Abstract
We often encounter trauma to the maxillofacial or oral region, soft tissue wound which occurs to a child when alone and which is frequent, incidency of treatment have increased. In the buccal fat pad, herniationt is common, and the toothbrush is often a cause of such wounds. A case is described in which trauma to the cheek resulted in herniation of the buccal pad of fat into the oral cavity. The patient was a boy two years old five months of age. He fell from the sofa while brushing his teeth, with a toothbrush and there was a wound lingua for the buccal mucous membrane. He was admitted hemonhage and pain, but after the arrest of hemorrhage, he calmed down obedient. When his mother examined him the next day, she observed a mass protruding through the right buccal mucosa in his oral cavity. Afterwards, the masticatory dysfunction occurred, and he came to the Tokyo Dental College Suidobashi Hospital Department of Pediatric Dentistry. Phyma was recognized continuously from the rupture in the vicinity of the right buccal mucous membrane parotid papilla in the whity-yellow color by the size of thumb-tip. With diagnosis of the buccal fat pad herniation due to vulnus, we applied suture linguas to excise the phyma under general anesthesia. The antimicrobial drug and antiinflammatory enzyme preparations were administered to the infection. Histologicaly, it was a diagnosed a panniculitis with infection. The prognosis about two years after the operation up to the present time is excellent. When giving toothbrushing instruction to the children, we should see the guardian is properly warned about various dangers.
