Micromarsupialization combined with intralesional corticosteroids to treat mucocele: A case report

Oral mucoceles are the most common benign lesions of the minor salivary gland in the oral mucosa. Various treatment options include marsupialization, surgical excision, dissection, laser ablation, cryosurgery, electrocautery, and intralesional steroid injections. However, most of them are invasive. The objective of this case report is to emphasize a less invasive combination treatment procedure as an alternative for the invasive treatment of mucoceles. This therapy was performed by using intralesional corticosteroid injection along with micromarsupialization to treat the mucocele on the lower labial mucosa. Three intralesional dexamethasone (4 mg) injections followed by standard silk sutures with 1-week interval over a 3-week duration demonstrated complete resolution of the mucocele. A 3-month and 6-month follow-up revealed no signs of recurrence. This combination therapy can be a noninvasive option to treat mucoceles as this treatment modality is well-tolerated by patients owing to its simple execution without any reported complications