Micro‐marsupialization as an alternative treatment for mucocele in pediatric dentistry

Piazzetta, Cleto Mariosvaldo; Torres‐Pereira, Cassius Carvalho; Amenábar, José Miguel

doi:10.1111/j.1365-263x.2011.01198.x

Cited by 25 publications

(30 citation statements)

References 17 publications

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“…The variation in color depends on the size of the lesion, its proximity to the mucosal surface, and the elasticity of the overlying tissue. [1121316] In our study, around 30% of the cases had bluish appearance, and almost all of them were more than 1 cm in size.…”

Section: Discussionsupporting

confidence: 47%

Micro-marsupialization versus surgical excision for the treatment of mucoceles

Giraddi

Saifi

2016

Ann Maxillofac Surg

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Background:Mucocele is a common disorder of minor salivary glands which arises due to mucous accumulation resulting from their alteration. Several techniques have been described for the treatment. However, most of them are invasive or require costly armamentarium.Purpose:The present study was conducted to evaluate the efficacy of micro-marsupialization technique as an alternative to surgical excision for the treatment of mucoceles.Materials and Methods:A prospective study was conducted. A total of twenty patients were selected based on clinical diagnosis of mucoceles and were randomly divided into two groups comprising ten patients each. Micro-marsupialization was done in Group 1 patients and surgical excision in Group 2. Patient's gender, age, size, location, duration, complications, and recurrences were evaluated during various visits. Data between the two groups were analyzed by descriptive and analytical (Chi-square tests) statistics.Results:The mean age of the patients in Group 1 was 19.6 ± 9.6 years while in Group 2 was 21.9 ± 11 years. The most common location for mucocele in Group 1 as well as Group 2 patients was lower lip (60% and 80%, respectively). In Group 1, two patients had recurrence while in Group 2, one patient had a recurrence. All recurrent cases were subsequently treated by surgical excision. No statistically significant difference was found between the two methods.Conclusion:Micro-marsupialization technique is as efficacious as surgical excision for the treatment of mucocele. It is advantageous over surgical excision as it is simple to perform, is less invasive therefore not associated with complications associated with invasive procedure, and is well tolerated by patients.

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Section: Discussionsupporting

confidence: 47%

Micro-marsupialization versus surgical excision for the treatment of mucoceles

Giraddi

Saifi

2016

Ann Maxillofac Surg

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“…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]. Therefore, we have undertaken a nonsurgical treatment protocol with highly potent corticosteroids (betamethasone).…”

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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“…Her parents reported, during the first months of life, the spontaneous formation of a pink oblong vesicle in the left internal part of the lower lip ( Figure 1 ). The color [ 13 ], the localization [ 14 ], and the shape [ 15 ] have been considered coherent with a mucocele lesion; however, a conclusive diagnosis requires histopathological examination. As spontaneous regression of these oral lesions has been reported [ 16 ], the parents planned only a further control.…”

Section: Case Reportmentioning

confidence: 99%

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

Vitale

Sfondrini

Croci

et al. 2018

Case Reports in Dentistry

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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.

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Micro‐marsupialization as an alternative treatment for mucocele in pediatric dentistry

Abstract: Micro-marsupialization can be used to treat mucoceles in paediatric dentistry. It is simpler to perform, minimally invasive, requires no local infiltration of anaesthesia, has a lower postoperative complications rate, and is well-tolerated by patients.

Cited by 25 publications

References 17 publications

Micro-marsupialization versus surgical excision for the treatment of mucoceles

Micro-marsupialization versus surgical excision for the treatment of mucoceles

Nonsurgical Management of Oral Mucocele by Intralesional Corticosteroid Therapy

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

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