Excision of oral mucoceles using a chalazion clamp: a case series

Elias Antonio da Silva Filho; Celso Augusto Lemos; Filipe Santos Ferreira Mendes; Vinicius Teixeira Silva

doi:10.5327/2525-5711.344

Autores/as

Elias Antonio da Silva Filho University of São Paulo, School of Dentistry – São Paulo (SP), Brazil. https://orcid.org/0000-0001-7070-5602
Celso Augusto Lemos University of São Paulo, School of Dentistry – São Paulo (SP), Brazil. https://orcid.org/0000-0002-3372-6719
Filipe Santos Ferreira Mendes University of São Paulo, School of Dentistry – São Paulo (SP), Brazil. https://orcid.org/0000-0001-5419-3854
Vinicius Teixeira Silva University of São Paulo, School of Dentistry – São Paulo (SP), Brazil. https://orcid.org/0000-0003-3541-8346

DOI:

https://doi.org/10.5327/2525-5711.344

Palabras clave:

Mucocele, Minor Salivary Glands, Surgical Excision, Surgical Hemostasis

Resumen

Mucocele is the most common minor salivary gland benign disorder in the oral cavity. Different techniques to treat mucoceles have been presented and the conventional surgical approaches, such as excision and marsupialization, may present challenges related to bleeding and surgery duration. This paper reports highlighting its advantages in soft tissue stabilization and hemostasis. Three patients with oral mucoceles in the lower lip underwent excision using the chalazion clamp. This tool facilitated the tissue stabilization, effective hemostasis and reduced the surgical time. None of the patients reported postoperative paresthesia, and no lesion recurrences were observed during the follow-up periods, which ranged from one to five years. The chalazion clamp, commonly used in ophthalmology, provides compression and stabilization, minimizing intraoperative bleeding and improving the surgical precision because it clearly defines the area of the surgery. Its use in mucocele excision allowed selective removal of the minor salivary glands while eliminating the need for an additional assistant. The clamp also enhanced surgical visibility and control, leading to improved outcomes. The application of clamp in mucocele surgery presents a promising, cost-effective alternative which enhances procedural efficiency and patient safety.

Citas

Groover C. Surgical management of oral mucocele: experience with marsupialization. J Cutan Aesthet Surg. 2020;13(4):353-6. https://doi.org/10.4103/JCAS.JCAS_133_20

Gowda V, Babu E, Havaldar RR, Mallapur S. Immune reconstitution inflammatory syndrome mediated maxillary mucocele: a rare presentation. Braz J Otorhinolaryngol. 2025;91:101495. https://doi.org/10.1016/j.bjorl.2024.101495

Suryavanshi R, Abdullah A, Singh N, Astekar M. Oral mucocele in infant with an unusual presentation. BMJ Case Rep. 2020;13(6):e234669. https://doi.org/10.1136/bcr-2020-234669

Boneu Bonet F, Vidal Homs E, Maizcurrana Tornil A, Gonzalez Lagunas J. Mucocele de la glándula submaxilar: a propósito de un caso. Med Oral Patol Oral Cir Bucal. 2005;10(2):180-4.

Ata-Ali J, Bonet C, Balaguer J, Peñarrocha M, Peñarrocha M. Oral mucocele: review of literature. J Clin Exp Dent. 2010;2(1):e18-21. https://doi.org/10.4317/jced.2.e18

Baurmash H. Mucoceles and ranulas. J Oral Maxillofac Surg. 2003;61(3):369-78. https://doi.org/10.1053/joms.2003.50074

Shah L, Fogden S, Majumdar A. Use of a chalazion clamp for intraoral biopsies: a technical note. Br J Oral Maxillofac Surg. 2020;58(1):105-6. https://doi.org/10.1016/j.bjoms.2019.10.307

Ashique KT, Kaliyadan F. Reinventing the chalazion clamp: modification of the instrument for the procedural dermatologist. J Am Acad Dermatol. 2016;75(5):e193-4. https://doi.org/10.1016/j.jaad.2016.03.039

Karakaş AA, Khan R, Khachemoune A. Modified chalazion clamp: novel applications in dermatologic surgery. J Clin Aesthet Dermatol. 2024;7(3):18-20. Pmid: 38495544.

Wijaya C, Ramli RR, Khoo SG. Dry surgical field minor salivary gland harvest using a chalazion clamp for sicca syndrome. J Laryngol Otol. 2019;133(5):419-23. https://doi.org/10.1017/S002221511900077X

Clemente MIU, Monferrer JC, Andreo AR, Redondo CB. Empleo de pinza de chalazión en el tratamiento quirúrgico de la mucosa oral. Actas Dermosifiliogr. 2022;113(10):1003-4. https://doi.org/10.1016/j.ad.2021.01.016

Garg A, Tripathi A, Chowdhry S, Sharma A, Biswas G. Cryosurgery: painless and fearless management of mucocele in young patient. J Clin Diagn Res. 2014;8(8):ZD04-6. https://doi.org/10.7860/JCDR/2014/9959.4655

Aulakh K, Brar R, Azad A, Sharma S, Anand A, Jyoti B. Cryotherapy for treatment of mouth mucocele. Niger J Surg. 2016;22(2):130-3. https://doi.org/10.4103/1117-6806.179832

Farah CS, Koelmeyer N, Kaney A, Simanovic B. Nitrous oxide cryotherapy for the management of benign lesions of the oral cavity. J Oral Pathol Med. 2019;48(7):611-8. https://doi.org/10.1111/jop.12912

De Falco D, Di Venere D, Maiorano E. Diode laser excision of Blandin-Nuhn mucocele. Cureus. 2020;12(3):e7441. https://doi.org/10.7759/cureus.7441

Besbes A, Elelmi Y, Khanfir F, Belgacem R, Ghedira H. Recurrent oral mucocele management with diode laser. Case Rep Dent. 2020;2020:8855759. https://doi.org/10.1155/2020/8855759

Mouravas V, Sfoungaris D, Papageorgiou I, Kepertis C, Spyridakis I. Mucoceles of the lesser salivary glands in neonates demonstrate a particular clinicopathological pattern and mandate urgent management. J Stomatol Oral Maxillofac Surg. 2018;119(3):238-41. https://doi.org/10.1016/j.jormas.2018.02.006

Essaket S, Hakkou F, Chbicheb S. Mucocele of the oral mucous membrane. Pan Afr Med J. 2020;35:140. https://doi.org/10.11604/pamj.2020.35.140.21079

Amaral MBF, Freitas IZ, Pretel H, Abreu MHNG, Mesquita RA. Low level laser effect after micro-marsupialization technique in treating ranulas and mucoceles: a case series report. Lasers Med Sci. 2012;27(6):1251-5. https://doi.org/10.1007/s10103-012-1176-2

Giraddi GB, Saifi AM. Micro-marsupialization versus surgical excision for the treatment of mucoceles. Ann Maxillofac Surg. 2016;6(2):204-9. https://doi.org/10.4103/2231-0746.200324

Graillon N, Mage C, Le Roux MK, Scemama U, Chossegros C, Foletti JM. Mucoceles of the anterior ventral surface of the tongue and the glands of Blandin-Nuhn: 5 cases. J Stomatol Oral Maxillofac Surg. 2019;120(6):509-12. https://doi.org/10.1016/j.jormas.2019.04.005

Ohta N, Fukase S, Suzuki Y, Aoyagi M. Treatment of salivary mucocele of the lower lip by OK-432. Auris Nasus Larynx. 2011;38(2):240-3. https://doi.org/10.1016/j.anl.2010.07.003

Mori K, Uchino K, Komukai S, Aijima R, Shimohira D, Danjo A, et al. Clinical evaluation of steroid ointment for the treatment of mucoceles. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;132(3):307-11. https://doi.org/10.1016/j.oooo.2021.04.054

Zhang J, Wang C. The application of absolute ethanol in the treatment of mucocele of the glands of Blandin-Nuhn. J Craniofac Surg. 2016;27(7):e641-e642. https://doi.org/10.1097/SCS.0000000000002993

Feng H, Wang S, Liu Y, Liao X, Tang Y, Liang X. Microwave ablation: a novel treatment for the mucoceles of anterior lingual salivary glands. J Oral Maxillofac Surg. 2017;75(3):530-5. https://doi.org/10.1016/j.joms.2016.09.020