Central European Journal of Medicine

, Volume 6, Issue 3, pp 305–308 | Cite as

Rare case of a massive buccal mucocele

  • Rafał Koszowski
  • Jadwiga Waśkowska
  • Tadeusz Morawiec
  • Sylwia Wojcik
  • Katarzyna Stęplewska
Case Report


Mucoceles are common pathological lesions of the oral cavity, usually measuring up to 10 mm. The authors describe a case of deeply located buccal mucocele measuring 35 mm in diameter. The lesion was caused by facial injury in a 54-year old man. The lesion persisted for approximately 2.5 years and was difficult to diagnose because of its unusual size and atypical clinical symptoms. Preoperative ultrasonography excluded a tumor, and this was confirmed by histopathological examination. However, oncological alertness was considered necessary on account of ulcerated mucosa next to the lesion. The mucocele was removed through surgical excision, using a scalpel and tissue scissors. No recurrence was observed in 2.5 postoperative years. It is stressed that histopathological examinations help to differentiate mucoceles from other disease processes.


Facial injury Mucocele Surgical treatment Ultrasonography 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. [1]
    Southam JC. Retention mucoceles of the oral mucosa. J Oral Pathol 3:197, 1974PubMedCrossRefGoogle Scholar
  2. [2]
    Yamasoba T, Tayama N, Syoji M, et al. Clinicostatistical study of lower lip mucoceles. Head Neck 12:316, 1990PubMedCrossRefGoogle Scholar
  3. [3]
    Baurmash HD. Mucoceles and ranulas. J Oral Maxillofac Surg 61:369, 2003PubMedCrossRefGoogle Scholar
  4. [4]
    Jimbu Y, Kusama M, Itoh H, et al. Mucocele of the glands of Blandin-Nuhn: clinical and histopathologic analysis of 26 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95:467, 2003CrossRefGoogle Scholar
  5. [5]
    Guimaraes MS, Hebling J, Filho VA, et al. Extravasation mucocele involving the ventral surface of the tongue (glands of Blandin-Nuhn). International Journal of Pediatric Dentistry 16: 435, 2006CrossRefGoogle Scholar
  6. [6]
    Huang IY, Chen CM, Kao YH, et al. Treatment of mucocele of the lower lip with carbon dioxide laser. J Oral Maxllofac Surg 65:855, 2007CrossRefGoogle Scholar
  7. [7]
    Kopp WK, St-Hilaire H. Mucosal preservation in the treatment of mucocele with CO2 laser. J.Oral Maxillofac Surg 62:1559, 2004PubMedCrossRefGoogle Scholar
  8. [8]
    Bonet FB, Homs EV, Tornil AM, et al. Submaxillary gland mucocele: presentation of the case. Med Oral Patol Oral Cir Bucal 10: 180, 2005Google Scholar
  9. [9]
    Mahler V, Schell H. Papillary cystadenoma: a rare tumor of the minor salivary glands. Eur J Dermat 9: 387, 1999Google Scholar
  10. [10]
    Cho JH, Yoon SY, Bae EY, et al. Acinic cell carcinoma on the lower lip resembling a mucocele. Clinical and Experimental Dermatology 30: 490, 2005PubMedCrossRefGoogle Scholar
  11. [11]
    Matsuzaka K, Shibahara T, Murakami S, et al. Acinic cell carcinoma found by recurrence of a mucous cyst in the sublingual gland. Bull Tokyo Dent Coll 45: 95, 2004PubMedCrossRefGoogle Scholar
  12. [12]
    Narita M, Nakagawa T, Hiramoto K, et al. A case of mucous cyst in the lingual retromolar region. J Oral Maxilllofac Surg 65: 1253, 2007CrossRefGoogle Scholar

Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Rafał Koszowski
    • 1
  • Jadwiga Waśkowska
    • 1
  • Tadeusz Morawiec
    • 1
  • Sylwia Wojcik
    • 1
  • Katarzyna Stęplewska
    • 2
  1. 1.Department of Oral SurgerySilesian Medical UniversityBytomPoland
  2. 2.Department of PatomorphologyZabrze Silesian Medical UniversityZabrzePoland

Personalised recommendations