Management of Mucocele of the Glands of BlandinNuhn With a High-Intensity Laser: A Case Report Mucocele Treated With High-Intensity Laser
Journal of Lasers in Medical Sciences,
Vol. 12 (2021),
13 February 2021
,
Page e27
Abstract
Introduction: The glands of Blandin–Nuhn are mucous and serous salivary glands situated on both
sides of the midline of the ventral surface of the tongue. In this area, a mucocele generally results
from trauma. The diagnosis of mucoceles is based on clinical and histopathological examinations
and the recommended treatment is surgical excision.
Case report: This report describes a case of mucocele of the glands of Blandin-Nuhn (MGBN) affecting a 20-year-old male. Oval-shaped swelling with a smooth and bright surface of soft consistency was observed on the ventral surface of the individual’s tongue. The diagnostic hypothesis was mucocele. Surgical excision was performed in a single session with a diode laser. A histopathological examination revealed mucus extravasating into connective tissue, with foamy macrophages and granulation tissue.
Conclusion: The high-intensity laser was a safe and effective tool for treating MGBN. No need for a suture, minimal or no intraoperative bleeding, and a minimal report of pain and edema by the patient were observed. A diode laser may be a helpful tool because it is less invasive and it is safe and effective.
- Mucocele
- Glands of Blandin-Nuhn
- High-intensity laser
- Laser therapy
How to Cite
References
Joshi SR, Pendyala GS, Choudhari S, Kalburge J. Mucocele of the glands of blandin-nuhn in children: a clinical, histopathologic, and retrospective study. N Am J Med Sci. 2012;4(9):379–383. doi:10.4103/1947-2714.100977.
Santos IKS, Matos JDM, Franco JMPL, Pereira NC, Vasconcelos JEL, Pita- Neto IC. Mucocele in Blandin-Nuhn Glands: Case Report and Integrative Review.Int Arch Med. 2017; 9. doi.org/10.3823/2263.
Said M, Walby JA, Senders C, Aizenberg D. Mucocele of the Glands of Blandin-Nuhn, a rare complication following lingual frenectomy: Case report. Int J Pediatr Otorhinolaryngol Case Report. 2018; 21:3-5.
doi:10.1016/j.pedeo.2018.05.002.
Sugerman PB, Savage NW, Young WG. Mucocele of the anterior lingual salivary glands (glands of Blandin and Nuhn): report of 5 cases. Oral Surg Oral Med Oral Pathol Oral Radiol and Endod. 2000;90(4):478–482.
doi:10.1067/moe.2000.108805.
Adachi P, Soubhia AMP, Horikawa FK, Shinohara EH. Mucocele of the glands of Blandin-Nuhn--clinical, pathological, and therapeutical aspects. Oral Maxillofac Surg. 2011;15(1):11–13. doi:10.1007/s10006-010-0221-1.
Zhang J, Wang C. The Application of Absolute Ethanol in the Treatment of Mucocele of the Glands of Blandin–Nuhn. J Craniofac Surg. 2016;27(7): e641e642. doi:10.1097/SCS.0000000000002993.
Ramkumar S, Ramkumar L, Malathi N, Suganya R. Excision of Mucocele Using Diode Laser in Lower Lip. Case Rep Dent. 2016;1-4. doi:10.1155/2016/1746316.
Ahad A, Tandon S, Lamba AK, Faraz F, Anand P, Aleem A. Diode Laser-Assisted Excision and Low-Level Laser Therapy in the Management of Mucus Extravasation Cysts: A Case Series. J Lasers Med Sci. 2017;8(3):155-159.
doi:10.15171/jlms.2017.28.
Bagher SM, Sulimany AM, Kaplan M, Loo CY. Treating Mucocele in Pediatric Patients Using a Diode Laser: Three Case Reports. Dent J (Basel). 2018;6(2):13. doi:10.3390/dj6020013.
Amaral MBF, de A´vila JMS, Abreu MHG, Mesquita RA. Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial. Int J Oral Maxillofac Surg. 2015;44:1383–1389. doi.org/10.1016/j.ijom.2015.05.015
de Jesus AO, Matias MDP, de Arruda JAA, Aires AV, Gomes IP, Souza LN, et al. Diode laser surgery versus electrocautery in the treatment of inflammatory fibrous hyperplasia: a randomized double-blind clinical trial. Clin Oral Investig. 2020 Apr 30. doi: 10.1007/s00784-020-03296-3
Graillon N, Mage C, Le Roux MK, Scemama U, Chossegros C, Foletti JM. Mucoceles of the anterior ventral surface of the tongue and the glands of Blandin-Nuhn: 5 cases. J Stomatol Oral Maxillofac Surg. 2019;120:509–512. doi:10.1016/j.jormas.2019.04.005.
Moraes PC, Bönecker M, Furuse C, Thomaz LA,Teixeira RG, Araújo VC. Mucocele of the gland of Blandin–Nuhn: histological and clinical findings. Clin Oral Invest. 2009;13(3):351-353. doi:10.1007/s00784-009-0252-x.
Ochia A, Nakayama N. Congenital mucocele of the gland of Blandin-nuhn. Oxf Med Case Reports. 2015;12:374-375. doi:10.1093/omcr/omv066.
Wilcox JW, History JE. Non-surgical resolution of mucoceles. J Oral Surg. 1978;36:478.
Twetman S, Isaksson S. Cryosurgical treatment of mucocele in children. Am J Dent. 1990;3:175–176.
Rai AJ, Hegde AM, Shetty YR. Management of Blandin–Nuhn mucocele—a case report. J Clin Pediatr Dent. 2007;32(2):147–149. doi:10.17796/jcpd.32.2.65n3364l14756107.
Kumaresan R, Karthikeyan P, Mohammed F, Fairozekhan TA. A Novel Technique for the Management of Blandin-Nuhn Mucocele: A Case Report. Int J Clin Pediatr Dent. 2013;6(3):201-204. doi:10.5005/jp-journals-10005-1219
De Falco D, Di Venere D, Maiorano E. Diode Laser Excision of Blandin-Nuhn Mucocele. Cureus. 2020;12(3):e7441. doi:10.7759/cureus.7441.
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