Oral mucoceles: A Brazillian Multicenter Study of 1,901 Cases

• Autor(a) principal: Miranda,Georgea Gabriela Barreto
• Data de Publicação: 2022
• Outros Autores: Chaves-Junior,Samuel de Carvalho, Lopes,Matheus Paschoaletto, Rocha,Talytha Barbosa da, Colares,Débora Frota, Ito,Fábio Augusto, Cavalcante,Israel Leal, Cavalcante,Roberta Barroso, Andrade,Bruno Augusto Benevenuto de, Nonaka,Cassiano Francisco Weege, Alves,Pollianna Muniz, Albuquerque-Júnior,Ricardo Luiz Cavalcanti de, Cunha,John Lennon Silva
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Dental Journal
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402022000500081
• topic: Mucocele; Histopathology; Salivary gland; diagnosis

Abstract Oral mucocele (OM) is the most common lesion of minor salivary glands. The present study aimed to report the clinical and demographic features of a large series of OMs and identify possible predictive variables associated with the recurrence rate of these lesions. A retrospective descriptive cross-sectional study was performed. A total of 43,754 biopsy records from four pathology services in Brazil were analyzed. All cases of OMs were reviewed, and clinical and demographic data were collected. The study comprised 1,002 females (56.2%) and 782 males (43.8%), with a mean age of 19.8±16.4 years (range: 01-87 years) and a 1.3:1 female-to-male ratio. The lower lip (n=1,160; 67.4%), and floor of the mouth (n=172; 10.0%), were the most common affected sites, presenting clinically as nodules (n=978; 79.4%) of smooth surface (n=428; 77.5%) and normal color (n=768, 46.7%). Excisional biopsy was the treatment in most cases (n=1,392; 78.0%). Recurrent OMs represented 6.2% of all diagnosed cases (n=117). OMs recurred more commonly in younger patients (aged<20 years) (p<0.0001), in lesions larger than 2 cm in diameter (p<0.0001), and in those located in the ventral tongue (p=0.0351). Also, recurrence rates were higher significantly in cases treated with laser surgery than in those with conventional surgery (p=0.0005). Patients with OMs should be carefully informed of its possible recurrence, especially when found on the ventral tongue of young patients.