Cryotherapy for treatment of mouth mucocele

Aulakh, Kamaldeep K; Brar, Ramandeep; Azad, Anurag; Sharma, Swati; Anand, Abhishek; Jyoti, Bhuvan

doi:10.4103/1117-6806.179832

Cited by 12 publications

(17 citation statements)

References 18 publications

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“…However, swelling and irritation and also lengthy healing duration are some post-operative symtoms. [10] Argon and Nd: YAG lasers have been defined as a novel treatment method for mucoceles. It produces acceptable results along with minimum recurrence rates and well accepted by the patients.…”

Section: Discussionmentioning

confidence: 99%

Management of oral mucocele by surgical excision in a pediatric patient: A case report

Gurharikar

Sortey

Chaudhari

et al. 2022

JADPR

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Mucocele is a benign fluid cyst that is the 17th most common oral salivary gland lesion. Young children are more prevalent to have mucocele but can also affect all the age groups. Clinical findings are used to make the majority of diagnoses. If a mucocele is left untreated, it leads to scar tissue formation and can be painful, especially in the case of deep mucoceles. A 12-year-old female patient came to the department with the complaint of swelling on the right side inner aspect of the lower lip that had been present for 1 year. Clinical examination revealed a soft, well-defined, non-tender, raised solitary, pale-colored, and nodular growth with a smooth surface on the labial mucosa between the vermillion border of the lower lip and the labial sulcus. It was roughly 1 × 1 cm in size. The diagnosis was made as a mucocele. A conventional surgical excision procedure was selected for the case due to the low risk of recurrence. It was performed with a scalpel and the excised mucocele clearly demonstrated extravasation type mucocele. In a 6-month follow-up, the lesion had regressed entirely with no recurrence. The surgical removal of the lesion, as well as the associated minor salivary gland, managed to produce satisfactory results.

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Section: Discussionmentioning

confidence: 99%

Management of oral mucocele by surgical excision in a pediatric patient: A case report

Gurharikar

Sortey

Chaudhari

et al. 2022

JADPR

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“…A maioria dos casos de mucocele oral é identificada pelos cirurgiões-dentistas durante os exames de rotina, ou mesmo pelos próprios pacientes por conta do aumento de volume causado pela retenção de saliva 13 . O seu diagnóstico é principalmente baseado na história e aparência clínica que inclui uma rápida aparição, localização específica, história de trauma, coloração semelhante à mucosa oral ou levemente azulada, consistência macia e flutuação 14 .…”

Section: Discussionunclassified

“…Embora a excisão cirúrgica da glândula de forma convencional ainda seja a principal opção terapêutica 17 , outras opções têm sido relatadas na literatura, tais como o uso de laser 18,19 , aplicação de corticosteroides no interior da lesão 14,20 , crioterapia 13 , micromarsupialização 8,21 , entre outros.…”

Section: Discussionunclassified

“…É um procedimento bem tolerado que produz excelentes resultados e pode ser facilmente realizado no consultório 28 . Aulakh et al 13 reportaram um caso clínico de mucocele na porção lateral esquerda do soalho bucal em que lançaram mão da crioterapia como modalidade de tratamento da lesão, obtendo bons resultados e apontando a ausência de desconforto pós-operatório, sítio cirúrgico sem sangue e excelentes resultados cosméticos como maiores benefícios.…”

Section: Discussionunclassified

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Mucocele oral provocada por mordida acidental: relato de caso

Oliveira¹,

Henrique²,

Cruz³

2019

Arch Health Invest

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Mucocele é definida como fenômeno de retenção ou extravasamento de muco. A mucocele oral é provocada por traumatismos mecânicos, que comprimem e vedam o ducto das glândulas salivares menores, impossibilitando a secreção de saliva, mesmo sua produção continuando a ocorrer, fazendo com que haja aumento de volume da glândula e ducto envolvidos. Existem várias modalidades de tratamento que incluem excisão cirúrgica da lesão, laserterapia, criocirurgia, escleroterapia, micromarsupialização, injeção intralesional de corticosteroide ou agente esclerosante, além da regressão espontânea. A remoção cirúrgica convencional das mucoceles utilizando um bisturi é considerada a opção mais comum e requer a ressecção completa da lesão e glândulas salivares menores associadas para diminuir o risco de recidiva. O presente trabalho relata um caso de excisão cirúrgica de mucocele em mucosa labial inferior causada por mordida acidental, realizada em paciente atendido na clínica de Odontologia do Centro de Saúde Odontominas, Patos/PB. Diante disso, discute sobre o diagnóstico e as diferentes terapias (cirúrgicas e não cirúrgicas) para o tratamento de mucocele. Após a remoção cirúrgica da lesão, os resultados se mostraram satisfatórios, com pós-operatório indolor, sem edema ou quaisquer outras queixas por parte do paciente. Não houveram recidivas ou aparecimento de novas lesões. A remoção completa da mucocele e glândulas salivares acessórias, bem como a ausência de recidivas, caracterizou o sucesso na abordagem do caso.Descritores: Mucocele; Cirurgia Bucal; Diagnóstico Bucal.ReferênciasRao PK, Hegde D, Shetty SR, Chatra L, Shenai P. Oral mucocele: diagnosis and management. J Dent Med Med Sci. 2012; 2:26-30.Laller S, Saini RS, Malik M, Jain R. An appraisal of oral mucous extravasation cyst case with mini review. J Adv Med Dent Sci Res. 2014; 2(2):166-70.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(4):1086-93.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(7):276-79.Regezi JA, Sciubba JJ. Cistos da boca. Patologia bucal: correlações clinicopatológicas. 6. ed. Rio de Janeiro: Guanabara Koogan; 2013.Jani DR, Chawda J, Sundaragiri SK, Parmar G. Mucocele: a study of 36 cases. Indian J Dent Res. 2010;21(3):337-40.Sukhtankar LV, Mahajan B, Agarwal P. Treatment of lower lip mucocele with diode laser: a novel approach. Ann Dent Res. 2013; 2(Suppl 1):102-8.Rodríguez H, DeHoyos Parra R, Cuestas G, Cambi J, Passali D. Congenital mucocele of the tongue: a case report and review of the literature. Turk J Pediatr. 2014; 56(2):199-202.Re Cecconi D, Achilli A, Tarozzi M, Lodi G, Demarosi F, Sardella A et al. Mucoceles of the oral cavity: a large case series (1994–2008) and a literature review. Med Oral Patol Oral Cir Bucal. 2010; 15(4):e551-56.Poulopoulos A, Andreadis D, Parcharidis E, Grivea I, Syrogiannopoulos G, Kolokotronis A. Salivary mucoceles in children and adolescents: a clinicopathological study. Global J Med Clin Case Rep. 2017; 4(1):11-4.Ata-Ali J, Carrillo C, Bonet C, Balaguer J, Peñarrocha M, Peñarrocha M. Oral mucocele: review of the literature. J Clin Exp Dent. 2010; 2(1):e18-21.More CB, Bhavsar K, Varma S, Tailor M. Oral mucocele: a clinical and histopathological study, J Oral Maxillofac Pathol. 2014; 18(5):72-6.Aulakh KK, Brar RS, Azad A, Sharma S, Anand A, Jyoti B. Cryotherapy for treatment of mouth mucocele. Niger J Surg. 2016; 22(2):130-33.Sinha R, Sarkar S, Khaitan T, Kabiraj A, Maji A. Nonsurgical management of oral mucocele by intralesional corticosteroid therapy. Hindawi Publishing Corporation. Int J Dent. 2016; Article ID 2896748:1-5. doi.10.1155/2016/2896748.Kim JH, Park HY, Hong SP, Ahn SK. Concurrent occurrence of mucocele and pyogenic granuloma. Ann Dermatol. 2011; 23(Suppl 1):S108-10Valério RA, De Queiroz AM, Romualdo PC, Brentegani LG, De Paula-Silva FW: Mucocele and fibroma: treatment and clinical features for differential diagnosis. Braz Dent J. 2013; 24(5):537-41.Chaitanya P, Praveen D, Reddy M. Mucocele on lower lip: a case series. Indian Dermatol Online J. 2017; 8(3):205-7.Vitale MC, Sfondrini MF, Croci GA, Paulli M, Carbone L, Gandini P et al. Diode laser-assisted surgical therapy for early treatment of oral mucocele in a newborn patient: case report and procedures checklist. Case Rep Dent. 2018, Article ID 3048429:1-6. doi.10.1155/2018/ 3048429.Ramkumar S, Ramkumar L, Malathi N, Suganya R. Excision of Mucocele Using Diode Laser in Lower Lip. Case Rep Dent. Volume 2016; Article ID 1746316:1-4. doi.org/10.1155/2016/1746316Mortazavi H, Baharvand M, Alirezaei S, Noor-Mohammadi R. Combination therapy in a large lower lip mucocele: a non-invasive recommended technique. Dent Hypotheses. 2014; 5(3):127-29.Delbem, AC, Cunha RF, Vieira AE, Ribeiro LL. Treatment of mucus retention phenomena in children by the micro-marsupialization technique: case reports. Pediatr Dent. 2000; 22(2):155-58.Fritz GR, Stern PJ, Dickey M. Complications following mucous cyst excision. J Hand Surg. 1997; 22(2):222-25.Barcessat AR, Huang I, Rosin FP, Dos Santos Pinto Jr. D, Maria Zezell D, Corrêa L. Effect of topical 5-ALA mediated photodynamic therapy on proliferation index of keratinocytes in 4-NQO-induced potentially malignant oral lesions. J Photochem Photobiol B. 2013; 126:33-41. doi: 10.1016/j.jphotobiol.2013.06.011Chiżyński A, Stelmach R, Osica P, Janas-Naze A. Mucocele in a 35-year-old patient: a case report. J Educ Health Sport. 2017; 7(12):274-79.Ganguly R, Mukherjee M, Pal TK. Laser excision of a mucocele: a case report. J Int Clin Dent Res Organ. 2015; 7(2):168-70.Bagher SM, Sulimany AM, Kaplan M, Loo CY. Treating mucocele in pediatric patients using a diode laser: three case reports. Dent J (Basel). 2018; 6(2). pii: E13. doi: 10.3390/dj6020013.Amaral MB, Freitas IZ, Pretel H, Abreu MH, Mesquita RA. Low level laser effect after micromarsupialization technique in treating ranulas and mucoceles: a case series report. Lasers Med Sci. 2012; 27(6):1251-55.Farah CS, Savage NW. Cryotherapy for treatment of oral lesions. Aust Dent J. 2006;51(2):2-5.Gaddam S, Sharma P. Advances in endoscopic diagnosis and treatment of Barrett’s esophagus. J Dig Dis. 2010; 11(6):323-33.Baharvand M, Sabounchi S, Mortazavi H. Treatment of labial mucocele by intralesional injection of dexamethasone: case series. J Dent Mater Tech. 2014; 3(3)128-33.Barnes PJ. How corticosteroids control inflammation: quintiles Prize Lecture 2005. Br J Pharmacol. 2006; 148(3):245-54.Shah SK, Le MC, Carpenter WM. Retrospective review of pediatric oral lesions from a dental school biopsy service. Pediatr Dent. 2009; 31(1):14-9.

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“…It is important to note that mucocele was not the most adequate lesion for this comparison, as inflammatory cells can produce factors that lead to abnormal epithelial proliferation in tissues submitted to persistent inflammatory conditions (Bissell and Radisky, 2001;Lin et al, 2007). In addition, as it commonly affects young adults (Aulakh et al, 2016), age range of patients from this group was lower than AC and LSCC cases. However, healthy lip samples are impossible to be obtained for ethical reasons, and thus, mucocele was the most suitable source of nonneoplastic epithelium (NNE).…”

Section: Discussionmentioning

confidence: 99%