue; Fat Pad; Surgical Flaps; Adenoma, Pleomorphic