Volume 26, Issue 130, December 2022

The role of intraregional dexamethasone injection in the treatment of recurrent tongue mucocele (clinical trial): A case report

Hamad N AlBagieh¹, May A Alsenani², Lujain A Al Sahman^3♦, Tala M Alsulaim⁴, Nada A Alhogail⁵, Reema S Alshargi⁵, Magdy Hamam⁶

¹Associate professor, Oral medicine and diagnostic sciences department, College of Dentistry, King Saud University Riyadh, Saudi Arabia
²Assistant professor, Oral medicine and diagnostic sciences department, College of Dentistry, King Saud University Riyadh, Saudi Arabia
³PhD candidate, Oral medicine and diagnostic sciences department, College of Dentistry, King Saud University Riyadh, Saudi Arabia
⁴Board resident, College of Dentistry, King Saud University Riyadh, Saudi Arabia
⁵Dental intern, College of Dentistry, King Saud University Riyadh, Saudi Arabia
⁶Professor, Oral medicine and diagnostic sciences department, College of Dentistry, King Saud University Riyadh, Saudi Arabia

^♦Corresponding author
PhD candidate, Oral medicine and diagnostic sciences department, College of Dentistry, King Saud University Riyadh, Saudi Arabia

ABSTRACT

Mucocele is the most common minor salivary gland-associated disease of the oral cavity. It involves mucin accumulation causing limited swelling. In recent years, extensive evidence has been published about the usage of intralesional corticosteroid injection in treating mucoceles in adult patients. The aim of the present case report was to assess the effectiveness of intralesional dexamethasone injection in the treatment of mucocele. Two histological types exist: Extravasation and retention. One of the most common oral lesions to be biopsied in pediatric patients is mucocele. Mucoceles can appear at any site of the oral mucosa where minor salivary glands are present. The significant number of cases should be properly conducted in order to check for any prior trauma because the diagnosis is mostly clinical in nature. The lower lip area is where extravasation mucocele most frequently appears, while retention mucoceles can be found at any other site. Mucoceles can affect anybody, however young people are most frequently affected (20-30 years old). Clinically they consist of a soft, bluish and transparent cystic swelling which normally resolves spontaneously. Surgery is commonly used as a kind of treatment. However, other treatments including CO2 laser, cryosurgery, steroid injections and 7 micromarsupialization are also advised. This report reports a case of recurrence of mucocele on the tongue's ventral surface that was unsuccessfully managed five times. Intraregional dexamethasone injection (0.5 ml of 2 g) was found more effective than surgical removal.

Keywords: Dexamethasone, intraregional injection, mucocele, tongue

Medical Science, 2022, 26, ms541e2641

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DOI: https://doi.org/10.54905/disssi/v26i130/ms541e2641

Published: 19 December 2022