scholarly journals Diagnosis and surgical treatment of mucocele: Clinical case report

2021 ◽  
Vol 10 (8) ◽  
pp. e19010817289
Author(s):  
Thais Maibashi Minomi ◽  
Vinícius Franzão Ganzaroli ◽  
Daniela Ponzoni

Mucoceles are benign pseudocystic lesions, whose main etiological factors are trauma and ductal obstruction, with the rupture of a duct in the salivary gland and leakage of mucin into the adjacent soft tissues. They are characterized by being asymptomatic and often present spontaneous rupture. Histologically, they are made up of a cystic wall devoid of epithelium, outlined by granulation tissue and inflammatory cells. Mucoceles usually present as dome-shaped mucous swellings, which can vary in size from 1 to 2 mm to a few centimeters, characterized as a floating lesion, although some may be firm on palpation. The evolution time reported for this lesion varies from a few days to several years, and the most common site of involvement for this phenomenon is the lower lip. Some mucoceles are self-limiting, with spontaneous rupture and scarring, however, many of these lesions are chronic in nature, and local surgical excision may be necessary. The aim of this study was report a clinical case of mucocele on the lower lip. The surgical removal of the mucocele proved  to be an effective and safe technique in the case in question, enabling the histopathological diagnosis of the lesion.

2021 ◽  
Vol 11 (13) ◽  
pp. 5819
Author(s):  
Gianluca Botticelli ◽  
Marco Severino ◽  
Gianmaria Fabrizio Ferrazzano ◽  
Pedro Vittorini Velasquez ◽  
Carlo Franceschini ◽  
...  

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.


2021 ◽  
Vol 9 (10) ◽  
pp. 122
Author(s):  
Yasuhiro Nosaka ◽  
Hitomi Nosaka ◽  
Yasushi Nakajima ◽  
Tadasuke Tanioka ◽  
Daniele Botticelli ◽  
...  

An antral pseudocyst (AP) is a common well-defined ‘dome-shaped’ faintly radiopaque lesion of the maxillary sinus, and usually does not require treatment in asymptomatic patients. However, when sinus floor augmentation is required to increase bone volume for implant installation, the elevation of the sinus mucosa might drive the AP against the ostium. This might cause its obstruction and, as possible consequence, sinusitis. The purpose of this study was to investigate the clinical and tomographic conditions of APs to identify a predictable cyst removal that might allow a safety sinus floor augmentation. A total of 52 maxillary sinuses in 46 patients (mean age 55.1 years) presenting AP were examined by cone beam computed tomographies (CBCTs). A two-stage approach was applied. At the first surgery, the cystic lesions were further inspected by an endoscope through the antrostomy, and histopathological diagnosis of the removed tissues was carried out. After the confirmation of decrease of the swelling of sinus membrane by CBCT, the sinus floor augmentation was performed, at least four months after cyst removal. The color and transparency of the 86 cystic lesions were classified into 4 types. The whitish transparent cysts were 34 (39.5%), the yellowish transparent cysts were 18 (20.9%), the dark purple transparent cysts were 8 (9.3%) and the milky-white opaque cysts were 26 (30.2%). The contents of the 60 (69.8%) transparent cysts were serous fluid, but those of milky-white cysts were composed of viscous or elastic soft tissues, and the aspiration of the contents was unsuccessful. The analysis of the preoperative CBCT did not provide certainty on the contents of the cystic lesions. All cystic lesions were diagnosed as AP, and an infection was identified in one AP, presenting marked infiltration of the inflammatory cells. Considering the difficulties of performing a correct diagnosis of the AP content by a CBCT analysis, the risk of failure of the surgery that creates severe afflictions to the patients, and the necessity of a histological evaluation of the cyst, a two-stage surgery appeared to be the most reliable procedure.


2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
T. F. C. Saunders ◽  
P. Monksfield

Ceruminomas are rare tumours arising from the apocrine sweat glands of the ear canal. We present a case of a malignant ceruminoma, which was managed with local surgical excision only rather than the wider clearance more commonly undertaken with these invasive neoplasms. We present the clinical case, histological analysis, and clinical progression for this patient and review the literature on this uncommon pathology.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Subramaniam Ramkumar ◽  
Lakshmi Ramkumar ◽  
Narasimhan Malathi ◽  
Ramalingam Suganya

Mucoceles are nonneoplastic cystic lesions of major and minor salivary glands which result from the accumulation of mucus. These lesions are most commonly seen in children. Though usually these lesions can be treated by local surgical excision, in our case, to avoid intraoperative surgical complications like bleeding and edema and to enable better healing, excision was done using a diode laser in the wavelength of 940 nm.


2016 ◽  
Vol 28 (1) ◽  
Author(s):  
Retno Widayanti ◽  
Melita Sylvyana ◽  
Endang Syamsudin ◽  
Rizki Diposarosa

Introduction : Lip pits are unusual congenital anomalies affecting the lip, first described by DeMurquay in 1845. Lip pits can encounter aesthetic problem thus the patient ask for surgical overcome. Case Report : A 4-year-old girl patient came with double lower lip pits that present since birth with bilateral cleft lip and palate. The pits made a mucous accumulation occurs during mealtimes and crying, and felt aesthethic discomfort. The surgery was performed by simple excision combined with split-lip advancement technique under general anaesthesia and the excised pits was then analized for histopatological structures. The patient has no aesthetic defect after surgery. Discussion : Congenital lip pits are developmental anomalies that occur as an isolated defect or either in association with other developmental disturbances. It happens due to notching of lip at an early stage of development with fixation of tissues of the base of the notch or from a failure of complete union of embryonic lateral sulci of the lip. Lip pits can be shallow or deep, and may be associated with accessory salivary glands. The treatment is usually surgical excision with removal of entire fistulous tract. Conclusion : Surgical removal of lip pits is commonly for cosmetic purpose. It must be treated wisely because lips are essential part of someones face.


Author(s):  
Megha Narayan ◽  
Rajat Kumar Singh ◽  
Aparna Singh ◽  
Siddharth Anand ◽  
Sulekha Sulekha

AbstractTraumatic injuries to maxillary anterior teeth while playing are common in children and adolescents. Sequelae of such trauma include broken, lost, aspirated, and swallowed tooth. At times, the broken tooth fragments get embedded in the adjoining soft tissue and frequently get neglected during diagnosis. The present case report discusses the case of a 13-year-old adolescent who had broken tooth fragment emerged in the lower lip and its surgical excision to prevent detrimental reactions and scarring.


Author(s):  
Gustavo Almeida Mota ◽  
Manoela Carrera M. C. Pereira ◽  
Gabriela Botelho Martins ◽  
Arlei Cerqueira

Hemangioma is a benign blood vessel proliferation. It can be treated by surgical removal, chemical and/or physical sclerosis, surgical laser and embolism. Sclerotherapy has been used because of its low morbidity rates. This study describes a clinical case of hemangioma of the lower lip, in old patient, clinically diagnosed by transparent glass and aspiration puncture. The lesion was treated by sclerotherapy with ethanolamine oleat. This report reviews the literature on sclerotherapy and the ethanolamine oleat.


Author(s):  
Luana Santos MAGALHÃES ◽  
Mirian Noé do Bomfim CALAZANS ◽  
Ana Lídia Soares COTA ◽  
Mariana Alencar NEMEZIO ◽  
Marcus Antônio BRÊDA JUNIOR

ABSTRACT Mucocele is a benign lesion, originating from disorders of minor salivary glands containing mucus. These lesions are found in children and young adults and usually occur due to local trauma. Clinically, it presents as a circumscribed, asymptomatic, soft and bluish or normocromic blister. The treatment of choice is surgical removal, when the lesion does not rupture naturally. This study aims to report a clinical case of mucocele in a pediatric patient removed through total surgical excision. A 7-year-old patient accompanied by mother sought care at the Dentistry Clinic of the “Tiradentes” University Center (UNIT / AL), with a main complaint of asymptomatic blister in the lower lip for about 15 days. In the anamnesis, the habit of biting in the region was reported. At clinical examination, a blister with clear limits of approximately 10 mm in diameter was observed in the lower lip mucosa, with slightly firm/fibrous consistency, which gave rise to doubts about the possible diagnosis, since it presented characteristics similar to that of a mucocele, although consistency at palpation indicates possible fibroma. Surgical excision of the lesion was performed; the material collected was fixed in 10% formalin and sent to histopathological examination that confirmed the diagnosis of mucocele. The patient was kept on follow-up, and there was no recurrence of the lesion. Surgical excision demonstrated an effective and prognostic therapeutic course, allowing accurate diagnosis through the histopathological evaluation of the lesion.


2012 ◽  
Vol 1 (1) ◽  
pp. 23-25
Author(s):  
Kamran Bokhari ◽  
Luqman Manikandan ◽  
Ajmal Mohammad ◽  
Mohammad Shahul ◽  
Mustafa Abdul Bagi ◽  
...  

ABSTRACT Background Cellular angiofibromas are rare benign mesenchymal neoplasms characterized by spindle cell component and numerous small vessels. They are commonly well-circumscribed, localized in the superficial soft tissues. The lesion is more frequently seen in the inguinoscrotal or vulvovaginal regions and occurs equally in men and women, and rarely involves oral cavity. Due to its clinical and histological similarity with other mesenchymal tumors, such as angiomyoma, hemangioma, lymphangioma and hemangiopericytoma, angiofibroma presents a diagnostic dilemma. Case report Very few cases of angiofibroma involving maxillofacial region have been reported in the literature. This case report involves cellular angiofibroma involving left buccal mucosa in a 23-year-old female patient. Following detailed clinical examination, radiological interpretation and histopathological diagnosis, surgical excision was performed. The patient was followed-up on a regular basis and was disease free. Summary and conclusion Benign angiofibroma involving oral cavity is a rare tumor. There is a close resemblance of this tumor with other mesenchymal lesions and, thus, faces a diagnostic challenge. Surgical excision with a long-term followup gives good prognosis to this lesion—benign cellular angiofibroma. How to cite this article Bokhari K, Manikandan L, Mohammad A, Shahul M, Bagi MA, Kota Z. Cellular Angiofibroma of the Buccal Mucosa: A Rare Case Report and Review of Literature. Int J Exper Dent Sci 2012;1(1):23-25.


2016 ◽  
Vol 28 (1) ◽  
Author(s):  
Susanti Bulan ◽  
Andri Ardianto ◽  
Raden Yohana

Introduction : Lip pits are unusual congenital anomalies affecting the lip, first described by DeMurquay in 1845. Lip pits can encounter aesthetic problem thus the patient ask for surgical overcome. Case Report : A 4-year-old girl patient came with double lower lip pits that present since birth with bilateral cleft lip and palate. The pits made a mucous accumulation occurs during mealtimes and crying, and felt aesthethic discomfort. The surgery was performed by simple excision combined with split-lip advancement technique under general anaesthesia and the excised pits was then analized for histopatological structures. The patient has no aesthetic defect after surgery. Discussion : Congenital lip pits are developmental anomalies that occur as an isolated defect or either in association with other developmental disturbances. It happens due to notching of lip at an early stage of development with fixation of tissues of the base of the notch or from a failure of complete union of embryonic lateral sulci of the lip. Lip pits can be shallow or deep, and may be associated with accessory salivary glands. The treatment is usually surgical excision with removal of entire fistulous tract. Conclusion : Surgical removal of lip pits is commonly for cosmetic purpose. It must be treated wisely because lips are essential part of someones face.


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