Mucocele Occuring in The Oral Cavity - A Review

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Volume 8, Issue 9, September – 2023 International Journal of Innovative Science and Research Technology

ISSN No:-2456-2165

Mucocele Occuring in the Oral Cavity- A Review


1. 2.
Dr. Srividhya Srinivasan Dr. Anitha .R
Associate Professor Assistant Professor
Department of Oral Medicine and Radiology Department of Oral Medicine and Radiology
Meenakshi Ammal Dental College, Alapakkam, Chennai Meenakshi Ammal Dental College, Alapakkam, Chennai

3. 4.
Dr. Poongodi.V Dr. Ram Shankar
Associate Professor Associate Professor
Department of Oral Medicine and Radiology Department of Oral Medicine and Radiology
Meenakshi Ammal Dental College, Alapakkam, Chennai Meenakshi Ammal Dental College, Alapakkam, Chennai

Abstract:- Mucocele is a frequent condition of the III. ETIOPATHOGENESIS


salivary glands that can also affect the lacrimal sac,
appendix, gallbladder, paranasal sinuses, and oral According to Yamasoba et al. (1990)5, the two main
cavity. The lower lip is a common site for these lesions in etiological reasons for these cysts are Injury and trauma
the oral cavity, although they can also appear on the Salivary gland duct obstruction, Lip and cheek biting, which
tongue, buccal mucosa, soft palate, retromolar pad, and are primarily physical trauma, cause mucin to leak into the
other parts of the mouth. These kinds of lesions are submucosal tissue around them. Mucous that has stagnated
typically brought on by trauma and lip-biting may make later inflammation evident (4),(6)
behaviours. These lesions can be clinically diagnosed and
are not painful. According to Ata-Ali et al. (2010)7, the extravasation
type has the following phases.
Keywords:- Mucocele, Lower lip, Salivary Gland.  Phase 1: Salivary duct mucus leaks into nearby tissue,
which may contain some leucocytes and histiocytes.
I. INTRODUCTION  Phase II. In granulomas with histiocytes, macrophages,
and enormous multinucleated cells connected to a
A mucin-filled cyst known as a mucocele can develop reaction to a foreign body.
in the paranasal sinuses, the lacrimal sac, or the oral cavity  Phase III. Later in the third phase, connective cells will
(1). According to Yague-Garca et al. (2009), mucocele is cause the creation of a pseudo capsule around the
derived from the Latin term mucus, which also implies mucosa without epithelium. Major salivary glands
cavity 2. According to Bagan-Sebastian et al. (1990), a frequently exhibit the retention type of mucocele. It is
mucocele is an accumulation of mucus brought on by a because a sialolith has blocked or obstructed the duct,
change in the minor salivary gland that results in a little causing it to enlarge 7.
amount of swelling.3
IV. CLINICAL FEATURES
II. TYPES
According to Bermejo, Mucocele, a frequent condition
Cysts come in two different varieties: extravasation of the salivary glands, is characterised by an accumulation
type and retention type. The main cause of the extravasation of mucoid material. It appears as a well-defined, non-tender,
type, which is frequently observed in minor salivary glands, soft, fluctuant swelling with a bluish tint and varying sizes.8
is the leakage of fluid from the salivary gland ducts and (Bermejo et al., 1999; Eveson, 1988). Common on the lower
acini to the nearby soft tissues. Whereas Retention type lip, however it can also happen elsewhere. The fluid buildup
results from obstruction of the salivary gland duct, related to below and the vascular congestion and cyanosis of the tissue
the obstruction of the salivary gland duct, which is above are the main causes of the bluish hue. They often have
frequently observed in large salivary gland ducts (4).Both intact epithelium covering dome-shaped swellings (6). In the
present as a non-painful swelling in a clinical setting. When first three decades of life, there is no gender preference and
a mucocele (extravasation) develops in the floor of the it is typical (9). Oral hemangiomas, oral lymphangiomas,
mouth, it is referred to as a RANULA and has the and benign or malignant salivary gland neoplasms are
appearance of frog's cheeks (4).These lesions termed among the differential diagnoses that may be taken into
pseudocysts because they lack epithelial lining. account.

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Volume 8, Issue 9, September – 2023 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
V. DIAGNOSIS REFERENCES

Since mucoceles have a pathognomonic look, details [1]. Baurmash H (2002). The etiology of superficial oral
concerning the lesion's location, trauma history, sudden mucoceles. J Oral Maxillofac Surg. 60:237-8.
onset, fluctuations in size, bluish colour, and consistency [2]. Yague-García J, Espana-Tost AJ, Berini-Aytes L, Gay-
help with diagnosis (10). Histiocytes, inflammatory cells, Escoda C (2009). Treatment of oral mucocele - scalpel
and retained mucus are all visible by fine-needle aspiration versus C02 laser. Med Oral Patol Oral Cir Bucal. 14
(11). The cystic chamber of mucoceles of the retention type :e469-74.
is lined by cuboidal cells, and the epithelial wall is clearly [3]. BaganSebastian JV, Silvestre Donat FJ, Penarrocha
delineated. This kind is less likely to result in inflammatory Diago M, Milian Masanet MA (1990). Clinico-
reactions, claim 12). pathological study of oral mucoceles. Av
Odontoestomatol. 6:389-91, 394-95.
According to Guimares et al. (2006), the extravasation [4]. Boneu-Bonet F, Vidal-Homs E, Maizcurrana- Tornil A,
type resembles a pseudocyst without an epithelial wall and Gonzalez- Lagunas J (2005). Submaxillary gland
exhibits flaming cells and granulation tissues. Chemical mucocele: presentation of a case. Med Oral Patol Oral
study reveals that saliva contains large quantities of protein Cir Bucal. 10:180-84.
and amylase. [5]. Yamasoba T, Tayama N, Syoji M, Fukuta M (1990).
Clinico statistical study of lower lip mucoceles. Head
VI. TREATMENT Neck. 12:316-20.
[6]. Gupta B, Anegundi R, SudhaP,Gupta M (2007).
The most well-known method for treating this damage Mucocele:Two Case Reports. J Oral Health Comm
is routine, meticulous evacuation. Additional therapeutic Dent 1:56-58
possibilities include electrocautery, micro marsupialization, [7]. Ata-Ali J, Carrillo C ,Bonet C , Balaguer J, Penarrocha
intralesional corticosteroid injection, cryosurgery, and M , Penarrocha M (2010). Oral mucocele: review of
intralesional corticosteroid injection (13). According to the literature. J ClinExp Dent.2:e18-21
some research, these lesions could be treated with an initial [8]. Bermejo A, Aguirre JM, Lopez P, Saez MR (1999).
cryosurgical approach or an intralesional corticosteroid Superficial mucocele: report of 4 cases. Oral Surg Oral
injection; nevertheless, both methods are more likely to Med Oral Pathol Oral Radiol Endod. 88:469-72.
cause relapses (14). Retention mucocele and extravasation [9]. Selim MA, Shea CR (2007). Mucous cyst. eMedicine.
mucocele receive the same medical care. To avoid harming Retrieved 7 February from:
essential organs like the labial branch of the mental nerve, http://www.emedicine.com/derm/topic274.htm.
small mucoceles can be excised with marginal glandular [10]. Bentley JM, Barankin B, Guenther LC (2003). A
tissue, while bigger lesions can be marsupialized (14). review of common pediatric lip lesions: herpes
simplex/recurrent herpes labialis, impetigo, mucoceles,
VII. CONCLUSION and hemangiomas. Clin Pediatr (Phila). 42:475-82.
[11]. Layfield LJ, Gopez EV (2002). Cystic lesions of the
A mucocele is the most usual benign self-limiting salivary glands: cytologic features in fine-needle
disorder. Young guys are typically affected. The lower lips aspiration biopsies. Diagn Cytopathol. 27:197-204
are where the majority of these lesions are seen, and trauma [12]. Guimaraes MS, Hebling J, Filho VA, Santos LL, Vita
is typically the underlying factor. Most of these cases can be TM, Costa CA (2006). Extravasation mucocele
diagnosed clinically, however in some circumstances a involving the ventral surface of the tongue (glands of
biopsy is necessary to rule out other neoplasm types. There Blandin-Nuhn). Int J Paediatr Dent. 16:435-39.
are other therapy methods, however studies have shown that [13]. Lopez-Jornet P, Bermejo-Fenoll A (2004). Point of
the CO2 laser approach is more effective and results in Care: What is the most appropriate treatment for
fewer relapses. Although there are other possibilities, the salivary mucoceles? Which is the best technique for
CO2 laser treatment is the best and has the lowest this treatment? J Can Dent Assoc, 70: 484-85
probability of recurrence. These lesions are typically [14]. Garcia JY, Tost AJE, Aytes LB, Escoda CG (2009).
discovered when a patient visits the dentist for a routine oral Treatment of oral mucocele - scalpel versus C02 laser.
examination or another dental problem because they don't Med Oral Patol Oral Cir Bucal.14 :e469-74.
hurt.

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