Laser-Assisted Surgical Management of Oral Mucocele: A Case Report

Abstract

This case represents mucocele of extravasation phenomenon associated with a lower lip on the right side in the last 15 days. A 19-year-old male patient visited the outpatient department with a history of constant trauma due to lip biting and due to soft and flocculent consistency on palpation, mucocele was considered under the provisional diagnosis. The borders of the lesion were marked following all the protocols of asepsis and sterilization and laser-assisted surgical excision was undertaken resulting in total removal of the lesion with a diode laser by resecting it from the base to reduce chances of re-occurrence. The specimen that was resected was sent for histopathological examination, which confirmed the final diagnosis of mucous extravasation cyst or mucocele. The following report underlines that laser-assisted resection offers a minimally invasive and precision approach for the treatment of mucocele.

Keywords: diode laser; extravasation phenonmenon; histopath; mucocele; retention.

Figure 1. Pre-operative view of mucous extravasation cyst associated with lower lip.

Figure 2. Measurements were taken of the lesion associated with lower lip.

Figure 3. Surgical excision of the mucocele by diode laser.

Figure 4. Complete surgical excision of the mucocele by diode laser done.

Figure 5. Postoperative view of the mucocele in healing phase after seventh day of surgery.

Figure 6. Recall examination after three months showed complete satisfactory healing and no recurrence.

Figure 7. Specimen collected from the site by diode laser

Figure 8. Histological image showing mucus collection patterns of mucus lesions with scarce amounts of connective tissue fibrosis.