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

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

Palavras-chave:

Mucocele, Minor Salivary Glands, Surgical Excision, Surgical Hemostasis

Resumo

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.

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