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Case Reports in Medicine
Volume 2015, Article ID 842854, 4 pages
http://dx.doi.org/10.1155/2015/842854
Case Report

Autologous Fat Grafting in the Treatment of Painful Postsurgical Scar of the Oral Mucosa

1Department of Medical Biotechnology and Translational Medicine BIOMETRA, Plastic Surgery Unit, Humanitas Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano, 20089 Milan, Italy
2Plastic Surgery Unit, MultiMedica Holding S.p.A., Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Sesto San Giovanni, 20099 Milan, Italy

Received 12 February 2015; Accepted 1 May 2015

Academic Editor: Robert A. Kozol

Copyright © 2015 Andrea Lisa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Persistent pain as a consequence of surgical treatment has been reported for several common surgical procedures and represents a clinical problem of great magnitude. Material and Methods. We describe the case of a 47-year-old female who presented a retractile scar that adhered to deep planes at the upper right of the vestibule due to surgical removal of maxillary exostosis, which determined important pain symptoms extending till the right shoulder during both chewing and rest. We subsequently treated her with autologous fat grafting according to Coleman’s technique. Results. Clinical assessments were performed at 5 and 14 days, 1, 3, and 6 months, and 1 year after surgical procedure. We observed a progressive release of scar retraction together with an important improvement of pain symptoms. Conclusion. The case described widens the possible application of autologous fat grafting on a new anatomical site as buccal vestibule and in one specific clinical setting confirming its promising biological effects.