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

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.

Reduced Need of Infiltration Anesthesia Accompanied With Other Positive Outcomes in Diode Laser Application for Frenectomy in Children

“…After 2 weeks, 76.67% of the cases achieved complete reepithelialization and after 1 month, all frenums completely epithelialized. Similar results were reported by Ahad et al 16 who used the Diode Laser of the same wavelength for the management of mucus extravasation cysts in different parts of oral cavity and achieved complete healing with secondary intention after 2 to 4 weeks depending on the size of open wound. However, they also used low-level laser therapy to enhance the wound healing and to reduce the postoperative pain.…”

Healing of self‐inflicted thermal injury of palatal mucosa by low‐level laser therapy

“…Suggested treatment dosage is 2–3 J/cm 2 two or three times a week on gingival or mucosal tissues . LLLT has widely been reported to produce analgesic and anti‐inflammatory effects . The mechanisms include degradation of bradykinin, increased activity of cellular receptors responsible for inducing production of endorphins, decreased activity of C‐fibers, and increased action potential of neurons .…”

“…Low‐level laser therapy (LLLT) results in direct biostimulation of various cells in the body. It can enhance the process of wound healing by stimulating effects on cells and hastening the repair process . Proposed mechanisms include stimulating the mitochondria to increase adenosine triphosphate (ATP) production in order to increase the reactive oxygen species, which, in turn, influences redox signaling, affecting intercellular homeostasis of the proliferation of cells …”

The efficacy of polidocanol sclerotherapy in mucocele of the minor salivary gland

“…Currently, there are various treatments for mucocele, such as surgical excision, iodine tincture, pingyangmycin, OK‐432 therapy, anhydrous alcohol injection, laser therapy, cryotherapy, microwave therapy, and micromarsupialization . Surgical excision is the most common treatment, but it may cause intraoperative bleeding, swelling after surgery, and scarring.…”