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Year : 2014  |  Volume : 5  |  Issue : 3  |  Page : 127-129

Combination therapy in a large lower lip mucocele: A non-invasive recommended technique

1 Department of Oral Medicine, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Oral Medicine, Azad University Dental School, Tehran, Iran

Correspondence Address:
Maryam Baharvand
Department of Oral Medicine, Dental School of Shahid Beheshti University of Medical Sciences, Daneshjoo Blvd, Tabnak St, Chamran highway, Tehran
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2155-8213.136769

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Introduction: Salivary mucocele is a common benign lesion of the oral cavity, usually presented as a single bluish lesion caused by trauma to the minor salivary gland ducts. We aimed to describe a new combination therapy (micromarsupialization plus intralesional corticosteroid injection) to treat a large mucocele on the lower lip. Case Report: We administered three intralesional dexamethasone (8 mg/2 ml) shots along with standard silk sutures in one-week intervals on a large labial mucocele (primary size: 3.5 cm Χ 1.5 cm) of a 26-year-old man over a three-week duration. Complete healing was obtained three weeks after treatment. A six-month follow-up revealed no signs of recurrence or complications. Discussion: Combination of intralesional dexamethasone and micromarsupialization leads to complete healing of a large lower lip mucocele, and can be considered as an alternative therapeutic method to conventional surgery.

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