Low level laser effect after micro-marsupialization technique in treating ranulas and mucoceles: a case series report

Amaral, Márcio Bruno Figueiredo; Freitas, Isabel Zanforlin; Pretel, Hermes; Abreu, Mauro Henrique Nogueira Guimarães de; Mesquita, Ricardo Alves

doi:10.1007/s10103-012-1176-2

Cited by 11 publications

(9 citation statements)

References 21 publications

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“…Surgical studies have reported lingual nerve damage in up to 11% of patients, and damage to Wharton’s duct requiring additional surgery in 1–2% [5, 8, 11, 15, 22]. To decrease surgical invasiveness and minimize complications, new surgical procedures have been proposed including altering incision locations or performing partial gland-sparing surgeries to minimize injury to adjacent structures [12–14, 29, 30].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous treatment of ranulas: ultrasound-guided drainage with salivary gland chemical ablation

et al. 2019

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Background Ranulas are salivary pseudocysts in the floor of the mouth adjacent to damaged salivary glands. Current surgical management is drainage of the ranula with removal of the offending gland. An analogous percutaneous procedure could potentially offer similar treatment efficacy in a more minimally invasive way. Objective To evaluate the outcomes of a cohort of patients with ranulas treated with percutaneous ranula aspiration and chemical ablation of the source salivary gland to see whether this technique could be proposed as a minimally invasive treatment alternative. Materials and methods This retrospective single-center study evaluated 24 patients treated percutaneously for ranulas between January 2004 and December 2014. All patients were treated with percutaneous ranula aspiration and chemical ablation of the offending salivary gland. Treatment success and any complications were recorded. Results Complete ranula eradication was successfully accomplished in 87.5% of the patients with no complications. Conclusion Initial results suggest that our technique of percutaneous aspiration of ranulas and chemical ablation of the source salivary gland is safe and effective.

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Section: Discussionmentioning

confidence: 99%

Percutaneous treatment of ranulas: ultrasound-guided drainage with salivary gland chemical ablation

et al. 2019

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“…Ganguly et al 25 , Rankumar et al 19 e Bagher et al 26 descreveram casos clínicos nos quais utilizaram o laser de diodo para remoção de mucocele em lábio inferior, onde elencaram uma variedade de efeitos benéficos de seu uso, como mínimo de anestesia, menos tempo processual, a boa visualização do campo cirúrgico, hemostasia, e o mínimo de carbonização em 45 dias de acompanhamento periódico. O laser de diodo (com comprimento de onda variando entre 800 e 980 nm) é mal absorvido pelo tecido dental duro, é seguro, e bem indicado para cirurgias de tecido oral para corte, vaporização, curetagem, coagulação e hemostasia na região oral 27 .…”

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Mucocele oral provocada por mordida acidental: relato de caso

Oliveira¹,

Henrique²,

Cruz³

2019

Arch Health Invest

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Mucocele é definida como fenômeno de retenção ou extravasamento de muco. A mucocele oral é provocada por traumatismos mecânicos, que comprimem e vedam o ducto das glândulas salivares menores, impossibilitando a secreção de saliva, mesmo sua produção continuando a ocorrer, fazendo com que haja aumento de volume da glândula e ducto envolvidos. Existem várias modalidades de tratamento que incluem excisão cirúrgica da lesão, laserterapia, criocirurgia, escleroterapia, micromarsupialização, injeção intralesional de corticosteroide ou agente esclerosante, além da regressão espontânea. A remoção cirúrgica convencional das mucoceles utilizando um bisturi é considerada a opção mais comum e requer a ressecção completa da lesão e glândulas salivares menores associadas para diminuir o risco de recidiva. O presente trabalho relata um caso de excisão cirúrgica de mucocele em mucosa labial inferior causada por mordida acidental, realizada em paciente atendido na clínica de Odontologia do Centro de Saúde Odontominas, Patos/PB. Diante disso, discute sobre o diagnóstico e as diferentes terapias (cirúrgicas e não cirúrgicas) para o tratamento de mucocele. Após a remoção cirúrgica da lesão, os resultados se mostraram satisfatórios, com pós-operatório indolor, sem edema ou quaisquer outras queixas por parte do paciente. Não houveram recidivas ou aparecimento de novas lesões. A remoção completa da mucocele e glândulas salivares acessórias, bem como a ausência de recidivas, caracterizou o sucesso na abordagem do caso.Descritores: Mucocele; Cirurgia Bucal; Diagnóstico Bucal.ReferênciasRao PK, Hegde D, Shetty SR, Chatra L, Shenai P. Oral mucocele: diagnosis and management. J Dent Med Med Sci. 2012; 2:26-30.Laller S, Saini RS, Malik M, Jain R. An appraisal of oral mucous extravasation cyst case with mini review. J Adv Med Dent Sci Res. 2014; 2(2):166-70.Chi AC, Lambert PR, Richardson MS, Neville BW. Oral mucoceles: a clinicopathologic review of 1,824 cases, including unusual variants. J Oral Maxillofac Surg. 2011; 69(4):1086-93.Wu CW, Kao YH, Chen CM, Hsu HJ, Chen CM, Huang IY. Mucoceles of the oral cavity in pediatric patients. Kaohsiung J Med Sci. 2011; 27(7):276-79.Regezi JA, Sciubba JJ. Cistos da boca. Patologia bucal: correlações clinicopatológicas. 6. ed. Rio de Janeiro: Guanabara Koogan; 2013.Jani DR, Chawda J, Sundaragiri SK, Parmar G. Mucocele: a study of 36 cases. Indian J Dent Res. 2010;21(3):337-40.Sukhtankar LV, Mahajan B, Agarwal P. Treatment of lower lip mucocele with diode laser: a novel approach. Ann Dent Res. 2013; 2(Suppl 1):102-8.Rodríguez H, DeHoyos Parra R, Cuestas G, Cambi J, Passali D. Congenital mucocele of the tongue: a case report and review of the literature. Turk J Pediatr. 2014; 56(2):199-202.Re Cecconi D, Achilli A, Tarozzi M, Lodi G, Demarosi F, Sardella A et al. Mucoceles of the oral cavity: a large case series (1994–2008) and a literature review. Med Oral Patol Oral Cir Bucal. 2010; 15(4):e551-56.Poulopoulos A, Andreadis D, Parcharidis E, Grivea I, Syrogiannopoulos G, Kolokotronis A. Salivary mucoceles in children and adolescents: a clinicopathological study. Global J Med Clin Case Rep. 2017; 4(1):11-4.Ata-Ali J, Carrillo C, Bonet C, Balaguer J, Peñarrocha M, Peñarrocha M. Oral mucocele: review of the literature. J Clin Exp Dent. 2010; 2(1):e18-21.More CB, Bhavsar K, Varma S, Tailor M. Oral mucocele: a clinical and histopathological study, J Oral Maxillofac Pathol. 2014; 18(5):72-6.Aulakh KK, Brar RS, Azad A, Sharma S, Anand A, Jyoti B. Cryotherapy for treatment of mouth mucocele. Niger J Surg. 2016; 22(2):130-33.Sinha R, Sarkar S, Khaitan T, Kabiraj A, Maji A. Nonsurgical management of oral mucocele by intralesional corticosteroid therapy. Hindawi Publishing Corporation. Int J Dent. 2016; Article ID 2896748:1-5. doi.10.1155/2016/2896748.Kim JH, Park HY, Hong SP, Ahn SK. Concurrent occurrence of mucocele and pyogenic granuloma. Ann Dermatol. 2011; 23(Suppl 1):S108-10Valério RA, De Queiroz AM, Romualdo PC, Brentegani LG, De Paula-Silva FW: Mucocele and fibroma: treatment and clinical features for differential diagnosis. Braz Dent J. 2013; 24(5):537-41.Chaitanya P, Praveen D, Reddy M. Mucocele on lower lip: a case series. Indian Dermatol Online J. 2017; 8(3):205-7.Vitale MC, Sfondrini MF, Croci GA, Paulli M, Carbone L, Gandini P et al. Diode laser-assisted surgical therapy for early treatment of oral mucocele in a newborn patient: case report and procedures checklist. Case Rep Dent. 2018, Article ID 3048429:1-6. doi.10.1155/2018/ 3048429.Ramkumar S, Ramkumar L, Malathi N, Suganya R. Excision of Mucocele Using Diode Laser in Lower Lip. Case Rep Dent. Volume 2016; Article ID 1746316:1-4. doi.org/10.1155/2016/1746316Mortazavi H, Baharvand M, Alirezaei S, Noor-Mohammadi R. Combination therapy in a large lower lip mucocele: a non-invasive recommended technique. Dent Hypotheses. 2014; 5(3):127-29.Delbem, AC, Cunha RF, Vieira AE, Ribeiro LL. Treatment of mucus retention phenomena in children by the micro-marsupialization technique: case reports. Pediatr Dent. 2000; 22(2):155-58.Fritz GR, Stern PJ, Dickey M. Complications following mucous cyst excision. J Hand Surg. 1997; 22(2):222-25.Barcessat AR, Huang I, Rosin FP, Dos Santos Pinto Jr. D, Maria Zezell D, Corrêa L. Effect of topical 5-ALA mediated photodynamic therapy on proliferation index of keratinocytes in 4-NQO-induced potentially malignant oral lesions. J Photochem Photobiol B. 2013; 126:33-41. doi: 10.1016/j.jphotobiol.2013.06.011Chiżyński A, Stelmach R, Osica P, Janas-Naze A. Mucocele in a 35-year-old patient: a case report. J Educ Health Sport. 2017; 7(12):274-79.Ganguly R, Mukherjee M, Pal TK. Laser excision of a mucocele: a case report. J Int Clin Dent Res Organ. 2015; 7(2):168-70.Bagher SM, Sulimany AM, Kaplan M, Loo CY. Treating mucocele in pediatric patients using a diode laser: three case reports. Dent J (Basel). 2018; 6(2). pii: E13. doi: 10.3390/dj6020013.Amaral MB, Freitas IZ, Pretel H, Abreu MH, Mesquita RA. Low level laser effect after micromarsupialization technique in treating ranulas and mucoceles: a case series report. Lasers Med Sci. 2012; 27(6):1251-55.Farah CS, Savage NW. Cryotherapy for treatment of oral lesions. Aust Dent J. 2006;51(2):2-5.Gaddam S, Sharma P. Advances in endoscopic diagnosis and treatment of Barrett’s esophagus. J Dig Dis. 2010; 11(6):323-33.Baharvand M, Sabounchi S, Mortazavi H. Treatment of labial mucocele by intralesional injection of dexamethasone: case series. J Dent Mater Tech. 2014; 3(3)128-33.Barnes PJ. How corticosteroids control inflammation: quintiles Prize Lecture 2005. Br J Pharmacol. 2006; 148(3):245-54.Shah SK, Le MC, Carpenter WM. Retrospective review of pediatric oral lesions from a dental school biopsy service. Pediatr Dent. 2009; 31(1):14-9.

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“…In addition, (26) found that micro-marsupialization would be more successful in recently developed mucoceles because of their thinner overlying mucosa. Furthermore, (27) treated 11 patients with ranula and mucocele with micro-marsupialization augmented with low level laser therapy with complete resolution of lesions and without evidence of recurrence. On the other hand, (24) compared micro-marsupialization to surgical excision in the treatment of mucoceles and found no significant difference in the recurrence rate between the two treatment methods.…”

Section: Discussionmentioning

confidence: 99%

Micro-marsupilization for Treatment of Mucocele and Ranula

Qassab¹,

Alraad²

2019

ATMPH

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Background: Mucoceles and ranulas are common benign lesions of salivary gland origin. Different techniques had been described for their treatment; however, most of them are invasive. The aim of the present study was to evaluate the effect of micro-marsupialization in the treatment of mucoceles and ranulas. Methods: The study was conducted on 18 patients with lower lip mucocele and 8 patients with ranula of the floor of the mouth. After topical anesthesia, the lesion was punctured by 3/000 black silk suture and followed for evaluation of healing. Results: Complete resolution was noted in 83.33% (15/18) of cases of mucoceles and three recurrent lesions were surgically excised. In 80% (12/15) of the cases, the healing accomplished within one week, 13.33% (2/15) of the cases showed complete healing within two weeks and only one case (6.67%) healed within three weeks which was associated with infection. On the other hand, complete resolution of ranula lesions was noted in six cases and only two cases showed recurrences and then a complete surgical excision of the lesions with associated sublingual salivary glands was performed. In 66.67% (4/6) of cases the healing was achieved within one week, 16.67% (1/6) of cases showed complete healing within two weeks and 16.67% (1/6) of cases showed complete healing within three weeks which was associated with bleeding. Conclusion: Micromarsupialization is simple and good noninvasive treatment option for mucoceles and ranulas and is well-tolerated by the patients with minimal recurrence rate of the lesions.

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Low level laser effect after micro-marsupialization technique in treating ranulas and mucoceles: a case series report

Cited by 11 publications

References 21 publications

Percutaneous treatment of ranulas: ultrasound-guided drainage with salivary gland chemical ablation

Percutaneous treatment of ranulas: ultrasound-guided drainage with salivary gland chemical ablation

Mucocele oral provocada por mordida acidental: relato de caso

Micro-marsupilization for Treatment of Mucocele and Ranula

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