Abstract：
OBJECTIVE: To review the available evidence on the use of the Buccal Fat Pad in primary and secondary Cleft Palate repair.
METHODS: This is a narrative review. A computerized literature search was conducted for articles published till February 2022 using the Mesh phrases buccal fat pad AND cleft palate, Bichat\'s Fat pad AND cleft palate, buccal fat pad OR Bichats Fat pad AND cleft palate.
RESULTS: A total of 35 articles were included in this review based on the set eligibility criteria. Most of the studies were retrospective case reviews (n = 16, 45.7%), and the aggregate number of patients from all included studies was 666. Reported uses of the buccal fat pad (BFP) in association with cleft palate repair include the closure of central cleft palate defect and nasal floor in primary cleft palate repair, oronasal fistula repair following primary repair of cleft palate, and closure of relieving incision defect in primary repair of cleft palate. Complications reported were 24 cases of Oronasal Fistula (ONF), 2 dehiscences, and 4 transient mucosal defects.
CONCLUSIONS: The high success rate, vascularity, ease of tissue harvest, and low donor site morbidity all support its use as an adjunct flap in cleft palate repair, especially in the closure of wide palatal clefts, to prevent post-palatal repair fistula, wound contracture, and subsequently velopharyngeal insufficiency and possibly midface hypoplasia.
METHODS: This is a narrative review. A computerized literature search was conducted for articles published till February 2022 using the Mesh phrases buccal fat pad AND cleft palate, Bichat\'s Fat pad AND cleft palate, buccal fat pad OR Bichats Fat pad AND cleft palate.
RESULTS: A total of 35 articles were included in this review based on the set eligibility criteria. Most of the studies were retrospective case reviews (n = 16, 45.7%), and the aggregate number of patients from all included studies was 666. Reported uses of the buccal fat pad (BFP) in association with cleft palate repair include the closure of central cleft palate defect and nasal floor in primary cleft palate repair, oronasal fistula repair following primary repair of cleft palate, and closure of relieving incision defect in primary repair of cleft palate. Complications reported were 24 cases of Oronasal Fistula (ONF), 2 dehiscences, and 4 transient mucosal defects.
CONCLUSIONS: The high success rate, vascularity, ease of tissue harvest, and low donor site morbidity all support its use as an adjunct flap in cleft palate repair, especially in the closure of wide palatal clefts, to prevent post-palatal repair fistula, wound contracture, and subsequently velopharyngeal insufficiency and possibly midface hypoplasia.
摘要：
目的：回顾关于在原发性和继发性腭裂修复中使用颊脂肪垫的现有证据。
方法：这是一个叙述性综述。使用网格短语颊脂肪垫和left裂对直到2022年2月发表的文章进行了计算机文献检索，Bichat的脂肪垫和腭裂，颊脂肪垫或Bichats脂肪垫和腭裂。
结果：根据设定的资格标准，本综述共纳入35篇文章。大多数研究是回顾性病例回顾(n=16，45.7%)，所有纳入研究的患者总数为666例.报告使用颊脂肪垫（BFP）与left裂修复相关，包括在原发性left裂修复中闭合中央left裂缺损和鼻底。腭裂一期修复后的口鼻瘘修复，和闭合解除切口缺损的腭裂一期修复。报告并发症24例口鼻瘘（ONF），2休会，和4个短暂的粘膜缺损。
结论：成功率高，血管，易于组织收获，和较低的供体部位发病率都支持将其用作腭裂修复的辅助皮瓣，尤其是在宽腭裂的闭合中，为了防止腭修复后瘘，伤口挛缩,随后的咽喉功能不全和可能的中面发育不全。
方法：这是一个叙述性综述。使用网格短语颊脂肪垫和left裂对直到2022年2月发表的文章进行了计算机文献检索，Bichat的脂肪垫和腭裂，颊脂肪垫或Bichats脂肪垫和腭裂。
结果：根据设定的资格标准，本综述共纳入35篇文章。大多数研究是回顾性病例回顾(n=16，45.7%)，所有纳入研究的患者总数为666例.报告使用颊脂肪垫（BFP）与left裂修复相关，包括在原发性left裂修复中闭合中央left裂缺损和鼻底。腭裂一期修复后的口鼻瘘修复，和闭合解除切口缺损的腭裂一期修复。报告并发症24例口鼻瘘（ONF），2休会，和4个短暂的粘膜缺损。
结论：成功率高，血管，易于组织收获，和较低的供体部位发病率都支持将其用作腭裂修复的辅助皮瓣，尤其是在宽腭裂的闭合中，为了防止腭修复后瘘，伤口挛缩,随后的咽喉功能不全和可能的中面发育不全。
