PSEUDOHERNIATION OF THE BUCCAL FAT PAD - A NEW CLINICAL SYNDROME

The differential diagnosis of cheek masses can include any component t hat arises from the region or that metastasizes to it. Given the array of potential anomalies that can present in this area and their clinic al implications, an early diagnosis is essential. This report describe s a condition observed in a series of patients with abnormal positioni ng of the buccal fat pad as the cause of their cheek masses. In the ap propriate setting, a soft, nontender, walnut-sized mass that reduces i nto the buccal space is pathognomonic for the syndrome referred to as pseudoherniation of the buccal fat pad. Magnetic resonance imaging can also be used to evaluate the region. Treatment is accomplished by exc ision or repair of the fascial defect.