References

Chaitanya P, Praveen D, Reddy M. Mucocele on lower lip: a case series. Indian Dermatol Online J. 2017; 8:205-207 https://doi.org/10.4103/idoj.IDOJ_151_16
Nallasivam KU, Sudha BR. Oral mucocele: review of literature and a case report. J Pharm Bioallied Sci. 2015; 7:S731-S733 https://doi.org/10.4103/0975-7406.163516
Eversole LR. Oral sialocysts. Arch Otolaryngol Head Neck Surg. 1987; 113:51-56 https://doi.org/10.1001/archotol.1987.01860010055014
Jose SC, Abraham KK, Khosla E. Blandin and Nuhn mucocele in a pediatric patient. J Indian Soc Pedod Prev Dent. 2018; 36:315-318 https://doi.org/10.4103/JISPPD.JISPPD_10_18
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; 4:379-383 https://doi.org/10.4103/1947-2714.100977
Graillon N, Mage C, Le Roux MK 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 https://doi.org/10.1016/j.jormas.2019.04.005
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Unusual presentation of a mucocele on the ventral surface of the tongue: a case report

From Volume 50, Issue 7, July 2023 | Pages 609-611

Authors

Amrita Singh

BDS, MClinDent (Paeds), MPaedDent

Dentist with special interest in Paediatric Dentistry, Happy Kids Dental Practice, London

Articles by Amrita Singh

Email Amrita Singh

Jasmine Cachia Mintoff

BChD, MJDF, DDent (Paeds), MpaedDent

Dentist with special interest in Paediatric Dentistry, Happy Kids Dental Practice, London

Articles by Jasmine Cachia Mintoff

Prabhleen Anand

IQE, BDS, MMedSc, FDS RCS(Eng) MPaedDent, FDS(Paed Dent)

Consultant in Paediatric Dentistry, Eastman Dental Hospital, 47-49 Huntley Street, London, WC1E 6DG

Articles by Prabhleen Anand

Abstract

This clinical report discusses the presence of a common oral pathology, the mucocele, in an unusual location, the ventral surface of the tongue. These are rare mucoceles associated with the Blandin-Nuhn salivary gland. The likely aetiology, diagnostic features and clinical management and histology are discussed. An 8-year-old male presented at a paediatric practice with a lump under his tongue. A provisional diagnosis of mucocele was made and later confirmed by histology. The lesion was excised completely under local anaesthetic and inhalation sedation.

CPD/Clinical Relevance: A mucocele on the ventral surface of the tongue in a young patient could easily be missed or misdiagnosed.

Article

Derived from two Latin words, mucus and cocele (cavity), mucoceles are the most common lesions found in the oral cavity and the 17th most common salivary gland lesion. They can be found in the oral cavity, appendix, gallbladder, paranasal sinuses and lacrimal sac.

They result from a trauma or alteration to a minor salivary duct causing accumulation of mucus. Based on the histological findings, they can be classified into two types: retention and extravasation. Extravasation type mucoceles are commonly found on the lower lip, and anterior tongue and buccal mucosa, but are rarely on the posterior tongue, palate and retromolar regions, which are more common sites for retention mucoceles. When present on the floor of the mouth they are typically known as ranulas.1

Mucoceles are small blue lesions that are fluctuant on palpation and usually have no associated symptoms. They are most commonly found on the lower lip but can also be found on the cheek, floor of the mouth and tongue.2 When found on the ventral surface of the tongue they are associated with the Blandin–Nuhn salivary gland and are reported as rare, with prevalence being traditionally reported at around 1.9–10.3% of all mucoceles.3,4 A more recent study has suggested they could comprise up to 18.3% of all mucoceles.5

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