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You are here: Home / Dental Diseases / Mucocele or Mucus extravasation phenomenon or Mucus escape reaction

Mucocele or Mucus extravasation phenomenon or Mucus escape reaction

February 8, 2009 By Dr. Chetan 1 Comment

Mucocele is a common lesion of the oral mucosa that results from the rupture of salivary gland duct and spillage of mucin into the surrounding soft tissues. This usually occurs from a trauma that effects the normal functioning of the salivary gland duct and damage to the duct.
Most of the times, the cause for mucocele is not known.

This mucocele can be considered as a cyst or a polyp as it has no epithelial lining around it, and a true cyst should have a lining around it.

Table of contents –
Clinical findings of a Mucocele
Common sites where mucocele is formed
Histopathologic features
Treatment and prognosis

Clinical findings of a Mucocele –
Typically dome shaped mucosal swelling that is seen on the oral tissues, and ranges from 1-2 mm to several cms in size.
It most commonly affects children and young adults.
The mucocele is characteristically fluctuant and is sometimes firm.
Color of the swelled area is bluish and is translucent in nature, but when going deeper, the color becomes normal.
The reaction can occur for a few days to several years.
Recurrent swelling that ruptures and releases its fluid contents.

Common sites where mucocele is formed –
Mucocele is most commonly seen on the lower lip, records of over 60% cases having mucocele in lower lip, lateral to midline.
Less common sites are Buccal mucosa, lateral ventral tongue and floor of the mouth.
And it is rarely seen in the upper lip region.

Histopathologic features –
Area of spilled mucin surrounded by granulation tissue response.

Related posts:

  1. Major Salivary Glands – Location, Ducts and Blood and Nerve Supply
  2. APPG 2013 MDSET Exam Question Paper and Answer Key – Q. 26 to Q. 50
  3. 30th AP State Dental Conference – Hyderabad – Guest Lecture 1
  4. Oral Cancer – Types, Causes, Symptoms and Treatment

Filed Under: Dental Diseases

Comments

  1. Leesa says

    April 22, 2010 at 5:21 pm

    I had this very thing exactly and in almost the exact same spot, it started it started in Jan and was still there in April poping every 3-5 days and then returning. Kinda freaked me out, so I had it remved to find ut what it was as my GP or my Dentist could not identify it. It took 3 weeks for the results to come back to me and once it did I looked up mucous extravasation phenomenon directly and found this site… now I know!

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By Chetan Bhawani, a dentist graduated from Meghna Institute of Dental Sciences, India. Find me on Facebook.

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