Traumatic Intraoral Herniation of Buccal Fat Pad: A Case Report

Intraoral herniation of the Buccal Fat Pad (BFP) is a rarely encountered injury in the paediatric group population. A 24-month-old girl was brought to the Emergency Department by her parents. The parents reported an alleged history of intraoral trauma while playing with a wooden ice-cream stick approximately 14 hours ago. The intraoral examination revealed a yellowish blood-tinged pedunculated mass of soft tissue which was non tender, non pulsatile and appeared to be emanating from the left buccal mucosa. She was immediately hospitalised and necessary investigations were performed. The patient was taken up for surgical intervention under general anaesthesia. The protruding mass, an extension of the BFP, was thoroughly cleansed and repositioned into its normal anatomic position through the existing laceration. The site healed with no post-operative complication in spite of the delayed repositioning.