From the Research
Surgical excision is the most definitive treatment option for mucoceles, as it involves removing the entire lesion including the associated minor salivary gland to prevent recurrence, and has been shown to be effective in various studies, including a recent study published in 2021 1. The treatment of mucoceles depends on their size and location, and several approaches can be taken.
- For small, superficial mucoceles, watchful waiting may be appropriate as they may resolve spontaneously within 1-2 weeks.
- If treatment is needed, surgical excision is the most effective option, as it removes the entire lesion and associated minor salivary gland, reducing the risk of recurrence.
- Alternatively, marsupialization can be effective, which involves unroofing the mucocele and suturing the edges to create a new duct, as shown in a study published in 2016 2.
- For superficial lesions, cryotherapy using liquid nitrogen or laser ablation may be used, and intralesional corticosteroid injections can reduce inflammation, but have higher recurrence rates.
- A recent study published in 2024 3 also suggests the use of diode laser for the excision of mucocele, which has advantages such as minimal discomfort, bleeding, and recurrence.
- Patients should avoid habits that may traumatize the area, such as lip biting or cheek chewing, as mucoceles often form due to trauma causing salivary duct rupture and mucus extravasation into surrounding tissues.
- After treatment, maintaining good oral hygiene and following up with a healthcare provider is important to monitor for recurrence, which happens in approximately 10-15% of cases, as shown in a study published in 2012 4.