Comparison of Micromarsupialization and Modified Micromarsupialization for the Management of Mucocoele of Lower Lip: A Prospective Randomized Clinical Trial

被引：4

作者：

Bansal S. ^{[1
]}

Verma D.K. ^{[1
]}

Goyal S. ^{[1
]}

Rai M. ^{[2
]}

机构：

[1] Department of Oral and Maxillofacial Surgery, Surendera Dental College and Research Institute, Sri Ganganagar, 335001, Rajasthan

[2] Department of Oral and Maxillofacial Surgery, AJ Institute of Dental Science and Hospital, Mangalore, 575004, Karnataka

来源：

Journal of Maxillofacial and Oral Surgery | 2017年 / 16卷 / 4期

关键词：

Micromarsupialization; Modified micromarsupialization; Mucocele; Ranula;

D O I：

10.1007/s12663-017-1004-0

中图分类号：

学科分类号：

摘要：

Background: This study was undertaken to compare micromarsupialization and modified micromarsupialization for the management of mucoceles. Materials and Methods: A prospective randomized clinical study was done on thirty patients having mucocele on lower lip. In Group A (n = 15), micromarsupialization and in Group B (n = 15), modified micromarsupialization technique was used. The outcome variables were duration of surgery, intraoperative pain, postoperative pain, healing and recurrence. t test and p values were used to compare the age, duration of lesion, duration of treatment and time taken for healing. The results were expressed as mean with SD. Statistical significance was established at the p ≤ 0.05 level. Analysis of pain (intraoperative, on 3rd, 7th day), intraoperative bleeding and recurrence was done using Fischer’s exact test (p = 0.875, NS). Results: The average duration of treatment for Group A was 4.10 ± 0.39 min and for Group B was 5.33 ± 0.2 min. The difference was found to be statistically highly significant (p value ≤0.000). The observed power was 1.000. The difference in the intraoperative and postoperative pain on 3rd and 7th day was not found to be significant as per Fischer’s exact test. The mean time taken for healing of the surgical site in Group A was 7.47 ± 0.64 days and in Group B was 9.87 ± 1.88 days, and the difference was found to be highly significant. The observed power was 0.995. Conclusions: Modified micromarsupialization appears to be a safe technique for the management of mucoceles. However, in comparison with micromarsupialization, it has a higher operating and healing time. © 2017, The Association of Oral and Maxillofacial Surgeons of India.

引用

页码：491 / 496

页数：5

共 21 条

[1]

Baurmash H.D., Mucoceles and ranulas, J Oral Maxillofac Surg, 61, pp. 369-378, (2003)

[2]

Baurmash H., The etiology of superficial oral mucoceles, J Oral Maxillofac Surg, 60, pp. 237-238, (2002)

[3]

Knapp M.J., Oral disease in 181,338 consecutive oral examinations, J Am Dent Assoc, 83, pp. 1288-1293, (1971)

[4]

Chi A.C., Lambert P.R., Richardson M.S., Neville B.W., Oral mucoceles: a clinicopathologic review of 1824 cases, including unusual variants, J Oral Maxillofac Surg, 69, pp. 1086-1093, (2011)

[5]

Delbem A.C., Cunha R.F., Vieira A.E., Ribeiro L.L., Treatment of mucus retention phenomenon in children by the micro-marsupialization technique: case reports, Pediatr Dent, 22, pp. 155-158, (2000)

[6]

Francisco A.L., Manoel S.A.F., Pantelis V.R., Ranula management: suggested modification in the micro-marsupialization technique, J Oral Maxillofac Surg, 65, pp. 1436-1438, (2007)

[7]

Cecconi D.R., Achilli A., Tarozzi M., Lodi G., Demarosi F., Sardella A., Et al., Mucoceles of the oral cavity: a large case series (1994–2008) and a literature review, Med Oral Patol Oral Cir Bucal, 15, 4, pp. e551-e556, (2010)

[8]

Hayashida A.M., Zerbinatti D., Balducci I., Luiz A.G.C., Almeida J.D., Mucous extravasation and retention phenomena: a 24-year study, BMC Oral Health, 7, 10, (2010)

[9]

Harrison J.D., Salivary mucoceles, Oral Surg Oral Med Oral Pathol, 39, pp. 268-278, (1975)

[10]

Catone G.A., Merill R.G., Henny F.A., Sublingual gland mucous escape phenomenon treatment by excision of sublingual gland, J Oral Surg, 27, pp. 774-786, (1969)

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