Mukundan Divya, R Ramesh
Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus. 2024 Jun 28;16(6):e63342. doi: 10.7759/cureus.63342. eCollection 2024 Jun.
A mucocele is a benign cystic lesion containing clear fluid within a thin capsule, typically resulting from the disruption of minor salivary glands and leakage into surrounding tissues, most commonly on the lower lip. These lesions often arise due to traumatic injuries such as lip-sucking, biting, or trauma from orthodontic appliances. This study compares different surgical methods for mucocele removal in pediatric patients through three distinct cases. This study includes three pediatric cases of mucocele removal using different surgical methods. Case 1 involved a nine-year-old girl with a traumatic bite on the lower lip, treated with a traditional approach using a scalpel. The surgical excision resulted in adequate healing with no recurrence after six months. Case 2 described a 12-year-old boy with a lip-biting habit, who presented with a swelling on the lower left lip. He underwent diode laser treatment, which facilitated faster healing, minimal discomfort, and no scarring after 30 days. Case 3 involved a 14-year-old boy, also with a lip-biting habit, who had swelling on the lower left lip. Electrocautery was used for his treatment, resulting in minimal bleeding, effective healing after 21 days, and no recurrence at the six-month follow-up. These cases demonstrate the efficacy of different treatment modalities for mucocele removal in pediatric patients. Evaluations of pain, bleeding, and swelling indicated that minimally invasive methods like the diode laser offer significant benefits in patient comfort and recovery. These findings highlight the potential of minimally invasive techniques to enhance the management of mucoceles in pediatric patients, underscoring the need for further research to determine the long-term efficacy of various treatment modalities.
黏液囊肿是一种良性囊性病变,在薄包膜内含有清亮液体,通常是由于小唾液腺破裂并渗漏到周围组织所致,最常见于下唇。这些病变常因诸如吮唇、咬唇或正畸矫治器造成的创伤而产生。本研究通过三个不同病例比较了小儿患者黏液囊肿切除的不同手术方法。本研究包括三例采用不同手术方法切除黏液囊肿的小儿病例。病例1为一名9岁女孩,下唇有咬伤,采用传统手术刀方法治疗。手术切除后愈合良好,6个月后无复发。病例2描述了一名12岁男孩,有咬唇习惯,左下唇出现肿胀。他接受了二极管激光治疗,30天后愈合更快,不适最小,且无瘢痕形成。病例3为一名14岁男孩,也有咬唇习惯,左下唇肿胀。采用电灼法治疗,出血极少,21天后有效愈合,6个月随访无复发。这些病例证明了小儿患者黏液囊肿切除不同治疗方式的疗效。对疼痛、出血和肿胀的评估表明,二极管激光等微创方法在患者舒适度和恢复方面具有显著优势。这些发现凸显了微创技术在改善小儿患者黏液囊肿治疗方面的潜力,强调需要进一步研究以确定各种治疗方式的长期疗效。