Use of Bichat fat retail in closing bone defect after cystic enucleation: case report

Introduction: The Bichat fat pad is a lobulated fat mass, easily accessible, that can be used to correct bone defects and surgical complications, for presenting: less morbidity at the donor site, rich blood vascularity, reliability, high success rates and for not leaving visible scars. Objective: Report a clinical case of a patient who presented oroantral comunications after extraction and removal of periapical cyst in the maxilla, in which Bichat's fat was used to correct the bone defect. Case report : A 52-year-old male patient complained pain in the left maxilla and feeling of heaviness in face. The tomographic examination showed an image suggestive of deep caries in the 26 and a periapical cyst in the region. The treatment consisted of extraction, cystic enucleation and closure of the defect by using Bichat's fat, under general anesthesia. The patient was accompanied for 60 days without recurrence of the lesion. Conclusion: Due to its rich vascularisation, lower morbidity to the donor site and low rates of complications, the buccal adipose body was used to treat oroantral communication and correct bone defects, ensuring the success of the procedure. (author)