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The use of pedicled buccal fat pad combined with sequestrectomy in bisphosphonate-related osteonecrosis of the maxilla

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The use of pedicled buccal fat pad combined with sequestrectomy in bisphosphonate-related osteonecrosis of the maxilla

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dc.contributor.author Gallego, Lorena es
dc.contributor.author Junquera Gutiérrez, Luis Manuel es
dc.contributor.author Pelaz, A. es
dc.contributor.author Hernando, J. es
dc.contributor.author Megías, Joaquim es
dc.date.accessioned 2017-07-25T12:11:21Z
dc.date.available 2017-07-25T12:11:21Z
dc.date.issued 2012 es
dc.identifier.citation Gallego, Lorena ; Junquera Gutiérrez, Luis Manuel ; Pelaz, A. ; Hernando, J. ; Megías, Joaquim. The use of pedicled buccal fat pad combined with sequestrectomy in bisphosphonate-related osteonecrosis of the maxilla. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 17 2 2012: 22- es
dc.identifier.uri http://hdl.handle.net/10550/59982
dc.description.abstract The use of pedicled buccal fat pad flap (BFP) has proved of value for the closure of oroantral and oronasal communications and is a well-established tool in oral and maxillofacial surgery. Otherwise, the perceived limitations of surgical therapy for bisphosphonate-related osteonecrosis of the jaws (BRONJ) have been widely discussed, and recommendations have largely been made to offer aggressive surgery only to stage 3 patients refractary to conservative management. Oroantral communication may be a common complication after sequestrectomy and bone debridement in upper maxillary BRONJ. We report a case series of stage 3 recalcitrant maxillary BRONJ surgically treated with extensive sequestrectomy and first reconstruction using pedicled BFP. All the cases presented an uneventful postoperative healing was uneventful without dehiscence, infection, necrosis or oroantral communication. We postulate that managing initially the site with BFP and primary closure may ensure a sufficient blood supply and adequate protection for an effective bone-healing response to occur. This technique may represent a mechanic protection and an abundant source of adipose-derived adult stem cells after debridement in upper maxillary BRONJ. We evaluate in this work results, advantages and indications of this technique. © Medicina Oral S. L. es
dc.title The use of pedicled buccal fat pad combined with sequestrectomy in bisphosphonate-related osteonecrosis of the maxilla es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.17422 es
dc.type.hasVersion VoR es_ES

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