Micro Marsupialization Versus Modified Micro Marsupialization in The Management of Mucocoele of Lower Lip: Micro Versus Modified Marsupialization for Mucocele

. Akosh; Aftab Ahmed; Tarique Hussain Shaikh; Lubna M Arif; Saadia Siddique; Farzana Lakho

doi:10.54393/pjhs.v5i08.1998

Authors

. Akosh Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Aftab Ahmed Department of Oral and Maxillofacial Surgery, Bhitai Dental and Medical College, Mirpurkhas, Pakistan
Tarique Hussain Shaikh Department of Oral and Maxillofacial Surgery, Isra University, Hyderabad, Pakistan
Lubna M Arif Department of Oral and Maxillofacial Surgery, Bahria University of Health Sciences, Karachi, Pakistan
Saadia Siddique Department of Oral and Maxillofacial Surgery, Jinnah Medical and Dental College, Karachi, Pakistan
Farzana Lakho Department of Dental Surgeon, Government of Sindh, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i08.1998

Keywords:

Mucocele, Lower Lip, Micro Marsupialization, Surgical Outcomes

Abstract

The most prevalent kind of soft-tissue cyst of the small salivary glands in the lower lip is called a mucocele. It usually manifests as a fluctuating, bluish, not tendering sub-mucosal swelling with a usual overlying mucosa. The lower lip is where mucoceles are most frequently found, despite the fact that small salivary glands are present in most areas of the oral cavity with the exception of the gingiva. This is most likely because this area experiences more mechanical trauma than other locations. Objective: To compare the outcomes of surgical technique between micro- marsupialization and modified micro marsupialization in treatment of mucocele of lower lip. Methods: Experimental study was conducted at Department of OMFS, LUMHS, Jamshoro, by convenience sampling technique in time frame of Six months. Patients were called into two groups at random. Patients in group A were managed by micro-marsupialization and in group B by modified micro-marsupialization. All the patients were followed till one week to assess wound healing time and pain. The analysis of data was conducted using SPSS version 26.0. Results: In comparison of group A and B, wound healing time was noted as 9.7 ± 3.1 and 10.9 ± 4.01 days (P=0.180), duration of surgery 30.2 ± 3.7 and 29.9 ± 3.6 minutes (P=0.727) and postoperative pain at 7^th day was noted 2.7 ± 1.8 and 2.17 ± 1.7 (P=0.257), respectively. Conclusion: It was concluded that insignificant difference was noted between micro-marsupialization and modified micro-marsupialization in outcomes of surgical technique in treatment of mucocele of lower lip

References

Khalid MU, Arshad S, Hameed S, Usama MM, Ashraf MS. Comparison of a minimal invasive technique micro-marsupialization versus surgical excision for mucocele of lower lip. The Professional Medical Journal. 2023 Nov; 30(11): 1385-90. doi: 10.29309/TPMJ/2023.30.11.7741. DOI: https://doi.org/10.29309/TPMJ/2023.30.11.7741

Verro B, Mauceri R, Campisi G, Saraniti C. Ranula: Modified Micro-Marsupialization: Case Report and Review of Literature. Iranian Journal of Otorhinolaryngology. 2023 Mar; 35(127): 113. doi: 10.22038/IJORL.2023.61890.3131

Karabıyık Z, Yolal MS, Basiry MN. Management of Oral Ranula with Modified Micro-Marsupialization. HRU International Journal of Dentistry and Oral Research. March 2023; 3(1): 55-7.

Gayen K, Bag A, Shirolkar S, Sikdar R, Pal S, Sarkar S. Surgical Management of Mucocele of Lower Lip: A Report of Two Cases. Journal of Primary Care Dentistry and Oral Health. 2022 Jan; 3(1): 17-9. doi: 10.4103/jpcdoh.jpcdoh_28_21. DOI: https://doi.org/10.4103/jpcdoh.jpcdoh_28_21

Dod AP, Laturiya R, Badal S, Doiphode A, Nagargoje G, Andhare P. Modified Micro-Marsupialization: A New and Conservative Treatment for Sublingual Ranula. Journal of Advanced Medical and Dental Sciences Research. 2020 Dec; 8(12): 79-82. doi: 10.21276/jamdsr. DOI: https://doi.org/10.21276/jamdsr

Giraddi GB & Saifi AM. Micro-Marsupialization Versus Surgical Excision for The Treatment of Mucoceles. Annals of Maxillofacial Surgery. 2016 Jul; 6(2): 204-9. doi: 10.4103/2231-0746.200324. DOI: https://doi.org/10.4103/2231-0746.200324

Khandelwal G. Micro-Marsupialization: A Novel Non-Surgical Method to Treat Mucocele in Children. Journal of Dentistry, Oral Disorders & Therapy. 2016 Oct; 3(4): 2-4. doi: 10.15226/jdodt.2016.00164. DOI: https://doi.org/10.15226/jdodt.2016.00164

Nagargoje GL, Badal S, Mohiuddin SA, Balkunde AS, Jadhav SS, Bholane DR. Evaluation of electrocautery and stainless-steel scalpel in oral mucoperiosteal incision for mandibular anterior fracture. Annals of Maxillofacial Surgery. 2019 Jul; 9(2): 230-4. doi: 10.4103/ams.ams_158_18. DOI: https://doi.org/10.4103/ams.ams_158_18

Suryavanshi R, Abdullah A, Singh N, Astekar M. Oral mucocele in infant with an unusual presentation. British Medical Journal Case Reports CP. 2020 Jun; 13(6): e234669. doi: 10.1136/bcr-2020-234669. DOI: https://doi.org/10.1136/bcr-2020-234669

Mohammad S, Khan M, Salahuddin B, Durrani SH, Bashir N, Shakeel S. A spectrum of oral mucoceles: Histopathology and management. Pakistan Oral and Dental Journal. 2019 Jul; 39(2): 140-3.

Bhudhrani U, Panda A, Shukla B, Savakiya A, Shah R. Beyond the Norm: Exploring Mucocele on the Attached Gingiva-A Case Report. Clinical Dentistry (0974-3979). 2024 May; 18(5). doi: 10.33882/ClinicalDent.15.35460. DOI: https://doi.org/10.33882/ClinicalDent.15.35460

Essa EF, Beltagy TM, El Mekaky YM. Micro-marsupialization as a conservative therapeutic approach for management of pediatric oral mucoceles. Tanta Dental Journal. 2019 Jul; 16(3): 142-8. doi: 10.4103/tdj.tdj_21_19. DOI: https://doi.org/10.4103/tdj.tdj_21_19

Bagher SM, Sulimany AM, Kaplan M, Loo CY. Treating mucocele in pediatric patients using a diode laser: three case reports. Dentistry Journal. 2018 May; 6(2): 13. doi: 10.3390/dj6020013. DOI: https://doi.org/10.3390/dj6020013

Błochowiak K, Farynowska J, Sokalski J, Wyganowska-Świątkowska M, Witmanowski H. Benign tumours and tumour-like lesions in the oral cavity: a retrospective analysis. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2019 Dec; 36(6): 744-51. doi: 10.5114/ada.2018.78805. DOI: https://doi.org/10.5114/ada.2018.78805

De Falco D, Di Venere D, Maiorano E. Diode laser excision of Blandin-Nuhn mucocele. Cureus. 2020 Mar; 12(3). doi: 10.7759/cureus.7441. DOI: https://doi.org/10.7759/cureus.7441

de Arruda JA, Jácome‐Santos H, Kato CD, de Noronha MS, do Amaral MB, Silva TA et al. Micro‐marsupialization technique with suture thread modification for improving the management of oral mucoceles and ranulas: A case series. Oral Surgery. 2021 Aug; 14(3): 241-5. doi: 10.1111/ors.12603. DOI: https://doi.org/10.1111/ors.12603

Sreelekha A, Pradeep A, George AA, Shanthi M, VC D, Ganesh C. Mucoceles in the Oral Cavity: Insights from Clinical Cases. Boletin de Literatura Oral-The Literary Journal. 2023 Dec; 10(1): 2876-82.

Kumar N and Kumari R. Clinicopathologic Evaluation and Management of Twenty Cases of Oral Mucoceles. Avicenna Journal of Dental Research. 2024 Apr; 16(1): 42-5. doi: 10.34172/ajdr.1763.

Sorg H, Tilkorn DJ, Hager S, Hauser J, Mirastschijski U. Skin wound healing: an update on the current knowledge and concepts. European Surgical Research. 2017 Dec; 58(1-2): 81-94. doi: 10.1159/000454919. DOI: https://doi.org/10.1159/000454919

Research, Society and Development. 2021 Jul; 10(8): e19010817289-. doi: 10.33448/rsd-v10i8.17289. DOI: https://doi.org/10.33448/rsd-v10i8.17289

Hashemi M, Zohdi M, Zakeri E, Abdollahzadeh-Baghaei T, Katebi K. Comparison of the recurrence rate of different surgical techniques for oral mucocele: A systematic review and Meta-Analysis. Medicina Oral, Patología Oral y Cirugía Bucal. 2023 Nov; 28(6): e614. doi: 10.4317/medoral.26015. DOI: https://doi.org/10.4317/medoral.26015