Surgical treatment and spontaneous remission of contiguous mucoceles in a two-year-old child

Vol. 11 – Number 42 – 2020 IMPLANTOLOGY NOTEBOOK Case report Page 46-50 Surgical treatment and spontaneous remission of contiguous mucoceles in a two-year-old child Leandro Coelho Belém¹ Mauricio Bacarin Silva¹ Adriana Beatriz Silveira Pinto¹ Fabrina Pereira Ribeiro¹ Tiago Novaes Pinheiro² André Luiz Tanus Dutra¹ ABSTRACT Oral mucocele is a soft tissue disorder resulting from the rupture of a salivary gland duct characterized by extravasation or retention of mucin in the submucosal tissue of the minor salivary glands. When found in the mouth floor, they are called a ranula, because the increase in volume resembles a frog belly. The mucocele has a more prevalent location in the lower lip, laterally to the midline, being also present with less frequency in the jugal mucosa, buccal floor, and tongue ventral surface. The etiology of this pathology is strongly related to local trauma, rupture or obstruction of the salivary gland secretory duct, common in children and adolescents because young individuals present a higher prevalence of this type of trauma. Conventional surgical excision with removal of satellite glands is the most commonly used technique. In this article, a case of ipsilateral double mucocele on the lower lip of a 2-year-old child with reported history of bite addiction on the affected area. Excisional biopsy of only one lesion was performed under local anesthesia. During the postoperative period, it was observed the remission of the other lesion which was still present. The excised tissue was submitted to histopathological analysis, which confirmed the diagnostic hypothesis. Surgical removal and remission of the lesion favored the prognosis, mainly because the child had ceased suctioning and lower lip vicious bite. During the 9-month follow-up, there was no recurrence of mucoceles. Descriptors: Mucocele, oral surgery, pediatric Dentistry, oral diagnosis. ¹ Sp. of Odontopediatrics, School of Health Sciences – UEA. ² Department of Oral Diagnosis, Course of Dentistry, School of Health Sciences – UEA.