Übersichtsarbeit
Sebastian Cotofana
Das Corpus adiposum buccae (CAB) – eine detaillierte Literaturübersicht
The corpus adiposum buccae – a detailed review of the literature
Keywords | Summary | Correspondence | Literature
Keywords
adipose tissue, buccal fat pad, buccal space, reconstruction of oral defects
Schlüsselworte
Corpus adiposum buccae, Fettgewebe, orale Defektdeckung, Tiefe Wangenregion
Summary
The buccal fat pad (BFP) is a highly specialized adipose tissue located in the buccal space. It consists of 3 lobes (anterior, intermediate, posterior) and has in general 4 additional extensions: temporal, pterygiod, pterygopalatin and buccal. Ligaments serve as origin of vascularisation. Injections in the temporal extension also named deep temporal fat pad can lead to migration of the materials applied inferiorly into the buccal space, leaving the temple without any effect of augmenttation. The buccal extension can extend into the middle premasseteric space and further into the jowl and can worsen the appereance of the marionett line. The BFP is frequently used as pediceled graft during oral surgery with very satisfactory results for mucosal defect, fistulae or cleft repair.
Zusammenfassung
Das Corpus adiposum buccae (CAB) ist ein spezialisierter Fettkörper, der in der Regio buccalis zu finden ist. Er besteht aus drei durch bindegewebige Septen getrennte Lappen (Vorder-, Zwischen- und Hinterlappen) und hat im Regelfall weitere zusätzliche vier Ausläufer: temporal, pterygiod, pterygopalatin und buccal. Diese sind durch zarte Bänder an den umgebenden Strukturen angeheftet und werden durch zahlreiche Gefäße, die in eben diesen Bändern verlaufen versorgt. Der temporale Ausläufer trägt den zusätzlichen Namen Corpus adiposum temporales profundus und stellt eine Verbindung zur Regio temporalis dar, wodurch dort applizierte Materialien abwandern können. Der buccale Ausläufer kann bis in den mittleren prämasseterischen Raum hineinragen und kann zur Verstärkung der Hamsterbacken sowie zu einer prominenteren labiomandibulären Falte führen. Das CAB wird heutzutage zunehmend zur Defektdeckung nach intraoralen Resektionen wie z.B. nach Tumoroperationen oder auch zur Deckung von Gaumenspalten verwendet, da es eine gute Verfügbarkeit und geringe Komplikationsraten aufweist.
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Korrespondenz-Adresse
Dr. med. Sebastian Cotofana
Institut für Anatomie
Paracelsus Medizinische Privatuniversität
Strubergasse 21
A-5020 Salzburg
sebastian.cotofana@pmu.ac.at
Tel. +43 662 2420 80410
Fax +43 662 2420 80409
Conflict of Interests
S.C. hat keinen Interessenskonflikt.
Literatur
1. Lorenz Heister (1727) Compendium Anatomicum. Compendium Anatomic 3: 134-ff.
2. Marzano UG (15-4-2005) Lorenz Heister‘s „molar gland“. Plast Reconstr Surg 115: 1389-1393.
3. Marie-Francoise Xavier Bichat (1801) Anatomie Generale appliquèe a la Physiologie at a la Medecine 60-ff.
4. Singh J, Prasad K, Lalitha RM, and Ranganath K (2010) Buccal pad of fat and its applications in oral and maxillofacial surgery: a review of published literature (February) 2004 to (July) 2009. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110: 698-705.
5. Shoja MM, Tubbs RS, Loukas M, Shokouhi G, and Ardalan MR (2008) Marie-Francois Xavier Bichat (1771-1802) and his contributions to the foundations of pathological anatomy and modern medicine. Ann Anat 190: 413-420.
6. Ponrartana S, Patil S, Aggabao PC, Pavlova Z, Devaskar SU , and Gilsanz V (2014) Brown adipose tissue in the buccal fat pad during infancy. PLoS One 9:e89533-
7. Seale P, Bjork B, Yang W, Kajimura S, Chin S, Kuang S, Scime A, Devarakonda S, Conroe HM, Erdjument-Bromage, H, Tempst P, Rudnicki MA, Beier DR, and Spiegelman BM (2008) PRDM16 controls a brown fat/skeletal muscle switch. Nature 454: 961-967.
8. Gilsanz V, Smith ML, Goodarzian F, Kim M, Wren TA, and Hu HH (2012) Changes in brown adipose tissue in boys and girls during childhood and puberty. J Pediatr 160: 604-609.
9. Poissonnet CM, Burdi AR, and Bookstein FL (1983) Growth and development of human adipose tissue during early gestation. Early Hum Dev 8: 1-11.
10. Hu HH, Tovar JP, Pavlova Z, Smith ML, and Gilsanz V (2012) Unequivocal identification of brown adipose tissue in a human infant. J Magn Reson Imaging 35: 938-942.
11. Plagge A, Gordon E, Dean W, Boiani R, Cinti S, Peters J, and Kelsey G (2004) The imprinted signaling protein XL alpha s is required for postnatal adaptation to feeding. Nat Genet 36: 818-826.
12. Loukas M, Kapos T, Louis RG, Jr., Wartman C, Jones A, and 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.
13. Yousuf S, Tubbs RS, Wartmann CT, Kapos T, Cohen-Gadol AA, and Loukas M (2010) A review of the gross anatomy, functions, pathology, and clinical uses of the buccal fat pad. Surg Radiol Anat 32: 427-436.
14. Zhang HM, Yan YP, Qi KM, Wang JQ, and Liu ZF (2002) Anatomical structure of the buccal fat pad and its clinical adaptations. Plast Reconstr Surg 109: 2509-2518.
15. Racz L, Maros TN, and Seres-Sturm L (1989) Structural characteristics and functional significance of the buccal fat pad (corpus adiposum buccae). Morphol Embryol (Bucur.) 35: 73-77.
16. Stuzin JM, Wagstrom L, Kawamoto HK, Baker TJ, and Wolfe SA (1990) The anatomy and clinical applications of the buccal fat pad. Plast Reconstr
Surg 85: 29-37.
17. Dean A, Alamillos F, Garcia-Lopez, A, Sanchez J, and Penalba M (2001) The buccal fat pad flap in oral reconstruction. Head Neck 23: 383-388.
18. Rattan V (2006) A simple technique for use of buccal pad of fat in temporomandibular joint reconstruction. J Oral Maxillofac Surg. 64: 1447-1451.
19. Dolanmaz D, Tuz H, Bayraktar S, Metin M, Erdem E, and Baykul T (2004) Use of pedicled buccal fat pad in the closure of oroantral communication: analysis of 75 cases. Quintessence Int 35: 241-246.
20. O‘Brien JX, Ashton MW, Rozen WM, Ross R, and Mendelson BC (2013) New perspectives on the surgical anatomy and nomenclature of the temporal region: literature review and dissection study. Plast Reconstr Surg 131: 510-522.
21. Kahn JL, Wolfram-Gabel R, and Bourjat P (2000) Anatomy and imaging of the deep fat of the face. Clin Anat 13: 373-382.
22. Tart RP, Kotzur IM, Mancuso AA, Glantz MS, and Mukherji SK (1995) CT and MR imaging of the buccal space and buccal space masses. Radiographics 15: 531-550.
23. Mendelson BC and Wong CH (2013) Surgical anatomy of the middle premasseter space and its application in sub-SMAS face lift surgery. Plast Reconstr Surg 132:57-64.
24. Mendelson BC, Freeman ME, Wu W, and Huggins RJ (2008) Surgical anatomy of the lower face: the premasseter space, the jowl, and the labiomandibular fold. Aesthetic Plast Surg 32: 185-195.
25. Gierloff M, Stohring C, Buder T, Gassling V, Acil Y, and Wiltfang J (2012) Aging changes of the midfacial fat compartments: a computed tomographic study. Plast Reconstr Surg 129:263-273.
26. Pessa JE and Rohrich RJ (2012) Discussion: Aging changes of the mid facial fat compartments: a computed tomographic study. Plast Reconstr Surg 129: 274-275.
27. Eggers H, Brendel B, Duijndam A, and Herigault G (2011) Dual-echo Dixon imaging with flexible choice of echo times. Magn Reson Med 65:
96-107.
28. Hu HH, Perkins TG, Chia JM, and Gilsanz V (2013) Characterization of human brown adipose tissue by chemical-shift water-fat MRI. AJR Am J Roentgenol 200: 177-183.
29. Hu HH, Yin L, Aggabao PC, Perkins TG, Chia JM, and Gilsanz V (2013) Comparison of brown and white adipose tissues in infants and children with chemical-shift-encoded water-fat MRI. J Magn Reson Imaging 38: 885-896.
