CLINICAL SONOGRAPHIC ANALYSIS OF BIOMETRIC INDICATORS OF BUCCAL THICKNESS AND BUCCAL FAT PAD IN PATIENTS WITH DIFFERENT FACIAL TYPES.

Clinical and sonographic study of BFP biometric parameters in patients with different face typology is necessary for proper planning and efficient sampling. Aim of the study was to establish a scientific and practical analysis of clinical sonographic results of the examination of patients with different face types in preparation for reconstruction of the oral tissue defects of the BFP. The study was conducted with 25 patients. TBA biometry was performed with the Willis bite gauge. Instrumental sonographic analysis of BFP thickness was performed with Aloka Alpha 6 ultrasonic scanner (Hitachi, Japan). Results of the clinical study of the mean TBA are as follows: on the left side 8.94±0.89 mm, on the right side - 9.05±0.82 mm for patients with mesofacial face type; 7.53±0.61 mm on the left side, 8.58±1.093 mm - on the right side for dolichofacial type; on the left - 12.33±1.63 mm and the right - 12.44±1.54 mm for the brachyfacial face type. Ultrasound examination of patients with different types of face revealed that the mesofacials on the left side had BFP thickness of 5.45±0.46 mm, on the right side it was 5.14±0.36 mm. BFP thickness in patients with brachyfacial type was 7.04±0.74 mm on the left, 6.38±0.57 mm - on the right. BFP thickness in patients with dolichofacial type was 3.84±0.6 mm on the left, 4.04±0.44 mm - on the right. Mean thickness of buccal area in patients was established as 9.79 mm. Mean BFP thickness on ultrasound examination was 5.4 mm. The obtained data analysis will help maxillofacial surgeons to carry out the correct planning and effective sampling of the BFP in patients with various types of face in preparation for reconstruction of oral tissue defects, which will prevent possible complications.