Abstract
Oral mucocele is a benign cystic exophytic lesion affecting the minor salivary gland and is especially present in pediatric patients (3% under 14 years). It is characterized by an extravasation or retention of fluid or mucus in the submucosal tissue of the minor salivary glands. Several surgical techniques have been proposed over the years, including the excision of the mucocele by using the injection of a hydrocolloid impression material in the light of the cyst to prevent the collapse of the cystic wall and solidify the lesion, resulting in a better cleavage plan. The combined clinical approach between the combination of Shira’s technique and the surgical excision of the cystic lesion results in a conservative surgical removal of the lesion. Here, we reported the removal of a labial mucocele in a 14-year-old male patient, using the injection of a hydrocolloid impression material. At a 12 months follow up, the patient showed complete healing of the surgical site, showing a pinkish lip lining mucosa without scarring or recurrence of the primary lesion. The combined therapeutic approach between Shira’s technique and surgical excision allows a safe and predictable excision of the labial mucocele, minimizing the risk of recurrence.
Highlights
Introduction iationsMucocele is a benign, exophytic and asymptomatic cystic lesion, found in the oral cavity, in the appendix, in the gallbladder, in the paranasal sinuses or in the lacrimal sac [1,2]
The extravasation histotype accounts for 92% of cases and evolves following a trauma to a duct gland, located in the lower labial mucosa and in the buccal mucosa
2 g2amoxicillin to be be taken h before surgery
Summary
Exophytic and asymptomatic cystic lesion, found in the oral cavity, in the appendix, in the gallbladder, in the paranasal sinuses or in the lacrimal sac [1,2]. The most affected structures are the lower lip, in 77% of cases, followed by the floor of the mouth and the tongue (antero-ventral portion) at 15%, while the rarer mucoceles of the cheek and the palate occur around 9% of the time [3,4,5,6]. The lesion has no gender predilection and affects patients of all ages, in the order of. 2.5 lesions per 1000 individuals, but has the most affected subjects in children and young.
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