The use of high and low power lasers in the treatment of mucocele in lip: a case report
Resumen
Mucocele is an inflammatory lesion of the common salivary gland in the oral cavity, generated by the accumulation of saliva, from the rupture of the minor salivary gland duct. The objective of this report was to describe a case of extravasation phenomena treated with high-power diode laser in association with photobiomodulation. The patient presented a nodular, exophytic lesion on the lower lip, similar in color to the mucosa, measuring 2 cm in diameter. Excisional biopsy was performed with high-power diode laser. Immediately after surgery and weekly thereafter, photobiomulation was performed with lower-power diode. After one-month, total repair of the surgical wound was observed, with minimal scarring, without lesion recurrence during 14 months of follow-up. Therefore, the treatment protocol used proved to be an effective, safe and fast alternative, bringing greater comfort to both professional and patient during the trans and postoperative periods.
Referencias
Titsnides S, Kalyvas D, Tosios K. Mucocele of the dorsal surface of the tongue: A case report. Journal of Clinical and Experimental Dentistry. 2018;10(5): 495-498.
Chaytanya P, Praveen D, Reddy M. Mucocele on lower lip: A case series. Indian Dermatology Online Journal. 2017; 8(3): 205-207.
Liu J, Zhang A, Jiang L, et al. The efficacy of polidocanol sclerotherapy in mucocele of the minor salivary gland. J Oral Pathol Med. 2018;47(9):895-899. doi: 10.1111/jop.12764
Monteiro B, Bezerra T, Silveita E, et al. Histopathological review of 667 cases of oral mucoceles with emphasis on uncommon histopathological variations. Ann Diagn Pathol. 2016; 21:44-6. doi: 10.1016/j.anndiagpath.2016.02.001
Valério R, Queiroz A, Romualdo P, et al. Mucocele and Fibroma: Treatment and clinical features for differential diagnosis. Braz Dent J. 2013;24(5):537-41. doi: 10.1590/0103-6440201301838
Bagher S, Sulimany A, Kaplan M, Loo C. Treating Mucocele in Pediatric Patients Using a Diode Laser: Three Case Reports. Dent J (Basel). 2018 ;6(2):13. doi: 10.3390/dj6020013
Cai Y, Wang R, Yang S, Zhao Y, Zhao J. Sclerotherapy for the mucoceles of the anterior lingual salivary glands with pingyangmycin. Oral Dis. 2014;20(5):473-6. doi: 10.1111/odi.12155
Farah C, Koelmeyer N, Kaney A. Nitrous oxide cryotherapy for the management of benign lesions of the oral cavity. J Oral Pathol Med. 2019;48(7):611-618. doi: 10.1111/jop.12912
Bansal S, Verma D, Goyal S, Rai M. Comparison of Micromarsupialization and Modified Micromarsupialization for the Management of Mucocoele of Lower Lip: A Prospective Randomized Clinical Trial. J Maxillofac Oral Surg. 2017;16(4):491-496. doi: 10.1007/s12663-017-1004-0
Vitale M Sfondroni M, Croci G, et al. Diode Laser-Assisted Surgical Therapy for Early Treatment of Oral Mucocele in a Newborn Patient: Case Report and Procedures Checklist. Case Rep Dent. 2018;2018:3048429. doi: 10.1155/2018/3048429
Chinta M, Saisankar A. Successful Management of Recurrent Mucocele by Diode Laser and Thermoplasticised Splint as an Adjunctive Therapy. BMJ Case Rep. 2016; 2016: bcr2016216354. doi: 10.1136/bcr-2016-216354
Vescovi P, Corcione L, Meleti M, et al. Nd:YAG laser versus Traditional Scalpel. A Preliminary Histological Analysis of Specimens from the Human Oral Mucosa. Lasers Med Sci. 2010;25(5):685-91. doi: 10.1007/s10103-010-0770-4
Feitoza N, Santos I. Uso de laser de alta potência para remoção de granuloma piogênico em palato: relato de um caso. Odontol Clín-Cient. 2021; 20(3): 75-78.
Erbasar G, Senguven B. Management of a Recurrent Pyogenic Granuloma of The Hard Palate with Diode Laser: a case report. J Lasers Med Sci. 2016;7(1):56-61.
Mathur, E. et al. Diode Laser Excision of Oral Benign Lesions. J Lasers Med Sci.;6(3):129-132. 2015
Concepción D. The application of diode laser in the treatment of oral soft tissues lesions. A literature review. Journal of Clinical and Experimental Dentistry. 2017; 9(7): 925-928.
Ahad A. Diode Laser Assisted Excision and Low Level Laser Therapy in the Management of Mucus Extravasation Cysts: A Case Series. Journal of Lasers in Medical Sciences. 2017;8(3):155-159.
Arshad D, Lodhi S, Zafar MS. Removal of Salivary Gland Mucocele Using 980nm diode laser. Pakistan Journal of Medicine and Dentistry. 2019; 8(2): 87-89.
Qafmolla A. Evaluation of Early and Long Term Results of the Treatment of Mucocele of the Lip Using 980 nm Diode Laser. European Scientific Journal. 2014;10(6):334-340.
Derechos de autor 2022 José Assis Cabral Neto, Tiago Virgínio Fernandes, Daliana Queiroga de Castro Gomes, Tiago João Filho, Jozinete Vieira Pereira
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
Todos los artículos publicados en la Revista Estomatológica Herediana están protegidos por una una licencia Creative Commons Reconocimiento 4.0 Internacional.
Los autores conservan los derechos de autor y ceden a la revista el derecho de primera publicación, con el trabajo registrado con la Licencia de Creative Commons, que permite a terceros utilizar lo publicado siempre que mencionen la autoría del trabajo, y a la primera publicación en esta revista.
Los autores pueden realizar otros acuerdos contraactuales independientes y adicionales para la distribución no exclusiva de la versión publicada en esta revista, siempre que indiquen claramente que el trabajo se publicó en esta revista.
Los autores puede archivar en el repositorio de su institución:
El trabajo de investigación o tesis de grado del que deriva el artículo publicado.
La versión preimpresa: la versión previa a la revisión por pares.
La versión posterior a la impresión: versión final después de la revisión por pares.
La versión definitiva o versión final creada por el editor para su publicación.
