Benign Pediatric Salivary Gland Lesions

Carlson, Eric R.; Ord, Robert A.

doi:10.1016/j.coms.2015.07.004

Cited by 26 publications

(21 citation statements)

References 38 publications

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“…Moreover, rare lesions (e.g. DC and ranula) are not considered as first diagnostic choices, especially in children where they are more difficult to be found 2 . In this clinical case, two treatments had failed previously.…”

Section: Discussionmentioning

confidence: 96%

“…vascular abnormalities vs. tumors). These lesions might affect critical functions, such as swallowing and breathing 1 , 2 , 8 , 11 , 12 , 14 . The consequences appear to be more severe in younger patients causing defects during the facial development.…”

Section: Introductionmentioning

confidence: 99%

“…This pathology is characterized by unilateral blue to translucent swelling in the floor of the mouth, which resembles the belly of a frog ( Rana species). Furthermore, an inflammatory reaction spreads out to the surrounding stroma 2 , 6 , 7 . On the other hand, DC is a lesion that arises from ectodermal tissue during the fusion of the first and second pharyngeal arches.…”

Section: Introductionmentioning

confidence: 99%

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Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients

et al. 2017

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Lesions in the floor of the mouth can be a challenging diagnosis due to the variety of pathological conditions that might be found in this area. Within a broad range of lesions, attention has to be addressed to those that require specific management, such as a dermoid cyst (DC) and a ranula. Especially in pediatric patients, in whom the failure of diagnosis can postpone the correct treatment and cause sequelae later in life. DC, a developmental anomaly, is managed primarily by surgical resection. On the other hand, ranula is a pseudocyst that may be treated by marsupialization. This article reports a large and painful lesion in the floor of the mouth in a pediatric patient. With a diagnostic hypothesis of ranula, two surgical interventions were performed, but there were recurrences of the lesion. Subsequently, the patient was referred to the Oral and Maxillofacial Surgery Unit for re-evaluation. Computed tomography showed a semi-transparent image suggesting a cystic formation. Another surgical procedure was performed where the lesion was completely removed. Anatomopathological analysis confirmed the diagnosis of DC. The five-year follow-up showed no signs of recurrence. This article indicates that although DC in the floor of the mouth is rare, it should be considered in the differential diagnosis of other diseases in this area. This precaution may be particularly important in the following circumstances: 1) Similar lesions that have different therapeutic approaches and, 2) To prevent future sequelae in pediatric patients.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients

et al. 2017

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“…Finally the majority of the recent studies are in agreement that salivary mucoceles should be considered as the most frequent oral benign lesion encountered in children [33][34][35] and a group was mentioned that there was recorded a signifi cant difference between the study pediatric and adult populations [34]. Usually diagnosis can be made during routine pediatric intraoral examination, consequently it is required to expand medical and dental personnel's awareness about salivary mucoceles.…”

Section: Discussionmentioning

confidence: 98%

Salivary Mucoceles in Children and Adolescents: A Clinicopathological Study

Poulopoulos¹

2017

Glob J Medical Clin Case Rep

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Background: Mucoceles are cavities fi lled with mucous and often occur in the oral mucosa. When they develop in children may cause diagnostic and management concerns. Objectives:The aim of the present study was to examine retrospectively the clinical and pathological features of salivary mucoceles in children and adolescents.Methods: 102 cases of salivary mucoceles in children and adolescents aged from 1 to 17 years were retrieved from our archives and examined for their clinical and histological features and frequency of recurrence. All cases were treated surgically under local anesthesia.Results: Salivary mucoceles most often occurred in patients aged from 11 to 17 years (65,68%) with very weak male predominance (1,04/1). They were located most frequently in lower labial mucosa (87,25%). The incidence of extravasation mucoceles and mucous retention cysts were 99, 01% and 0,98% respectively. Confi rmed history of local trauma and recurrence of the lesions were found 12,74% and 3,92% respectively. Histologically, 77.22% of cases of extravasation mucoceles were well-defi ned cysts surrounded by a capsule of granulation tissue and 22.77% granulation tissue intermixed with mucous. There was not relationship between the duration and histology of the mucous extravasation mucoceles. Conclusions:Possibly, unnoticed local trauma and/or biting habit are the main etiological factors for the most frequent occurrence of extravasation mucoceles in the lower labial mucosa. The occurrence of mucous retention cysts and superfi cial mucoceles in children is very rare.

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“…Salivary duct obstruction may be due to ductal calculi, stricture or congenital anatomical variation affecting the mechanical flow of saliva [1][2][3]. Sialadentis is uncommon in children, accounting for approximately 5% of all cases [4].…”

Section: Introductionmentioning

confidence: 99%