Orhan KAZAN, Buse ERDİL, İhsan Levent ARAL

Alt Dudakta Mukosel: Olgu Sunumu

Mukoseller genel popülasyonda %0.4-%0.9 insidansı olan iyi huylu lezyonlardır. Mukusla dolu bir kist içerir. Ağız boşluğu, paranazal sinüsler, safra kesesi ve apendiks gibi birçok bölgede yerleşebilirler. Sıklıkla alt dudakta lokalize olurlar. Mukosel her iki cinsiyette de eşit oranda görülür ve her yaşta ortaya çıkabilir. Klinik olarak mukosel; palpasyonda asemptomatik, iyi sınırlı, pembemsi-mavi renkli, fluktuan nodül olarak saptanır. Oral mukosel tedavisinde; cerrahi eksizyon, kriyocerrahi, intralezyonel kortikosteroid, elektrokoter, CO2 lazer gibi birçok yöntem kullanılmaktadır. Seçilecek tedavi yönteminde lezyonun boyutu ve tekrarlama olasılığı gibi faktörler göz önünde bulundurulmalıdır. Bu olgu sunumunda alt dudakta şişlik şikâyeti ile kliniğimize başvuran hastanın oral mukosel tanısı ve tedavi süreci anlatılacaktır.

Anahtar Kelimeler:

Alt dudak, Mukosel, Tükürük bezleri

Mucocele on Lower Lip: Case Report

Mucoceles are benign lesions with an incidence of 0.4% - 0.9% in the general population. It contains a mucus-filled cyst. They may localize in many regions such as the oral cavity, paranasal sinuses, gall bladder and appendix. Frequently, they localize at the lower lip. Mucocele is seen equally in both sexes and it can occur at any age. Clinically, mucoceles are detected as asymptomatic, well-defined, pinkish-blue colored, fluctuant nodule on palpation. In oral mucocele treatment; Many methods such as surgical excision, cryosurgery, intralesional corticosteroid, electrocautery, CO2 laser are used. Factors such as the size of the lesion and the possibility of recurrence should be considered in the treatment method to be chosen. In this case report, the diagnosis of oral mucocele and treatment process of the patient who applied to our clinic with the complaint of swelling in the lower lip will be explained.

Keywords:

Mucocele, Lower lip, Salivary glands,

PDF

___

1. Baurmash HD. Mucoceles and ranulas. Journal of Oral and Maxillofacial Surgery. 2003;61(3):369-78.
2. Chaitanya P, Praveen D, Reddy M. Mucocele on lower lip: a case series. Indian Dermatology Online Journal. 2017;8(3):205.
3. Yagüe García J, España Tost AJ, Berini Aytés L and Gay Escoda, C. Treatment of oral mucocele-scalpel versus CO2 laser. Medicina Oral, Patología Oral y Cirugia Bucal. 2009;14(9):469-74.
4. Yamasoba T, Tayama N, Syoji M, Fukuta M. Clinicostatistical study of lower lip mucoceles. Head & neck. 1990;12(4):316-20.
5. Baurmash H. The etiology of superficial oral mucoceles. J Oral Maxillofac Surg. 2002;60(2):237-8.
6. Bonet FB, Homs EV, Tornil AM, Lagunas JD. Mucocele de la glandula submaxilar: a propósito de un caso Submaxillary gland mucocele: presentation of a case. Med Oral Patol Oral Cir Bucal. 2005;10:180-4.
7. Re Cecconi D, Achilli A, Tarozzi M, Lodi G, Demorasi F, Sardella A, et al. Mucoceles of the oral cavity: a large case series (1994-2008) and a literature review. 2010.
8. Baurmash HD. A case against sublingual gland removal as primary treatment of ranulas. Journal of oral and maxillofacial surgery. 2007;65(1):117-21.
9. Laller S, Saini RS, Malik M, Jain R, Bahadurgarh H. Case Report An Appraisal of Oral Mucous Extravasation Cyst Case with Mini Review. Journal of Advanced Medical and Dental Sciences Research. 2014;2(2).
10. Eversole LR, Sabes WR. Minor salivary gland duct changes due to obstruction. Archives of Otolaryngology. 1971;94(1):19-24.
11. Roediger W, Lloyd P, Lawson H. Mucous extravasation theory as a cause of plunging ranulas. British Journal of Surgery. 1973;60(9):720-2.
12. Seifert G, Miehlke A, Haubrich J. Diseases of the salivary glands: Georg Thieme Verlag Stuttgart 1986.
13. Cataldo E, Mosadomi A. Mucoceles of the oral mucous membrane. Archives of Otolaryngology. 1970;91(4):360-5.
14. Hayashida AM, Zerbinatti DC, Balducci I, Cabral L, .Almeida J. Mucus extravasation and retention phenomena: a 24-year study. BMC Oral Health. 2010;10(1):1-4.
15. Zhi K, Wen Y, Ren W, Zhang Y. Management of infant ranula. International journal of pediatric otorhinolaryngology. 2008;72(6):823-6.
16. McCaul J, Lamey P-J. Multiple oral mucoceles treated with gamma-linolenic acid: report of a case. British Journal of Oral and Maxillofacial Surgery. 1994;32(6):392-3.
17. Nuntanaranont T, Thuaksuban N. The use of CO2 laser for treatment of salivary gland disease in seven cases. International Congress Series: Elsevier 2003:393-8.