The Use of the Buccal Fat Pad as a Pedicle Graft

This case highlights the use of the buccal fat pad as a pedicle graft for maxillary sinus closure.

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About this video

In this case, two failed dental implants had migrated into the maxillary sinus, resting within its cavity. Access to the sinus was achieved via a lateral wall approach, allowing for the removal of the displaced implants. To close the sinus and repair the perforated area, the buccal fat pad was mobilized by releasing it through the buccinator muscle and utilized as a pedicle graft. This technique provides structural volume, enhances vascularization, and ensures effective protection of the surgical site.