What is it about?

Mucocele is the most common oral lesion of the minor salivary glands in children and young adults. An 8-year-old male child and a 9-year-old female child presented to our department with a chief complaint of swelling in the inner aspect of the lower lip. On clinical examination, the swelling was fluctuant. Excisional biopsy of the lesion was performed.

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Why is it important?

Mucoceles are asymptomatic in nature but can interfere with speech, chewing, or swallowing which can cause discomfort to the patient. Mucocele can be treated through various treatment modalities, surgical excision, micromarsupialization, marsupialization, cryosurgery, laser vaporization, and laser excision. Management of mucocele is challenging because of the high chances of recurrence. Hence, recurrence can be reduced by eliminating the adjacent surrounding glandular acini and removing the lesion down to the muscle layer, care should be taken not to injure the adjacent glands and ducts while placing sutures that can result in reappearance.

Perspectives

Mucoceles are common, self-limiting benign lesions resulting from trauma. Among the various procedures, conventional surgical excision was found to be a simple, rapid, and cost-effective procedure for treating mucocele in children. Surgical removal was considered as a treatment option for the present cases as swelling was associated with functional problems and poor dietary intake.

Dr. Madhusudhan K Siddaiah
Krishnadevaraya College of Dental Sciences, India

Read the Original

This page is a summary of: Management of Mucous Extravasation Cyst: A Report of Two Cases, Journal of Oral Health and Community Dentistry, September 2022, Jaypee Brothers Medical Publishing,
DOI: 10.5005/jp-journals-10062-0146.
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