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Miranda GGB, Chaves-Junior SDC, Lopes MP, da Rocha TB, Colares DF, Ito FA, Cavalcante IL, Cavalcante RB, de Andrade BAB, Nonaka CFW, Alves PM, de Albuquerque-Júnior RLC, Cunha JLS. Oral mucoceles: A Brazillian Multicenter Study of 1,901 Cases. Braz Dent J 2022; 33:81-90. [PMID: 36287502 PMCID: PMC9645162 DOI: 10.1590/0103-6440202204965] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Accepted: 08/23/2022] [Indexed: 06/16/2023] Open
Abstract
Oral mucocele (OM) is the most common lesion of minor salivary glands. The present study aimed to report the clinical and demographic features of a large series of OMs and identify possible predictive variables associated with the recurrence rate of these lesions. A retrospective descriptive cross-sectional study was performed. A total of 43,754 biopsy records from four pathology services in Brazil were analyzed. All cases of OMs were reviewed, and clinical and demographic data were collected. The study comprised 1,002 females (56.2%) and 782 males (43.8%), with a mean age of 19.8±16.4 years (range: 01-87 years) and a 1.3:1 female-to-male ratio. The lower lip (n=1,160; 67.4%), and floor of the mouth (n=172; 10.0%), were the most common affected sites, presenting clinically as nodules (n=978; 79.4%) of smooth surface (n=428; 77.5%) and normal color (n=768, 46.7%). Excisional biopsy was the treatment in most cases (n=1,392; 78.0%). Recurrent OMs represented 6.2% of all diagnosed cases (n=117). OMs recurred more commonly in younger patients (aged<20 years) (p<0.0001), in lesions larger than 2 cm in diameter (p<0.0001), and in those located in the ventral tongue (p=0.0351). Also, recurrence rates were higher significantly in cases treated with laser surgery than in those with conventional surgery (p=0.0005). Patients with OMs should be carefully informed of its possible recurrence, especially when found on the ventral tongue of young patients.
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Affiliation(s)
- Georgea Gabriela Barreto Miranda
- Laboratory of Morphology and Experimental Pathology, Institute of Technology and Research, Tiradentes University(UNIT), Aracaju, Brazil
| | | | | | - Talytha Barbosa da Rocha
- Postgraduate Program of Dentistry, Department of Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
| | - Débora Frota Colares
- Departament of Dentistry, Federal University of Rio Grande do Norte(UFRN), Natal, Brazil
| | - Fábio Augusto Ito
- Department of Oral Medicine and Pediatric Dentistry, State University of Londrina (UEL), Londrina, Brazil
| | | | | | | | - Cassiano Francisco Weege Nonaka
- Postgraduate Program of Dentistry, Department of Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
| | - Pollianna Muniz Alves
- Postgraduate Program of Dentistry, Department of Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
| | | | - John Lennon Silva Cunha
- Postgraduate Program of Dentistry, Department of Dentistry, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
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2
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Wainberg S, Powers B, Liptak J. Mucus Retention Cyst of the Soft Palate in a Dog. J Am Anim Hosp Assoc 2021; 56:34-36. [PMID: 31841381 DOI: 10.5326/jaaha-ms-6721] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A 10 yr old 6.6 kg (14.5 lb) castrated male Chihuahua was referred to the Alta Vista Animal Hospital for evaluation of a mass of the soft palate. The cystic structure was bluntly dissected from the soft palate submucosal tissue, and the dog recovered from surgery and anesthesia without complication. Histopathology revealed salivary tissue with a large multiloculated cyst lined by a single layer of cystic and dilated cuboidal epithelium. Follow up 7 mo after surgery revealed complete resolution of clinical signs with no evidence of local recurrence. To the authors' knowledge, this is the first confirmed report of a mucus retention cyst in a dog.
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Affiliation(s)
- Shannon Wainberg
- From Alta Vista Hospital-VCA, Gloucester, Canada (S.W., J.L.); and Veterinary and Diagnostic Laboratories, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado (B.P.)
| | - Barbara Powers
- From Alta Vista Hospital-VCA, Gloucester, Canada (S.W., J.L.); and Veterinary and Diagnostic Laboratories, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado (B.P.)
| | - Julius Liptak
- From Alta Vista Hospital-VCA, Gloucester, Canada (S.W., J.L.); and Veterinary and Diagnostic Laboratories, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado (B.P.)
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3
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Abstract
Although a rare sequala of soft tissue injury, salivary gland trauma may result in significant morbidity. Salivary gland injury can involve the major as well as the minor glands. Because of the proximity of adjacent vital structures, a thorough history and physical examination are mandatory during patient evaluation. Trauma to the major salivary glands may involve the parenchyma, duct, or neural injury. Treatment requires adherence to primary principles of soft tissue management. Ductal and neural injury should be repaired primarily. Sialocele and fistula are potential complications of repaired and unrepaired salivary gland injury.
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Affiliation(s)
- Raymond P Shupak
- Division of Maxillofacial Oncology and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, 1500 South Main Street, Fort Worth, TX 76104, USA.
| | - Fayette C Williams
- Division of Maxillofacial Oncology and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, 1500 South Main Street, Fort Worth, TX 76104, USA
| | - Roderick Y Kim
- Division of Maxillofacial Oncology and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, 1500 South Main Street, Fort Worth, TX 76104, USA
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4
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Abstract
Mucoceles are common salivary gland disorders. Mucoceles are benign, mucus-filled extravasation pseudocysts that commonly arise on the lower lip of children and young adults. Although surgical excision is commonly performed to remove these lesions, other treatments include marsupialization, micromarsupialization laser ablation, cryotherapy, intralesional steroid injection, and sclerosing agents. Traumatic sialoceles commonly arise from injury to the parotid duct. Treatment of sialoceles from acute parotid duct injury and for delayed presentations after injury are discussed. Ranulas are a subtype of mucocele from the sublingual gland classified as superficial or plunging. Treatment of ranulas must address the sublingual gland.
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Affiliation(s)
- Eve M R Bowers
- Department of Otolaryngology, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, 3350 Terrace Street, Pittsburgh, PA 15213, USA
| | - Barry Schaitkin
- Department of Otolaryngology, University of Pittsburgh Medical Center, Shadyside Hospital, Suite 211, 5200 Centre Avenue, Pittsburgh, PA 15232, USA.
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5
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Nagar SR, Fernandes G, Sinha A, Rajpari KN. Mucocele of the tongue: A case report and review of literature. J Oral Maxillofac Pathol 2021; 25:S37-S41. [PMID: 34083968 PMCID: PMC8123259 DOI: 10.4103/jomfp.jomfp_396_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 10/29/2020] [Indexed: 11/15/2022] Open
Abstract
Mucoceles are common cystic lesions in the oral cavity. It may occur in different locations in the oral mucosa due to trauma or obstruction of minor salivary gland ducts with the lower lip as the predominant site. However, mucoceles located on the ventral surface of the tongue originating from the anterior lingual salivary glands are extremely rare and often overlooked during screening procedures because of their asymptomatic nature. Here, we report an interesting case of mucocele on the anterior ventral surface of the tongue in an 11-year-old female based on the clinical and histopathological diagnosis. Moreover, mucoceles should be considered as one of the differential diagnoses while evaluating a growth involving the ventral surface of the tongue in young female children.
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Affiliation(s)
- Saurabh R Nagar
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, India.,Department of Pathology, Tata Memorial Centre, Mumbai, India
| | - Gabriela Fernandes
- Department of Periodontics and Endodontics, SUNY Buffalo, Buffalo, New York, USA.,Department of Oral Biology, SUNY Buffalo, Buffalo, New York, USA
| | - Anuradha Sinha
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, India
| | - Kamil N Rajpari
- Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Aurangabad, Maharashtra, India
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6
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Suryavanshi R, Abdullah A, Singh N, Astekar M. Oral mucocele in infant with an unusual presentation. BMJ Case Rep 2020; 13:13/6/e234669. [PMID: 32565436 DOI: 10.1136/bcr-2020-234669] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Mucocele is a benign lesion characterised by an extravasation or retention of mucous secretion in submucosal tissue from minor salivary glands. The occurrence of mucocele is common in the oral cavity, with more than 70% of cases on lower labial mucosa. The occurrence of mucocele on the tongue is considered rare and accounted for only 2.25% in the previous literature. Histopathological examination plays a great role in the confirmation of the clinical diagnosis. Management of mucocele is at times challenging. This paper highlights a rare case of mucocele in a 5-month-old infant who was successfully managed under day-care anaesthesia.
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Affiliation(s)
- Rishi Suryavanshi
- Department of Paediatrics and Preventive Dentistry, Purvanchal Institute of Dental Sciences, Gorakhpur, Uttar Pradesh, India
| | - Ahsan Abdullah
- Department of Paediatrics and Preventive Dentistry, Career Post Graduate Institute of Dental Sciences and Hospital, Lucknow, Uttar Pradesh, India
| | - Neerja Singh
- Department of Paediatrics and Preventive Dentistry, Babu Banarasi Das College of Dental Sciences, Lucknow, Uttar Pradesh, India
| | - Madhusudan Astekar
- Department of Oral Pathology & Microbiology, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India
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7
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Foroughiasl P. Cautery versus laser excision of oral mucocele. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2019. [DOI: 10.1016/j.epsc.2019.101251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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8
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Choi YJ, Byun JS, Choi JK, Jung JK. Identification of predictive variables for the recurrence of oral mucocele. Med Oral Patol Oral Cir Bucal 2019; 24:e231-e235. [PMID: 30818316 PMCID: PMC6441602 DOI: 10.4317/medoral.22690] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Accepted: 01/03/2019] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Oral mucocele is the most common minor salivary gland lesion with good prognosis after surgical removal. However, its recurrence is not rare, sometimes bothersome. This study aimed to identify the possible predictive variables affecting the recurrence rate of oral mucocele. MATERIAL AND METHODS The histoclinical data of 164 patients diagnosed with oral mucocele were retrospectively obtained by reviewing dental records. The predictive variables for its recurrence were identified by analyzing its recurrence rate according to clinical variables. RESULTS The recurrence rate showed the significant differences according to location and age. Oral mucocele recurred with significantly higher frequency on the ventral mucosa of tongue (50.0%) than on the labial/buccal mucosa (8.8%). Its recurrence was significantly more common in the younger patients (aged < 30 years, 16.0%) than in the older patients (aged > 30 years, 4.4%). However, there was no significant difference in recurrence rates between surgical procedures using scalpels and those using lasers. CONCLUSIONS Patients with oral mucocele should be more carefully informed of its possible recurrence, especially when it is found on the ventral surface of the tongue or in a younger population.
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Affiliation(s)
- Y-J Choi
- Department of Oral medicine, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu, 41940, Korea,
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9
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Liu J, Zhang A, Jiang L, Li K, Liu F, Yuan D, Xu K, Fan Q, Liu X, Zou B, Meng Z, Feng Y, Zhang B. The efficacy of polidocanol sclerotherapy in mucocele of the minor salivary gland. J Oral Pathol Med 2018; 47:895-899. [PMID: 29998466 DOI: 10.1111/jop.12764] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2018] [Revised: 07/08/2018] [Accepted: 07/09/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Jian‐Lin Liu
- School of Stomatology Shandong University Jinan Shandong China
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
| | - An‐Qi Zhang
- Department of Central Laboratory Liaocheng People's Hospital Liaocheng Shandong China
| | - Li‐Cheng Jiang
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
| | - Ke‐Yi Li
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
| | - Feng‐Zhen Liu
- Department of Oral Materials Science Laboratory Liaocheng People's Hospital Liaocheng Shandong China
| | - Dao‐Ying Yuan
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
| | - Kai Xu
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
| | - Qing‐Chun Fan
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
| | - Xian‐Bin Liu
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
| | - Bo Zou
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
| | - Zheng Meng
- Department of Precision Medicine Liaocheng People's Hospital Liaocheng Shandong China
| | - Yuan Feng
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
| | - Bin Zhang
- School of Stomatology Shandong University Jinan Shandong China
- Department of Oral and Maxillofacial Surgery Liaocheng People's Hospital Liaocheng Shandong China
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10
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Ahad A, Tandon S, Lamba AK, Faraz F, Anand P, Aleem A. Diode Laser Assisted Excision and Low Level Laser Therapy in the Management of Mucus Extravasation Cysts: A Case Series. J Lasers Med Sci 2017; 8:155-159. [PMID: 29123637 DOI: 10.15171/jlms.2017.28] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: Mucus extravasation cyst is a commonly occurring lesion in oral cavity that may result from traumatic severance of a salivary gland duct with subsequent extravasation of mucus into fibrous connective tissue. After a conventional excision or marsupialization, recurrence is not uncommon. Diode laser offers an effective modality for management of such lesions. Case Reports: Four patients were referred with painless fluctuant swellings on labial and buccal mucosa. After recording history and clinical examination, provisional diagnosis of mucocele was made. All the lesions were excised with a diode laser and biopsy was performed. Surgical wounds were treated with low-level laser therapy (LLLT). Results: Uneventful healing was observed in all 4 cases. Significant reduction in postoperative discomfort was recorded after application of LLLT. Histopathological findings were suggestive of mucus extravasation cysts. Conclusion: Diode laser appears to be a good alternative to conventional modalities for the management of mucus extravasation cysts.
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Affiliation(s)
- Abdul Ahad
- Department of Periodontics, Ziauddin Ahmad Dental College and Hospital, Aligarh Muslim University, Aligarh, India
| | - Shruti Tandon
- Department of Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Arundeep Kaur Lamba
- Department of Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Farrukh Faraz
- Department of Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Parimal Anand
- Department of Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Abdul Aleem
- Department of Periodontics, Ziauddin Ahmad Dental College and Hospital, Aligarh Muslim University, Aligarh, India
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11
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Stojanov IJ, Malik UA, Woo SB. Intraoral Salivary Duct Cyst: Clinical and Histopathologic Features of 177 Cases. Head Neck Pathol 2017; 11:469-476. [PMID: 28349371 PMCID: PMC5677068 DOI: 10.1007/s12105-017-0810-5] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Accepted: 03/15/2017] [Indexed: 11/28/2022]
Abstract
The salivary duct cyst (SDC) is a reactive ductal ectasia most frequently seen in major salivary glands, and likely caused by obstruction. The aim of this study is to define the clinical and histopathologic spectrum of intraoral SDCs. Cases were retrieved from the archives of Harvard School of Dental Medicine/StrataDx, Inc. from January 2012 to August 2014. There were 177 cases of which 103 (58.2%) occurred in females, with a median age of 56 (range 2-95). Approximately half of cases (45.8%) presented in the area of the buccal mucosa, lower lip mucosa, or mandibular vestibule, and 23.2% presented in the floor of mouth. SDCs were lined at least focally by 1-2 layers of cuboidal/columnar epithelium in 85.3% of cases and showed varying degrees of metaplasia (oncocytic, mucous cell, squamous, ciliated, apocrine-like) in 68.4% of cases. Intraluminal mucous stasis was present in 41.8% of SDCs, incipient calcification was present within 4.5% of SDCs, and chronic obstructive sialadenitis was seen in 90.2% of cases. No cysts showed adenomatous ductal proliferations or true papillary structures with fibrovascular cores, although 41.2% exhibited reactive undulation of cyst lining. Thirty-nine 'papillary oncocytic cystadenoma-like' SDCs (22.0%) demonstrated complete oncocytic metaplasia and marked undulation. An additional seven such cysts (4.0%) had a 'Warthin tumor-like' lymphoplasmacytic infiltrate. Intraoral SDCs occur most commonly in the sixth decade of life in locations distinct from extravasation mucoceles, likely secondary to intraluminal obstruction. SDCs show diverse histopathology and certain phenotypic variants may be mistaken for papillary oncocytic cystadenoma or Warthin tumor.
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Affiliation(s)
- Ivan J. Stojanov
- Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, Case Western Reserve University School of Dental Medicine, Cleveland, OH 44106 USA ,Department of Pathology, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH 44106 USA
| | - Umer A. Malik
- Center for Oral Pathology, StrataDx Inc., Lexington, MA 02421 USA
| | - Sook-Bin Woo
- Center for Oral Pathology, StrataDx Inc., Lexington, MA 02421 USA ,Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA 02115 USA
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12
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Bansal S, Verma DK, Goyal S, Rai M. Comparison of Micromarsupialization and Modified Micromarsupialization for the Management of Mucocoele of Lower Lip: A Prospective Randomized Clinical Trial. J Maxillofac Oral Surg 2017; 16:491-496. [PMID: 29038633 DOI: 10.1007/s12663-017-1004-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2016] [Accepted: 03/08/2017] [Indexed: 10/20/2022] Open
Abstract
BACKGROUND This study was undertaken to compare micromarsupialization and modified micromarsupialization for the management of mucoceles. MATERIALS AND METHODS A prospective randomized clinical study was done on thirty patients having mucocele on lower lip. In Group A (n = 15), micromarsupialization and in Group B (n = 15), modified micromarsupialization technique was used. The outcome variables were duration of surgery, intraoperative pain, postoperative pain, healing and recurrence. t test and p values were used to compare the age, duration of lesion, duration of treatment and time taken for healing. The results were expressed as mean with SD. Statistical significance was established at the p ≤ 0.05 level. Analysis of pain (intraoperative, on 3rd, 7th day), intraoperative bleeding and recurrence was done using Fischer's exact test (p = 0.875, NS). RESULTS The average duration of treatment for Group A was 4.10 ± 0.39 min and for Group B was 5.33 ± 0.2 min. The difference was found to be statistically highly significant (p value ≤0.000). The observed power was 1.000. The difference in the intraoperative and postoperative pain on 3rd and 7th day was not found to be significant as per Fischer's exact test. The mean time taken for healing of the surgical site in Group A was 7.47 ± 0.64 days and in Group B was 9.87 ± 1.88 days, and the difference was found to be highly significant. The observed power was 0.995. CONCLUSIONS Modified micromarsupialization appears to be a safe technique for the management of mucoceles. However, in comparison with micromarsupialization, it has a higher operating and healing time.
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Affiliation(s)
- Shallu Bansal
- Department of Oral and Maxillofacial Surgery, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan 335001 India
| | - Dinesh Kumar Verma
- Department of Oral and Maxillofacial Surgery, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan 335001 India
| | - Sandeep Goyal
- Department of Oral and Maxillofacial Surgery, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan 335001 India
| | - Manjunath Rai
- Department of Oral and Maxillofacial Surgery, AJ Institute of Dental Science and Hospital, Mangalore, Karnataka 575004 India
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Feng H, Wang S, Liu Y, Liao X, Tang Y, Liang X. Microwave Ablation: A Novel Treatment for the Mucoceles of Anterior Lingual Salivary Glands. J Oral Maxillofac Surg 2016; 75:530-535. [PMID: 27750050 DOI: 10.1016/j.joms.2016.09.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Revised: 09/11/2016] [Accepted: 09/12/2016] [Indexed: 02/05/2023]
Abstract
PURPOSE The objective of this study was to evaluate the efficacy of microwave ablation as a substitute for surgery in patients with a mucocele of the anterior lingual salivary glands. MATERIALS AND METHODS In the Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sichuan University (Chengdu, China), 78 patients with a clinical diagnosis of a mucocele of the anterior lingual salivary glands underwent microwave ablation from November 2012 to May 2015. Outcome and data on age, gender, size of lesion, history of trauma, and duration of lesion development for each patient were collected. RESULTS In this series, all patients fully recovered and only 5 patients received a second ablation. Wound healing was uneventful in all cases and a small scar was observed in only 6 patients. No serious complications were observed except for local discomfort in 2 cases and tongue tip numbness in 3 cases, but the problems resolved within several days without management. CONCLUSION Microwave ablation is a safe, straightforward, less invasive, economic, and effective therapeutic method for a mucocele of the anterior lingual salivary glands and can be used as a primary treatment modality before considering surgery.
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Affiliation(s)
- Hao Feng
- Resident, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Shasha Wang
- Resident, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yan Liu
- Resident, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xuejuan Liao
- Co-Chief Nurse, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yaling Tang
- Professor, Department of Oral Pathology, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xinhua Liang
- Professor, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
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14
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A 15-year retrospective study of 160 cases of benign lip lesions. The Journal of Laryngology & Otology 2016; 129:1224-7. [PMID: 26654640 DOI: 10.1017/s0022215115002923] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE This study aimed to describe the results of a retrospective analysis of a specific cohort of patients with benign lip lesions encountered in the last 15 years in the School of Medicine at Karadeniz Technical University. METHOD A total of 312 patients were managed for lip lesions during the period 2000-2014. Data from 160 samples of benign lip biopsies were retrieved from the pathology laboratory records. RESULTS The study group included 20 different histopathological types of lesions, with mucocele being the most frequent lesion (43.13 per cent). The other frequent lesions were chronic inflammatory infiltrate (11.25 per cent), intradermal naevus (5.63 per cent), pyogenic granuloma (5.63 per cent), fibroma (5 per cent) and papilloma (5 per cent). Mucocele was significantly more common in younger patients (p < 0.001). CONCLUSION Knowledge of the epidemiology and distribution of oral mucosal lesions is essential to promote early diagnosis and treatment. Further epidemiological studies exploring the causal relationships and risk factors for lip lesions are necessary for a better understanding of lip diseases.
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15
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Epidemiological survey of mucus extravasation phenomenon at an oral pathology referral center during a 43 year period. Braz J Otorhinolaryngol 2016; 82:536-42. [PMID: 26832636 PMCID: PMC9444639 DOI: 10.1016/j.bjorl.2015.09.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2015] [Revised: 09/04/2015] [Accepted: 09/11/2015] [Indexed: 11/27/2022] Open
Abstract
Introduction Mucoceles are common benign pseudocystic lesions of the oral cavity; their main etiological factors are trauma and ductal obstruction. Two histological patterns are found: mucus retention phenomenon (MRP) and mucus extravasation phenomenon (MEP). Mucus extravasation phenomenon is the more common histological subtype and it mainly affects the lower lip. The knowledge of its main clinical features and management is important to assist health professionals in clinical practice. Objective This study aimed to determine the relative frequency and distribution of oral mucoceles in an oral pathology reference center. Methods Cross-sectional historical study that analyzed all cases pathologically diagnosed as mucus extravasation phenomenon by the department of anatomic pathology of an oral pathology referral center from June of 1970 to May of 2014, considering the clinical characteristics of the lesion and those relating to the patient. SPSS v. 20.0 software for Windows was used for descriptive analysis. Results During 43 years, 719 cases of mucus extravasation phenomenon (54.7% men and 45.3% women) were registered, with the lower lip as the most commonly affected site (n = 484; 67.3%). The average age of patients was 20.8 years (SD ± 14.4) with a peak occurrence in the second decade of life. Most professionals had oral mucocele/ranula (n = 606; 84.3%) as the initial clinical impression. Conclusion Mucus extravasation phenomenon is a lesion that primarily affects young patients, affecting mainly the lower lip, and is commonly found in oral diagnostic services.
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16
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Giraddi GB, Saifi AM. Micro-marsupialization versus surgical excision for the treatment of mucoceles. Ann Maxillofac Surg 2016; 6:204-209. [PMID: 28299258 PMCID: PMC5343628 DOI: 10.4103/2231-0746.200324] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Mucocele is a common disorder of minor salivary glands which arises due to mucous accumulation resulting from their alteration. Several techniques have been described for the treatment. However, most of them are invasive or require costly armamentarium. Purpose: The present study was conducted to evaluate the efficacy of micro-marsupialization technique as an alternative to surgical excision for the treatment of mucoceles. Materials and Methods: A prospective study was conducted. A total of twenty patients were selected based on clinical diagnosis of mucoceles and were randomly divided into two groups comprising ten patients each. Micro-marsupialization was done in Group 1 patients and surgical excision in Group 2. Patient's gender, age, size, location, duration, complications, and recurrences were evaluated during various visits. Data between the two groups were analyzed by descriptive and analytical (Chi-square tests) statistics. Results: The mean age of the patients in Group 1 was 19.6 ± 9.6 years while in Group 2 was 21.9 ± 11 years. The most common location for mucocele in Group 1 as well as Group 2 patients was lower lip (60% and 80%, respectively). In Group 1, two patients had recurrence while in Group 2, one patient had a recurrence. All recurrent cases were subsequently treated by surgical excision. No statistically significant difference was found between the two methods. Conclusion: Micro-marsupialization technique is as efficacious as surgical excision for the treatment of mucocele. It is advantageous over surgical excision as it is simple to perform, is less invasive therefore not associated with complications associated with invasive procedure, and is well tolerated by patients.
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Affiliation(s)
- Girish B Giraddi
- Department of Oral and Maxillofacial Surgery, Government Dental College and Research Institute, Bengaluru, Karnataka, India
| | - Aamir Malick Saifi
- Department of Oral and Maxillofacial Surgery, Government Dental College and Research Institute, Bengaluru, Karnataka, India
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Abstract
Mucocele is the most common lesion of the oral mucosa, which results from the accumulation of mucous secretion due to trauma and lip biting habits or alteration of minor salivary glands. Mostly they are two types based on histological features which as follows: Extravasation and retention. Mucoceles can appear at anywhere in the oral mucosa such as lip, cheeks and the floor of the mouth, but mainly appear in the lip. Diagnosis is mostly based on clinical findings. The most common location of the extravasation mucocele is the lower lip. Mucoceles most probably affect young patients but can affect all the age groups. They may have a soft consistency, bluish, and transparent cystic swelling, history of bursting and collapsing due to which resolves themselves then refilling which may be repeated. The treatment of choice is surgical removal of the mucocele.
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Affiliation(s)
- K U Nallasivam
- Department of Pedodontics and Preventive Dentistry, J.K.K. Nattraja Dental College and Hospital, Namakkal, Tamil Nadu, India
| | - B R Sudha
- Department of Obstetrics and Gynaecology, Government Head Quarters Hospital, Mettur, Tamil Nadu, India
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18
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19
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More CB, Bhavsar K, Varma S, Tailor M. Oral mucocele: A clinical and histopathological study. J Oral Maxillofac Pathol 2014; 18:S72-7. [PMID: 25364184 PMCID: PMC4211243 DOI: 10.4103/0973-029x.141370] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2012] [Accepted: 07/28/2014] [Indexed: 11/22/2022] Open
Abstract
Background: Oral mucocele is the most common benign minor (accessory) salivary gland lesion, caused due to mechanical trauma to the excretory duct of the gland. Clinically they are characterized by single or multiple, soft, fluctuant nodule, ranging from the normal color of the oral mucosa to deep blue. It affects at any age and is equally present in both sexes with highest incidence in second decade of life. They are classified as extravasation or retention type. Objectives: To analyze the data between 2010 and 2011 of, clinically and histopathologically diagnosed 58 oral mucoceles for age, gender, type, site, color, cause, symptoms and dimension. Results: Oral mucoceles were highly prevalent in the age group of 15-24 years, were seen in 51.72% of males and 48.28% of females, with a ratio of 1.07:1. The extravasation type (84.48%) was more common than the retention type (15.52%). The most common affected site was lower lip (36.20%) followed by ventral surface of the tongue (25.86%). The lowest frequency was observed in floor of mouth, upper lip and palate. The maximum numbers of mucoceles were asymptomatic (58.62%), and the color of the overlying mucosa had color of adjacent normal mucosa (48.28%). It was also observed that most of the mucoceles had diameter ranging from 5 to 14 mm. The causative factors of the lesion were lip biting (22.41%), trauma (5.18%) and numerous lesions (72.41%). Conclusion: Oral Mucoceles are frequently seen in an oral medicine service, mainly affecting young people and lower lip, measuring around 5 to 14 mm and the extravasation type being the most common.
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Affiliation(s)
- Chandramani B More
- Department of Oral Medicine and Radiology, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Piparia, Vadodara, India
| | - Khushbu Bhavsar
- Department of Oral Medicine and Radiology, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Piparia, Vadodara, India
| | - Saurabh Varma
- Department of Oral Medicine and Radiology, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Piparia, Vadodara, India
| | - Mansi Tailor
- Manubhai Patel Dental College and Hospital, Munjmahuda, Vadodara, Gujarat, India
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20
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An unusual presentation of oral mucocele in infant and its review. Case Rep Dent 2014; 2014:723130. [PMID: 25215249 PMCID: PMC4158468 DOI: 10.1155/2014/723130] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Accepted: 08/12/2014] [Indexed: 11/18/2022] Open
Abstract
Mucocele is a benign lesion characterized by an extravasation or retention of mucous in submucosal tissue from minor salivary glands. Mucoceles are known to occur most commonly on the lower lip, followed by the floor of mouth and buccal mucosa being the next most frequent sites. Trauma and lip biting habits are the main cause for these types of lesions. Mucocele is a common oral mucosal lesion but it is rarely observed in the infant. This paper highlights the successful management of a rare case of mucocele in an 11-month-old child. Diagnosis and management of mucocele are challenging. For this reason we felt it would be interesting to review the clinical characteristics, histological features, differential diagnosis, and their treatment and evolution in order to aid decision-making in daily clinical practice.
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21
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Mucocele in lower lip as a result of improper use of feeding bottle: a case report. Case Rep Dent 2013; 2013:520425. [PMID: 23573429 PMCID: PMC3614056 DOI: 10.1155/2013/520425] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2012] [Accepted: 02/19/2013] [Indexed: 11/17/2022] Open
Abstract
A rare case of mucocele associated with improper feeding habit has been presented. An eight-month old male child presented with swelling in lower lip which was noticed by his mother a week earlier. A thorough clinical examination and history taking gave a diagnosis of mucocele resulting from improper use of feeding bottle. This case highlights and discusses the history, the clinical along with histologic features, and the clinical management of this lesion. Awareness of such an entity and the functional problems associated with the lesion will help the pediatric dentist to prevent any further complications.
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Senthilkumar B, Mahabob MN. Mucocele: An unusual presentation of the minor salivary gland lesion. J Pharm Bioallied Sci 2012; 4:S180-2. [PMID: 23066247 PMCID: PMC3467912 DOI: 10.4103/0975-7406.100265] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2011] [Revised: 01/02/2012] [Accepted: 01/26/2012] [Indexed: 12/03/2022] Open
Abstract
A mucocele is a benign, mucus-containing cystic lesion of the minor salivary gland. This type of lesion is most commonly referred to as mucocele. The more common is a mucus extravasation cyst; the other is a mucus retention cyst. Other three clinical variants are: Superficial mucocele that is located directly under the mucosa, classic variant located in the upper submucosa, and deep mucocele located in the lower cornium. Mucocele occurs either due to rupture of salivary gland duct or by blockade of salivary gland duct. The common site of occurrence of mucocele is lower lip followed by tongue, floor of mouth (ranula), and the buccal mucosa.
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Affiliation(s)
- B Senthilkumar
- Department of Oral Medicine and Radiology, K. S. R. Institute of Dental Science and Research, Trichengode, Namakkal, Tamil Nadu, India
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23
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Joshi SR, Pendyala GS, Choudhari S, Kalburge J. Mucocele of the glands of blandin-nuhn in children: a clinical, histopathologic, and retrospective study. NORTH AMERICAN JOURNAL OF MEDICAL SCIENCES 2012; 4:379-83. [PMID: 23050245 PMCID: PMC3456475 DOI: 10.4103/1947-2714.100977] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND The anterior lingual salivary glands (glands of Blandin-Nuhn) are mixed mucous and serous glands that are embedded within the musculature of anterior tongue ventrum. AIM The present study was designed to describe the clinical and histopathological features. MATERIAL AND METHODS We investigated the clinical and histopathologic features of 30 cases of mucocele of glands of Blandin-Nuhn. All the cases were seen in the department of pedodontics. RESULTS All the lesions were located on the ventral surface of the tongue. Lesions were situated at the midline in 24 patients and laterally in 6 patients. All the lesions were surgically treated. There was female predominance, and most patients were younger than 15 years. CONCLUSION Histopathological examination showed extravasation type of mucocele, suggesting that trauma may be a frequent initiating factor. All the patients were younger than 15 years.
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Affiliation(s)
- Saurabh R Joshi
- Department of Pedodontics, Rural Dental College, Loni, Maharashtra, India
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24
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Bonet Coloma C, Ata-Ali Mahmud J, Minguez Martinez I, Peñarrocha MA. [Congenital oral mucoceles: presentation of four new clinical cases]. An Pediatr (Barc) 2011; 75:424-5. [PMID: 21982547 DOI: 10.1016/j.anpedi.2011.07.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2011] [Accepted: 07/27/2011] [Indexed: 11/25/2022] Open
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25
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Rare case of a massive buccal mucocele. Open Med (Wars) 2011. [DOI: 10.2478/s11536-011-0016-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
AbstractMucoceles are common pathological lesions of the oral cavity, usually measuring up to 10 mm. The authors describe a case of deeply located buccal mucocele measuring 35 mm in diameter. The lesion was caused by facial injury in a 54-year old man. The lesion persisted for approximately 2.5 years and was difficult to diagnose because of its unusual size and atypical clinical symptoms. Preoperative ultrasonography excluded a tumor, and this was confirmed by histopathological examination. However, oncological alertness was considered necessary on account of ulcerated mucosa next to the lesion. The mucocele was removed through surgical excision, using a scalpel and tissue scissors. No recurrence was observed in 2.5 postoperative years. It is stressed that histopathological examinations help to differentiate mucoceles from other disease processes.
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26
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Wu CW, Kao YH, Chen CM, Hsu HJ, Chen CM, Huang IY. Mucoceles of the oral cavity in pediatric patients. Kaohsiung J Med Sci 2011; 27:276-9. [PMID: 21757145 DOI: 10.1016/j.kjms.2010.09.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2010] [Accepted: 09/21/2010] [Indexed: 10/18/2022] Open
Abstract
Mucoceles are quite common in the oral cavity, but reports on pediatric patients are very rare. The aims of this study were to present our data and experience in the treatment of mucoceles of the oral cavity in pediatric patients, to compare them with those of other countries, and to remind the pediatric physician to devote much attention to lesions of the oral cavity in children. This retrospective study is based on the record of the patients who received surgical treatment for mucoceles of the oral cavity with pathologic confirmation at the Department of Dentistry, Kaohsiung Medical University Hospital, Taiwan, between 2000 and 2004. Patients younger than 18 years were included in this study. The analyzed data included age, gender, site, size, histopathologic findings, surgical methods, and complications. There were a total of 289 patients with mucoceles confirmed by histopathologic examination. As many as 64 patients were younger than 18 years. Of the 64, 34 were girls and 30 were boys; 89.1% of the lesions were in the lower lip; and 48.4% of the lesions were less than 5mm in diameter. Histopathologic findings showed that all mucoceles were of the extravasation type. As many as 30 patients were treated by carbon dioxide laser vaporization, and two cases recurred (6.67%); 34 patients were treated by surgical excision, and the recurrence rate (5.88%) was not statistically different for the treatment methods. The laser vaporization has the advantage of less bleeding, no sutures, and saving time, especially suitable for children with oral mucocele.
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Affiliation(s)
- Chung Wei Wu
- Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan
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27
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Ohta N, Fukase S, Suzuki Y, Aoyagi M. Treatment of salivary mucocele of the lower lip by OK-432. Auris Nasus Larynx 2011; 38:240-3. [DOI: 10.1016/j.anl.2010.07.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2009] [Revised: 05/13/2010] [Accepted: 07/07/2010] [Indexed: 11/29/2022]
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28
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Chi AC, Lambert PR, Richardson MS, Neville BW. Oral Mucoceles: A Clinicopathologic Review of 1,824 Cases, Including Unusual Variants. J Oral Maxillofac Surg 2011; 69:1086-93. [DOI: 10.1016/j.joms.2010.02.052] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2009] [Accepted: 02/25/2010] [Indexed: 10/19/2022]
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29
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Rosdy NMMNM, Firth NA, Rich AM. Calibre-persistent labial artery: often misdiagnosed as a mucocoele. Int J Oral Maxillofac Surg 2010; 39:1230-3. [PMID: 20646912 DOI: 10.1016/j.ijom.2010.05.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2010] [Accepted: 05/07/2010] [Indexed: 10/19/2022]
Abstract
The authors present five cases of calibre-persistent labial artery (CPLA) all of which were diagnosed clinically as a labial mucocoele. The purpose of this article is to bring this rarely reported lesion to the attention of clinicians.
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Affiliation(s)
- N M M N M Rosdy
- Department of Oral Diagnostic and Surgical Sciences, Faculty of Dentistry, Otago University, Dunedin, New Zealand
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30
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Mínguez-Martinez I, Bonet-Coloma C, Ata-Ali-Mahmud J, Carrillo-García C, Peñarrocha-Diago M, Peñarrocha-Diago M. Clinical characteristics, treatment, and evolution of 89 mucoceles in children. J Oral Maxillofac Surg 2010; 68:2468-71. [PMID: 20594633 DOI: 10.1016/j.joms.2009.12.038] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2009] [Accepted: 12/26/2009] [Indexed: 11/19/2022]
Abstract
PURPOSE The present study was undertaken to evaluate mucoceles in the oral cavity of pediatric patients, including the clinical characteristics, treatment, and progress of the lesions. PATIENTS AND METHODS A retrospective study was performed from the medical records of patients (0-14 years old) treated for oral mucoceles between 1998 and 2008 in a reference children's hospital. All subjects with mucoceles on lips, mouth, buccal mucosa, and palate were included. The following data were recorded: age, gender, history of trauma, location, size, progression, time before diagnosis, treatment, histologic type, follow-up time, and recurrence. RESULTS A total of 89 patients (mean age, 6.1 years) participated in this study. There were 89 mucoceles: 4 were congenital; 79.8% were located on the lower lip; and 69% were larger than 5 mm in diameter. Average progression time was 5.7 months (range, 1-24 months). It was observed that older patients developed more mucoceles on the tongue and lips and younger patients developed more mucoceles on the buccal mucosa and palate. The lesions of 39 subjects resolved spontaneously; 50 were removed but 4 reappeared afterward. Histologically, all lesions were extravasation mucoceles. CONCLUSION Mucoceles were more commonly located on the lower lip; 43.8% resolved spontaneously and 8% of the surgically removed mucoceles reappeared.
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Affiliation(s)
- Ignacio Mínguez-Martinez
- Oral Surgery and Implantology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
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31
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Hayashida AM, Zerbinatti DC, Balducci I, Cabral LAG, Almeida JD. Mucus extravasation and retention phenomena: a 24-year study. BMC Oral Health 2010; 10:15. [PMID: 20529263 PMCID: PMC2894742 DOI: 10.1186/1472-6831-10-15] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2009] [Accepted: 06/07/2010] [Indexed: 12/03/2022] Open
Abstract
Background Mucoceles are benign lesions related to the minor salivary glands and their respective ducts frequently affecting oral structures which are generally asymptomatic. Mucoceles are generally characterized by swollen nodular lesions preferentially located on the lower lip and differ from the so-called ranulas, which are lesions located on the floor of the mouth and related to the sublingual or submandibular glands. Methods The objective of the present study was to analyze data such as age, gender, race and site of the lesion of 173 mucocele cases diagnosed at the Discipline of Stomatology, São José dos Campos Dental School, UNESP, over a period of 24 years (April 1980 to February 2003). Results Of the 173 cases analyzed, 104 (60.12%) were females and 69 (39.88%) were males. Age ranged from 4 to 70 years (mean ± SD: 17 ± 9.53) and most patients were in the second decade of life (n = 86, 49.42%); white (n = 124, 71.68%). The lower lip was the site most frequently affected by the lesions (n = 135, 78.03%), whereas the lowest prevalence was observed for the soft palate, buccal mucosa, and lingual frenum. Conclusion In this study, mucoceles predominated in white female subjects in the second decade of life, with the lower lip being the most frequently affected site.
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Affiliation(s)
- Alethea M Hayashida
- Department of Biosciences and Oral Diagnosis, São José dos Campos Dental School, São Paulo State University, São José dos Campos, São Paulo, Brazil
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32
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Ntomouchtsis A, Karakinaris G, Poulolpoulos A, Kechagias N, Kittikidou K, Tsompanidou C, Vahtsevanos K, Antoniades K. Benign lip lesions. A 10-year retrospective study. Oral Maxillofac Surg 2010; 14:115-118. [PMID: 20112123 DOI: 10.1007/s10006-009-0196-y] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
OBJECTIVES This paper aims to present a retrospective analysis of a cohort of patients with benign lip lesions managed over the last decade at the Department of Maxillofacial Surgical Oncology of Theagenio Cancer Hospital of Thessaloniki. It aims to highlight the substantial clinical and histological diversity of the lesions, as well as to present an epidemiological analysis for the specific cohort/population. STUDY DESIGN During the period 1995-2004 a total of 420 patients were managed for lip lesions. Of these, 280 were malignant and 116 benign. A total of 24 cases of actinic keratosis were added in the latter group. RESULTS Of the benign lesions, the commonest were haemangiomas (19.28%), actinic keratosis (17.14%), intradermal naevus (14.28%), fibroma (9.28%), papilloma (7.85%), mild and moderate dysplasia (7.85%) and mucocele (7.14%). The group included 17 different histological types of benign lesions. The most frequent site of presentation was the lower lip (56.42%). Post-operative follow-up ranged from 6 months to 2 years (average 15.5 months). There was a single case of recurrence during follow-up. CONCLUSIONS Benign lip lesions do not usually pose a problem for the clinician and their surgical management is straightforward. Accurate auditing and detailed statistical analysis aid in disease prevention and help avoid errors in diagnosis and management.
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Affiliation(s)
- Aris Ntomouchtsis
- Department of Maxillofacial Surgical Oncology, Theagenio Cancer Hospital, Pileos 4, Ano Poli, Thessaloniki, 54633, Greece.
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Chi AC, Haigney RJ, Spagnoli DB, Neville BW, Richardson MS. Papillary synovial metaplasia–like change in oral mucoceles: a rare and previously undescribed histopathologic variant of a common oral lesion. ACTA ACUST UNITED AC 2010; 109:268-73. [DOI: 10.1016/j.tripleo.2009.09.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2009] [Revised: 08/28/2009] [Accepted: 09/08/2009] [Indexed: 11/28/2022]
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34
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Wang YL, Chang HH, Chang JYF, Huang GF, Guo MK. Retrospective Survey of Biopsied Oral Lesions in Pediatric Patients. J Formos Med Assoc 2009; 108:862-71. [DOI: 10.1016/s0929-6646(09)60418-6] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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35
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Abstract
Mucoceles are common benign lesions of the oral cavity that develop following extravasation or retention of mucous material from major or minor salivary glands. Most series report a higher incidence of mucocele in young patients but no studies exist for this specific age group. The records of 104 patients presenting with mucocele who underwent surgery in the Oral Diseases Clinic of the Department of Dermatology of the University of São Paulo, Brazil, between 1991 and 2006, were reviewed. Of these, 36 (34.6%) were 15 years old or younger, the youngest being 2 years old. Twenty-six patients were girls, 10 were boys. Lesions were located on the lower labial mucosa (30 patients), tongue (three), floor of the mouth (one), buccal mucosa (one), and in one patient the location was unknown. Histopathology revealed an extravasation pattern in 35 patients and a retention pattern in one. Of the distinct subtypes of mucocele, tongue lesions (mucocele of the glands of Blandin-Nuhn) seem to be more prevalent and retention mucoceles seem to be very rare in children.
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36
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Huang IY, Chen CM, Kao YH, Worthington P. Treatment of Mucocele of the Lower Lip With Carbon Dioxide Laser. J Oral Maxillofac Surg 2007; 65:855-8. [PMID: 17448832 DOI: 10.1016/j.joms.2006.11.013] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2006] [Revised: 10/20/2006] [Accepted: 11/16/2006] [Indexed: 10/23/2022]
Abstract
PURPOSE The aim of this report was to evaluate the outcome and complications of the treatment of numerous patients with mucoceles of lower lip by means of CO(2) laser vaporization. MATERIALS AND METHODS This study included 82 patients with biopsy-confirmed mucocele of the lower lip who were treated with CO(2) laser vaporization from January 1999 to December 2003; the data on recurrence and complications were collected. RESULTS There was a recurrence in 2 cases. Complications were rare, except for mild discomfort. One patient felt temporary numbness at the operative site. There was no bleeding and minimal scar formation. CONCLUSION CO(2) laser vaporization to treat the mucocele of the lower lip is effective and has few complications. Because the operative time is shorter than with the excisional method, it is especially good for children and for less cooperative patients with this lesion.
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Affiliation(s)
- I-Yueh Huang
- Department of Oral and Maxillofacial Surgery, Chon Ho-Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
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37
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Abstract
This article reviews some of the more common benign oral soft tissue masses with emphasis on their etiology, epidemiology, clinical presentation, histopathology, and treatment. These lesions include traumatic fibroma, mucocele, warts/papilloma, pyogenic granuloma, peripheral giant cell granuloma, generalized gingival hyperplasia, gingival fibromatosis, lateral periodontal cyst, lipoma, and denture-induced hyperplasia.
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Affiliation(s)
- Tara Esmeili
- Department of Stomatology, Division of Oral Medicine, Oral Pathology, Oral Radiology, School of Dentistry, University of California at San Francisco, 513 Parnassus Street, San Francisco, CA 94143, USA
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38
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Bentley JM, Barankin B, Guenther LC. A review of common pediatric lip lesions: herpes simplex/recurrent herpes labialis, impetigo, mucoceles, and hemangiomas. Clin Pediatr (Phila) 2003; 42:475-82. [PMID: 12921448 DOI: 10.1177/000992280304200601] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Lip lesions are a common presentation to the pediatrician's office. These lesions are often benign in children, without significant functional morbidity. However, owing to the prominent placement of lips and their role in communication, lip lesions can be alarming to patients as well as to their parents. For these reasons the pediatrician has an important role in recognizing, diagnosing, and treating the various types of labial dermatoses that commonly present to a pediatric practice. Four of the most common lip lesions a pediatrician will see are herpes simplex/recurrent herpes labialis, impetigo, mucoceles, and hemangiomas. This paper reviews the current literature on the diagnosis, treatment, and management of these 4 lesions.
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Affiliation(s)
- Janna M Bentley
- Department of Medicine, University of Alberta, Ontario, Canada
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