Mucocele Removal

CHAPTER 26 Mucocele Removal

Oral mucous cysts (mucoceles) form as a result of obstruction or trauma involving the ducts of minor salivary glands. Mucoceles are the most common benign soft tissue mass of the oral cavity. Mucoceles occur most frequently in the mucosa of the lower lip. They appear as soft, nontender, compressible lesions with a pink or bluish tinge. Typical size ranges from a few millimeters up to 1 cm, but can be much larger. Superficial mucoceles may rupture and not recur, but larger lesions usually remain persistent or recurrent unless treated adequately.


Larger Lesions

Because the tissue is so pliable it is often difficult to stabilize the lip. Consider using a large chalazion clamp, which also effectively controls bleeding.

Option 1

For larger lesions, recurrence is less likely if the roof is shaved off with a no. 15 blade before proceeding to cryotherapy or electrodesiccation (Fig. 26-1). Compress the area firmly between the fingers to reduce bleeding. If cryotherapy is chosen, hemostasis should be obtained before the freeze. A chemical coagulant, such as Monsel’s solution, is useful here. The wound is allowed to heal by secondary intent, which takes 5 to 7 days. Caution the patient not to “bite” on the areas, which is tempting to do.

May 14, 2017 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Mucocele Removal
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