Diode Laser-Assisted Surgical Therapy for Early Treatment of Oral Mucocele in a Newborn Patient: Case Report and Procedures Checklist

Abstract

Mucocele (also known as ranula or salivary gland mucous cyst) of the newborn is a lesion present on the intraoral cavity, with the potential to interfere with respiration and feeding. In the present report, a case of mucocele in a 4-month female patient has been described. As conventional surgery can be followed by several complications such as intraoperative bleeding, difficulties in wound healing, and maintenance of sterility during surgery, in the present case, the use of diode laser has been planned. A topic anesthesia with lidocaine gel was performed. A diode laser (810 nm wavelength, continuous wave mode, power output of 3 watt, and 0.4 mm diameter fiber optic) was set for excising the lesion. The tip was directed at an angle of 10 to 15°, moving around the base of the lesion with a circular motion. The procedure was completed in 3 minutes. The patient was visited with a follow-up of 2 weeks and 4 months after excision. The intraoral wound healed without complications, and no signs of infection or mass recurrence were noted. The histopathological examination confirmed the diagnosis of mucocele. On the basis of the results of the present case report, the use of diode laser can be easily performed also in a noncompliant newborn patient for successful excision of mucocele lesions, and checklist of clinical procedures has been described.

Massive Radicular Cyst in the Maxillary Sinus as a Result of Deciduous Molar Tooth Pulp Necrosis

“…This lesion is also usually asymptomatic; it can interfere with respiration and feeding, especially in infants. The complete incision of the lesion with blade or diode laser is a sufficient treatment [11]. Glandular odontogenic cysts are associated with unerupted teeth.…”

Complete enucleation surgical treatment and histological analysis of a mucocele in lower lip in a child: Case Report.

“…13,14 High-power diode laser treatment is also an option for the removal of a mucocele in pediatric patients because it offers a number of benefits such as excellent hemostasis, without the need for suturing, reduction of edema and pain, faster healing and reduction in the time needed to perform the procedure. 11,12,15,23 Despite the existence of more conservative techniques for the treatment of mucoceles, such as micromarsupialization, the optimal treatment continues to be complete enucleation of the lesion, with care to eliminate it and any other lesions, avoiding future recurrences. 25 As such this was the treatment of choice in the present clinical case and the material was sent for histopathological analysis.…”

“…Among the proposed treatments, cryosurgery, laser, and surgical treatment by total excision of the lesion present a good prognosis. [11][12][13][14][15][16][17] The aim of this case report is to describe the surgical removal, in a child, of a mucocele and its histological analysis.…”

Mucocele oral provocada por mordida acidental: relato de caso

“…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.…”

“…Alguns autores descreveram a eficácia do laser no tratamento de alterações dos tecidos orais através de terapia fotodinâmica 23 e processos cirúrgicos 18,19 . Chiżyński et al 24 reportaram um caso clínico onde realizaram a remoção de mucocele na porção ventral da língua em paciente adulto através do laser de dióxido de carbono (CO 2 ) com a potência de 3 W e descreveram os ótimos resultados quanto à elevada taxa de absorção de água e seus efeitos mínimos sobre os tecidos adjacentes.…”