Understanding Mucocele of Tongue in Children: A Case Report

Nora Kharisma Rissandhika 1, Siti Nur Lestari 2, Firli Cahaya Khairani 2, Tania Saskianti 1, * and Anak Agung Sagung Dyah Karuniadewi 1

1 Department of Pediatric Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
2 Department of Pediatric Dentistry, General Hospital Haji Surabaya, Indonesia.
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(03), 1845–1848
Article DOI: 10.30574/wjarr.2024.22.3.1945
Publication history: 
Received on 16 May 2024; revised on 25 June 2024; accepted on 27 June 2024
Introduction: Mucocele is cystic lesion that occur in oral cavity. Commonly it happens due to trauma or obstruction of minor salivary gland ducts. Certain mucoceles may heal spontaneously, while others might surgical intervention due to frequent recurrence. Mucoceles on the tongue are rare and typically occur on the underside, where the glands of Blandin and Nuhn are located. Appropriate diagnose and treatment must be chosen correctly.
Case History: A 12-years old-girl presented of enlarged gum and recurrent swelling firstly noticed a month ago. Excision was done under local anesthesia using electrocautery. A clinical diagnose of mucocele was confirmed by histopathological examination. 
Discussion: Mucoceles on the tongue are uncommon and primarily occur on the ventral surface where the glands of Blandin and Nuhn are situated. Complete excision was done once the diagnosis was confirmed using electrocautery which have indicated that this method is faster, simpler, and causes minimal postoperative discomfort compared to conventional excision. To minimize recurrence, strategies such as removing surrounding glandular acini, excising or dissecting the lesion down to the muscle layer, and avoiding damage to adjacent glands and ducts are recommended.
Conclusion: Mucoceles on the tongue are uncommon and primarily occur on the ventral. Since mucocele are asymptomatic, complete surgical excision of mucocele of tongue must followed by eliminate risk factors to prevent recurrency.
Children; Human and health; Mucocele; Oral lesion
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