Non-Invasive Management of Oral Mucoceles and Ranulas in Children: A Case Series-Based Evaluation of Modified Micromarsupilization

Abstract

Introduction: Mucocele and ranula are mucus extravasation or retention cysts occurring in major or minor salivary glands. The occurrence is more common in pediatric patients. Various treatment options such as emergency decompression, surgical excision, marsupialization, laser treatment, injectable sclerosing therapy, electrocautery, intralesional steroid injection, cryotherapy, micromarsupialization are available. The recurrence rate varies with different treatment modalities. Case Presentation: This case series discusses the modified micro marsupilization technique in 3 pediatric patients, in which one is a mucocele in the ventral surface of the tongue, which is a very rare presentation and two cases of ranula in the floor of the mouth. Since the patients were in Pediatric age group, in which the incidence is more and the patient co-operation will be less, necessitating the less invasive treatment approach.  Discussion: The patients were treated with modified micro marsupilization technique. This involves multiple simple interrupted sutures along the larger dimension of mucocele or ranula, which facilitates drainage and helps in regression of the cyst. Conclusion: This case series highlights the simplicity of the procedure, patient and parent acceptance, and absence of recurrence in 5-month follow-ups