Upgrading of the micro-marsupialisation technique for the management of mucus extravasation or retention phenomena

Amaral, Márcio Bruno Figueiredo; Freitas, João Batista de; Mesquita, Ricardo Alves

doi:10.1016/j.ijom.2012.04.016

Cited by 17 publications

(20 citation statements)

References 12 publications

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“…There are various treatment modalities which include surgical removal, CO 2 laser ablation, cryosurgery, micromarsupialisation, marsupialisation, electrocautery, laser vaporization or laser surgery, and intralesional injection of corticosteroids or sclerosing agent. Micromarsupialisation has been proved to be a simple, relatively noninvasive, painless, effective, and low recurrence technique to treat oral ranulas and selected mucoceles by Amaral et al (2012) and Sagari et al (2012) wherein all cases showed complete healing within 30 days after the procedure [8, 11]. However, these surgery procedures have several disadvantages such as trauma, pain, lip disfigurement, damage to adjacent vital structures, and ducts leading to development of satellite lesions and can also be expensive to the patient [12, 13].…”

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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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: 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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“…Baurmash [33,34] advocated marsupialization with packing of the cyst cavity, and the incidence of recurrence approximately drops from 60 to 10%. Whereafter, the upgraded micromarsupialization technique was recently proved to provide a satisfactory outcome for ranulas of the lower lip or ventral surface of the tongue with a smooth surface, but not for plunging ranula [37]. Bonet-Coloma et al [35] reported that only three cases (8.6%) recurred at a mean of 12 months after treatment with marsupialization in 57 pediatric patients with intraoral ranulas.…”

Section: Marsupializationmentioning

confidence: 99%

What is new in management of pediatric ranula?

Zhi

Gao

Ren

2014

Current Opinion in Otolaryngology & Head and Neck Surgery

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“…Some authors 15 mentioned that a logical treatment is excision of the sublingual gland followed by transoral drainage of the pluging ranula. Marsupialization, cryosurgery, CO(2) laser excision 5 and micro-marsupialisation can be also recommended primarily to treat oral ranulas 8 . Although surgery is the first choice of therapy for plunging ranula, it is associated with technical difficulties mainly in pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Cryosurgery for the treatment of pediatric plunging ranula: a conservative management

Moraes

Teixeira

Thomaz

et al. 2015

RGO, Rev. Gaúch. Odontol.

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RESUMOMuitas modalidades de tratamento têm sido propostas para o tratamento da rânula mergulhante, dentre elas: tratamento cirúrgico incluindo a excisão da glândula sublingual seguida da drenagem transoral da rânula mergulhante, aspiração, e criocirurgia e excisão com laser de CO2. Além dessas modalidades, a marsupialização e micro-marsupialização também podem ser recomendadas para o tratamento de rânulas intraorais. O objetivo deste trabalho será apresentar um caso clínico de rânula mergulhante em um paciente infantil de 8 anos e 6 meses de idade. A lesão foi tratada por meio do uso da criocirurgia, realizada com nitrogênio líquido e sem a aplicação de anestesia local. Serão destacados o protocolo de utilização, vantagens e desvantagens, resultados alcançados e a segurança para o paciente durante o tratamento. Após um ano de acompanhamento, observou-se que a lesão desapareceu completamente e não houve recidiva. Pode-se concluir que o uso da crioterapia com nitrogênio líquido pode ser o tratamento de escolha em relação à cirurgia convencional em pacientes pediátricos.Termos de indexação: Criança. Rânula. Glândula sublingual. Cirurgia. Tratamento.

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Upgrading of the micro-marsupialisation technique for the management of mucus extravasation or retention phenomena

Cited by 17 publications

References 12 publications

Nonsurgical Management of Oral Mucocele by Intralesional Corticosteroid Therapy

Nonsurgical Management of Oral Mucocele by Intralesional Corticosteroid Therapy

What is new in management of pediatric ranula?

Cryosurgery for the treatment of pediatric plunging ranula: a conservative management

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