Micro-marsupialization: A minimally invasive technique for mucocele in children and adolescents

Sagari, S K; Vamsi, K C; Shah, Darshan; Singh, Vikram; Patil, Gururaj B.; Saawarn, Swati

doi:10.4103/0970-4388.105008

Cited by 19 publications

(21 citation statements)

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“…The commonly affected sites are those that are most likely prone to mechanical trauma, that is, lower lip followed by tongue, buccal mucosa, and palate [3, 8]. In the present study, lower lip was seen to be the most common site (17 cases) followed by buccal mucosa (3 cases).…”

Section: Discussionsupporting

confidence: 47%

“…In the first phase, there is spillage of mucin from salivary duct into the surrounding tissue in which some leucocytes and histiocytes are seen. In second phase, granulomas appear due to the presence of histiocytes, macrophages, and multinucleated giant cells associated with foreign body reaction followed by pseudocapsule formation in the last phase [1, 2, 8]. In retention type, obstruction of salivary gland duct leads to accumulation of salivary fluid into the duct, resulting in small balloon formation and as time progresses, the balloon increases in size and bulges into the oral cavity [9].…”

Section: Discussionmentioning

confidence: 99%

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Nonsurgical Management of Oral Mucocele by Intralesional Corticosteroid Therapy

Sinha

Sarkar

Khaitan

et al. 2016

International Journal of Dentistry

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Background. Oral mucocele is a common lesion resulting from an alteration of minor salivary glands due to mucus accumulation. Rapid appearance, specific location, history of trauma, bluish colour, and consistency help in the diagnosis. Conventional surgical removal is the treatment of choice but has several disadvantages like damage to adjacent ducts with further development of satellite lesions. Therefore, the present study was undertaken to evaluate the efficacy of intralesional corticosteroid injection (betamethasone) as a nonsurgical treatment procedure in oral mucoceles. Material and Method. A total of 20 cases (males and females, 10–30 years of age) with clinically diagnosed oral mucoceles were given 1 mL of betamethasone intralesionally. All the patients were examined after a period of 7, 14, and 21 days to evaluate the response of the lesion towards treatment and consequently given the 2nd, 3rd, 4th injections. If the lesion resolved after one or two injections, the treatment was discontinued. Results. Out of the 20 cases, 18 of them showed complete regression of the lesion whereas the remaining 2 cases showed decrease in size. All the patients received maximum of 4 consecutive shots in weekly interval. Conclusion. Intralesional corticosteroid therapy can be considered as the first choice in the treatment of oral mucoceles.

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Section: Discussionsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Nonsurgical Management of Oral Mucocele by Intralesional Corticosteroid Therapy

Sinha

Sarkar

Khaitan

et al. 2016

International Journal of Dentistry

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“…Additionally, the patient compliance is also better. 11 However, clinical diagnosis cannot be confirmed through histopathology in this technique. 4 Cryosurgery, although widely used in the past, has the disadvantage of postoperative morbidity like oedema, irritation and delayed healing.…”

Section: Discussionmentioning

confidence: 99%

Diode Laser Assisted Excision and Low Level Laser Therapy in the Management of Mucus Extravasation Cysts: A Case Series

et al. 2017

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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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“…Oral mucoceles can alternatively be treated by the technique of filling the interior of the lesion by dental alginate followed by enucleation and micromarsupialization (7,9). If recurrence occurs, it is necessary to remove the adjacent salivary gland.…”

Section: Introductionmentioning

confidence: 99%

Mucocele and Fibroma: Treatment and Clinical Features for Differential Diagnosis

et al. 2013

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Mucocele is a benign lesion occurring in the buccal mucosa as a result of the rupture of a salivary gland duct and consequent outpouring of mucin into soft tissue. It is usually caused by a local trauma, although in many cases the etiology is uncertain. Mucocele is more commonly found in children and young adults, and the most frequent site is the lower inner portion of the lips. Fibroma, on the other hand, is a benign tumor of fibrous connective tissue that can be considered a reactionary connective tissue hyperplasia in response to trauma and irritation. They usually present hard consistency, are nodular and asymptomatic, with a similar color to the mucosa, sessile base, smooth surface, located in the buccal mucosa along the line of occlusion, tongue and lip mucosa. Conventional treatment for both lesions is conservative surgical excision. Recurrence rate is low for fibroma and high for oral mucoceles. This report presents a series of cases of mucocele and fibroma treated by surgical excision or enucleation and the respective follow-up routine in the dental clinic and discusses the features to be considered in order to distinguish these lesions from each other. M u c o c e l e a n d F i b r o m a : Treatment and Clinical Features

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Micro-marsupialization: A minimally invasive technique for mucocele in children and adolescents

Abstract: Micro-marsupialization can be a non-invasive option to treat mucoceles in pediatric dentistry owing to its simplicity, fewer complications involved and as well that it's well-tolerated by patients.

Cited by 19 publications

References 0 publications

Nonsurgical Management of Oral Mucocele by Intralesional Corticosteroid Therapy

Nonsurgical Management of Oral Mucocele by Intralesional Corticosteroid Therapy

Diode Laser Assisted Excision and Low Level Laser Therapy in the Management of Mucus Extravasation Cysts: A Case Series

Mucocele and Fibroma: Treatment and Clinical Features for Differential Diagnosis

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