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The traumatic intraoral herniation of buccal fat pad occurs in young children and is rare clinical entity. It frequently presents as expanding pedunculated mass of soft tissue emanating from buccal mucosa following minor trauma to buccal soft tissues. This article reports an interesting and rare lesion, wherein a tiny traumatic perforation of the buccal mucosa and buccinator muscle forced a large portion of the buccal fat pad to extrude into the oral cavity in a two-year-old female patient. Such a situation can alarm any clinician and reinforces the importance of careful history taking and thorough examination, before treating patients.

Buccal fat pad; herniation; surgical removal.