Oral mucocele
Mucous cyst of the oral mucocele | |
---|---|
A mucocele on the lower lip. | |
Specialty | Oral and maxillofacial surgery |
Oral mucocele (also mucous extravasation cyst, mucous cyst of the oral mucosa,[1] and mucous retention and extravasation phenomena.) is a condition caused by two related phenomena - mucus extravasation phenomenon and mucous retention cyst.
Mucous extravasation phenomenon is a
Although these
Signs and symptoms
The size of oral mucoceles vary from 1 mm to several centimeters and they usually are slightly transparent with a blue tinge. On palpation, mucoceles may appear fluctuant, but can also be firm. Their duration lasts from days to years,[4] and may have recurrent swelling with occasional rupturing of its contents.
Locations
The most common location to find a mucocele is the inner surface of the lower lip. It can also be found on the inner side of the cheek (known as the
Variations
A variant of a mucocele is found on the
Diagnosis
Microscopically, mucoceles appears as granulation tissue surrounding mucin. Since inflammation occurs concurrently, neutrophils and foamy histiocytes usually are present. On a
Classification
Both mucous retention and extravasation phenomena are classified as
Treatment
Some mucoceles spontaneously resolve on their own after a short time. Others are chronic and require surgical removal. Recurrence is possible, thus the adjacent salivary gland may be excised as a preventive measure. Hence surgical removal of cyst is treatment of choice.[7]
Several types of procedures are available for the surgical removal of mucoceles. These include laser and minimally invasive techniques, which means recovery times are reduced drastically.[8][9]
Micromarsupialization is an alternative procedure to surgical removal. It uses silk sutures in the dome of a cyst to allow new epithelialized drainage pathways. It is simpler, less traumatic, and well tolerated by patients, especially children.[10]
A nonsurgical option that may be effective for a small or newly identified mucocele is to rinse the mouth thoroughly with salt water (one tablespoon of salt per cup) four to six times a day for a few days. This may draw out the fluid trapped underneath the skin without further damaging the surrounding tissue.[11] If the mucocele persists, individuals should see a doctor to discuss further treatment. Smaller cysts may be removed by laser treatment, but larger cysts may have to be removed surgically.[citation needed]
See also
References
- ISBN 978-1-4160-2999-1.
- ^ Mucocele at the U.S. National Library of Medicine Medical Subject Headings (MeSH)
- ^ "Dorlands Medical Dictionary:mucocele". Archived from the original on 2009-11-14.
- PMID 27822227.
- ISBN 9781439893845.
- ^ Dorfman J. "The Center for Special Dentistry".
- PMID 26538955.
- ISSN 2249-5614.
- PMID 29747378.
- PMID 22092694.
- ^ DoctorGentry (2016-08-13). "mucocele | Dr. Gentry". Retrieved 2024-03-23.