Oral mucoceles: A Brazillian Multicenter Study of 1,901 Cases

Abstract Oral mucocele (OM) is the most common lesion of minor salivary glands. The present study aimed to report the clinical and demographic features of a large series of OMs and identify possible predictive variables associated with the recurrence rate of these lesions. A retrospective descriptiv...

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Veröffentlicht in:Brazilian dental journal 2022-10, Vol.33 (5), p.81-90
Hauptverfasser: Miranda, Georgea Gabriela Barreto, Chaves-Junior, Samuel de Carvalho, Lopes, Matheus Paschoaletto, Rocha, Talytha Barbosa da, Colares, Débora Frota, Ito, Fábio Augusto, Cavalcante, Israel Leal, Cavalcante, Roberta Barroso, Andrade, Bruno Augusto Benevenuto de, Nonaka, Cassiano Francisco Weege, Alves, Pollianna Muniz, Albuquerque-Júnior, Ricardo Luiz Cavalcanti de, Cunha, John Lennon Silva
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container_end_page 90
container_issue 5
container_start_page 81
container_title Brazilian dental journal
container_volume 33
creator Miranda, Georgea Gabriela Barreto
Chaves-Junior, Samuel de Carvalho
Lopes, Matheus Paschoaletto
Rocha, Talytha Barbosa da
Colares, Débora Frota
Ito, Fábio Augusto
Cavalcante, Israel Leal
Cavalcante, Roberta Barroso
Andrade, Bruno Augusto Benevenuto de
Nonaka, Cassiano Francisco Weege
Alves, Pollianna Muniz
Albuquerque-Júnior, Ricardo Luiz Cavalcanti de
Cunha, John Lennon Silva
description Abstract Oral mucocele (OM) is the most common lesion of minor salivary glands. The present study aimed to report the clinical and demographic features of a large series of OMs and identify possible predictive variables associated with the recurrence rate of these lesions. A retrospective descriptive cross-sectional study was performed. A total of 43,754 biopsy records from four pathology services in Brazil were analyzed. All cases of OMs were reviewed, and clinical and demographic data were collected. The study comprised 1,002 females (56.2%) and 782 males (43.8%), with a mean age of 19.8±16.4 years (range: 01-87 years) and a 1.3:1 female-to-male ratio. The lower lip (n=1,160; 67.4%), and floor of the mouth (n=172; 10.0%), were the most common affected sites, presenting clinically as nodules (n=978; 79.4%) of smooth surface (n=428; 77.5%) and normal color (n=768, 46.7%). Excisional biopsy was the treatment in most cases (n=1,392; 78.0%). Recurrent OMs represented 6.2% of all diagnosed cases (n=117). OMs recurred more commonly in younger patients (aged
doi_str_mv 10.1590/0103-6440202204965
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The present study aimed to report the clinical and demographic features of a large series of OMs and identify possible predictive variables associated with the recurrence rate of these lesions. A retrospective descriptive cross-sectional study was performed. A total of 43,754 biopsy records from four pathology services in Brazil were analyzed. All cases of OMs were reviewed, and clinical and demographic data were collected. The study comprised 1,002 females (56.2%) and 782 males (43.8%), with a mean age of 19.8±16.4 years (range: 01-87 years) and a 1.3:1 female-to-male ratio. The lower lip (n=1,160; 67.4%), and floor of the mouth (n=172; 10.0%), were the most common affected sites, presenting clinically as nodules (n=978; 79.4%) of smooth surface (n=428; 77.5%) and normal color (n=768, 46.7%). Excisional biopsy was the treatment in most cases (n=1,392; 78.0%). Recurrent OMs represented 6.2% of all diagnosed cases (n=117). OMs recurred more commonly in younger patients (aged<20 years) (p<0.0001), in lesions larger than 2 cm in diameter (p<0.0001), and in those located in the ventral tongue (p=0.0351). Also, recurrence rates were higher significantly in cases treated with laser surgery than in those with conventional surgery (p=0.0005). Patients with OMs should be carefully informed of its possible recurrence, especially when found on the ventral tongue of young patients. Resumo A mucocele oral (MO) é a lesão mais comum das glândulas salivares menores. O presente estudo teve como objetivo relatar as características clínicas e demográficas de uma grande série de MOs e identificar possíveis variáveis preditivas associadas à taxa de recorrência dessas lesões. Foi realizado um estudo transversal descritivo retrospectivo. Foram analisados 43.754 registros de biópsias de quatro serviços de patologia no Brasil. Todos os casos diagnosticados como MOs foram revisados e dados clínicos e demográficos foram coletados. Participaram do estudo 1.002 mulheres (56,2%) e 782 homens (43,8%), com média de idade de 19,8 ± 16,4 anos (variação: 01-87 anos) e proporção de mulheres para homens de 1,3:1. O lábio inferior (n=1.160; 67,4%) e assoalho da boca (n=172; 10,0%), foram os locais mais acometidos, apresentando-se clinicamente como nódulos (n=978; 79,4%) de superfície lisa (n =428; 77,5%) e coloração normal (n=768, 46,7%). A biópsia excisional foi o tratamento na maioria dos casos (n=1.392; 78,0%). As MOs recorrentes representaram 6,2% de todos os casos diagnosticados (n = 117). As recorrências recorreram mais comumente em pacientes mais jovens (idade < 20 anos) (p < 0,0001), em lesões maiores que 2 cm de diâmetro (p < 0,0001) e naquelas localizadas na superfície ventral da língua (p = 0,0351). Além disso, as taxas de recorrência foram significativamente maiores nos casos tratados com cirurgia a laser do que aqueles com cirurgia convencional utilizando bisturi (p = 0,0005). Pacientes com mucoceles devem ser informados sobre uma possível recorrência, principalmente quando encontrados no lábio ou assoalho bucal de pacientes jovens.]]></description><identifier>ISSN: 0103-6440</identifier><identifier>EISSN: 1806-4760</identifier><identifier>DOI: 10.1590/0103-6440202204965</identifier><identifier>PMID: 36287502</identifier><language>eng</language><publisher>Fundação Odontológica de Ribeirão Preto</publisher><ispartof>Brazilian dental journal, 2022-10, Vol.33 (5), p.81-90</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3335-5bfb066aa18c0e11fcb81d693c326860a01f2d966bccb87619414efa9517d34d3</citedby><cites>FETCH-LOGICAL-c3335-5bfb066aa18c0e11fcb81d693c326860a01f2d966bccb87619414efa9517d34d3</cites><orcidid>0000-0003-2380-109X ; 0000-0002-0794-4106 ; 0000-0001-6666-0069 ; 0000-0003-1297-4032 ; 0000-0002-8787-5904 ; 0000-0002-3692-9044 ; 0000-0002-3846-4797 ; 0000-0002-7769-4763 ; 0000-0003-3855-9697 ; 0000-0002-3259-606X ; 0000-0001-5221-6493 ; 0000-0003-4444-7632 ; 0000-0002-0679-8485</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9645162/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9645162/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Miranda, Georgea Gabriela Barreto</creatorcontrib><creatorcontrib>Chaves-Junior, Samuel de Carvalho</creatorcontrib><creatorcontrib>Lopes, Matheus Paschoaletto</creatorcontrib><creatorcontrib>Rocha, Talytha Barbosa da</creatorcontrib><creatorcontrib>Colares, Débora Frota</creatorcontrib><creatorcontrib>Ito, Fábio Augusto</creatorcontrib><creatorcontrib>Cavalcante, Israel Leal</creatorcontrib><creatorcontrib>Cavalcante, Roberta Barroso</creatorcontrib><creatorcontrib>Andrade, Bruno Augusto Benevenuto de</creatorcontrib><creatorcontrib>Nonaka, Cassiano Francisco Weege</creatorcontrib><creatorcontrib>Alves, Pollianna Muniz</creatorcontrib><creatorcontrib>Albuquerque-Júnior, Ricardo Luiz Cavalcanti de</creatorcontrib><creatorcontrib>Cunha, John Lennon Silva</creatorcontrib><title>Oral mucoceles: A Brazillian Multicenter Study of 1,901 Cases</title><title>Brazilian dental journal</title><description><![CDATA[Abstract Oral mucocele (OM) is the most common lesion of minor salivary glands. The present study aimed to report the clinical and demographic features of a large series of OMs and identify possible predictive variables associated with the recurrence rate of these lesions. A retrospective descriptive cross-sectional study was performed. A total of 43,754 biopsy records from four pathology services in Brazil were analyzed. All cases of OMs were reviewed, and clinical and demographic data were collected. The study comprised 1,002 females (56.2%) and 782 males (43.8%), with a mean age of 19.8±16.4 years (range: 01-87 years) and a 1.3:1 female-to-male ratio. The lower lip (n=1,160; 67.4%), and floor of the mouth (n=172; 10.0%), were the most common affected sites, presenting clinically as nodules (n=978; 79.4%) of smooth surface (n=428; 77.5%) and normal color (n=768, 46.7%). Excisional biopsy was the treatment in most cases (n=1,392; 78.0%). Recurrent OMs represented 6.2% of all diagnosed cases (n=117). OMs recurred more commonly in younger patients (aged<20 years) (p<0.0001), in lesions larger than 2 cm in diameter (p<0.0001), and in those located in the ventral tongue (p=0.0351). Also, recurrence rates were higher significantly in cases treated with laser surgery than in those with conventional surgery (p=0.0005). Patients with OMs should be carefully informed of its possible recurrence, especially when found on the ventral tongue of young patients. Resumo A mucocele oral (MO) é a lesão mais comum das glândulas salivares menores. O presente estudo teve como objetivo relatar as características clínicas e demográficas de uma grande série de MOs e identificar possíveis variáveis preditivas associadas à taxa de recorrência dessas lesões. Foi realizado um estudo transversal descritivo retrospectivo. Foram analisados 43.754 registros de biópsias de quatro serviços de patologia no Brasil. Todos os casos diagnosticados como MOs foram revisados e dados clínicos e demográficos foram coletados. Participaram do estudo 1.002 mulheres (56,2%) e 782 homens (43,8%), com média de idade de 19,8 ± 16,4 anos (variação: 01-87 anos) e proporção de mulheres para homens de 1,3:1. O lábio inferior (n=1.160; 67,4%) e assoalho da boca (n=172; 10,0%), foram os locais mais acometidos, apresentando-se clinicamente como nódulos (n=978; 79,4%) de superfície lisa (n =428; 77,5%) e coloração normal (n=768, 46,7%). A biópsia excisional foi o tratamento na maioria dos casos (n=1.392; 78,0%). As MOs recorrentes representaram 6,2% de todos os casos diagnosticados (n = 117). As recorrências recorreram mais comumente em pacientes mais jovens (idade < 20 anos) (p < 0,0001), em lesões maiores que 2 cm de diâmetro (p < 0,0001) e naquelas localizadas na superfície ventral da língua (p = 0,0351). Além disso, as taxas de recorrência foram significativamente maiores nos casos tratados com cirurgia a laser do que aqueles com cirurgia convencional utilizando bisturi (p = 0,0005). Pacientes com mucoceles devem ser informados sobre uma possível recorrência, principalmente quando encontrados no lábio ou assoalho bucal de pacientes jovens.]]></description><issn>0103-6440</issn><issn>1806-4760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpVkF1LwzAUhoMobk7_gFf5AVbPSdLTRlDYhl8w2YV6HdI01Uq3jmQV5q-3YzLY1bl43_Pw8jB2iXCNqYYbQJAJKQUChAClKT1iQ8yBEpURHLPhvjBgZzF-Q19UUp-ygSSRZymIIbubB9vwReda5xsfb_mYT4L9rZumtkv-2jXr2vnl2gf-tu7KDW8rjlcakE9t9PGcnVS2if7i_47Yx-PD-_Q5mc2fXqbjWeKklGmSFlUBRNZi7sAjVq7IsSQtnRSUE1jASpSaqHB9khFqhcpXVqeYlVKVcsTud9xVVyx8uV3UzzarUC9s2JjW1uYwWdZf5rP9MZpUiiR6gNgBXGhjDL7a_yKYrUyzdWUOZMo_2GVkWA</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Miranda, Georgea Gabriela Barreto</creator><creator>Chaves-Junior, Samuel de Carvalho</creator><creator>Lopes, Matheus Paschoaletto</creator><creator>Rocha, Talytha Barbosa da</creator><creator>Colares, Débora Frota</creator><creator>Ito, Fábio Augusto</creator><creator>Cavalcante, Israel Leal</creator><creator>Cavalcante, Roberta Barroso</creator><creator>Andrade, Bruno Augusto Benevenuto de</creator><creator>Nonaka, Cassiano Francisco Weege</creator><creator>Alves, Pollianna Muniz</creator><creator>Albuquerque-Júnior, Ricardo Luiz Cavalcanti de</creator><creator>Cunha, John Lennon Silva</creator><general>Fundação Odontológica de Ribeirão Preto</general><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2380-109X</orcidid><orcidid>https://orcid.org/0000-0002-0794-4106</orcidid><orcidid>https://orcid.org/0000-0001-6666-0069</orcidid><orcidid>https://orcid.org/0000-0003-1297-4032</orcidid><orcidid>https://orcid.org/0000-0002-8787-5904</orcidid><orcidid>https://orcid.org/0000-0002-3692-9044</orcidid><orcidid>https://orcid.org/0000-0002-3846-4797</orcidid><orcidid>https://orcid.org/0000-0002-7769-4763</orcidid><orcidid>https://orcid.org/0000-0003-3855-9697</orcidid><orcidid>https://orcid.org/0000-0002-3259-606X</orcidid><orcidid>https://orcid.org/0000-0001-5221-6493</orcidid><orcidid>https://orcid.org/0000-0003-4444-7632</orcidid><orcidid>https://orcid.org/0000-0002-0679-8485</orcidid></search><sort><creationdate>20221001</creationdate><title>Oral mucoceles: A Brazillian Multicenter Study of 1,901 Cases</title><author>Miranda, Georgea Gabriela Barreto ; Chaves-Junior, Samuel de Carvalho ; Lopes, Matheus Paschoaletto ; Rocha, Talytha Barbosa da ; Colares, Débora Frota ; Ito, Fábio Augusto ; Cavalcante, Israel Leal ; Cavalcante, Roberta Barroso ; Andrade, Bruno Augusto Benevenuto de ; Nonaka, Cassiano Francisco Weege ; Alves, Pollianna Muniz ; Albuquerque-Júnior, Ricardo Luiz Cavalcanti de ; Cunha, John Lennon Silva</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3335-5bfb066aa18c0e11fcb81d693c326860a01f2d966bccb87619414efa9517d34d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miranda, Georgea Gabriela Barreto</creatorcontrib><creatorcontrib>Chaves-Junior, Samuel de Carvalho</creatorcontrib><creatorcontrib>Lopes, Matheus Paschoaletto</creatorcontrib><creatorcontrib>Rocha, Talytha Barbosa da</creatorcontrib><creatorcontrib>Colares, Débora Frota</creatorcontrib><creatorcontrib>Ito, Fábio Augusto</creatorcontrib><creatorcontrib>Cavalcante, Israel Leal</creatorcontrib><creatorcontrib>Cavalcante, Roberta Barroso</creatorcontrib><creatorcontrib>Andrade, Bruno Augusto Benevenuto de</creatorcontrib><creatorcontrib>Nonaka, Cassiano Francisco Weege</creatorcontrib><creatorcontrib>Alves, Pollianna Muniz</creatorcontrib><creatorcontrib>Albuquerque-Júnior, Ricardo Luiz Cavalcanti de</creatorcontrib><creatorcontrib>Cunha, John Lennon Silva</creatorcontrib><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Brazilian dental journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miranda, Georgea Gabriela Barreto</au><au>Chaves-Junior, Samuel de Carvalho</au><au>Lopes, Matheus Paschoaletto</au><au>Rocha, Talytha Barbosa da</au><au>Colares, Débora Frota</au><au>Ito, Fábio Augusto</au><au>Cavalcante, Israel Leal</au><au>Cavalcante, Roberta Barroso</au><au>Andrade, Bruno Augusto Benevenuto de</au><au>Nonaka, Cassiano Francisco Weege</au><au>Alves, Pollianna Muniz</au><au>Albuquerque-Júnior, Ricardo Luiz Cavalcanti de</au><au>Cunha, John Lennon Silva</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oral mucoceles: A Brazillian Multicenter Study of 1,901 Cases</atitle><jtitle>Brazilian dental journal</jtitle><date>2022-10-01</date><risdate>2022</risdate><volume>33</volume><issue>5</issue><spage>81</spage><epage>90</epage><pages>81-90</pages><issn>0103-6440</issn><eissn>1806-4760</eissn><abstract><![CDATA[Abstract Oral mucocele (OM) is the most common lesion of minor salivary glands. The present study aimed to report the clinical and demographic features of a large series of OMs and identify possible predictive variables associated with the recurrence rate of these lesions. A retrospective descriptive cross-sectional study was performed. A total of 43,754 biopsy records from four pathology services in Brazil were analyzed. All cases of OMs were reviewed, and clinical and demographic data were collected. The study comprised 1,002 females (56.2%) and 782 males (43.8%), with a mean age of 19.8±16.4 years (range: 01-87 years) and a 1.3:1 female-to-male ratio. The lower lip (n=1,160; 67.4%), and floor of the mouth (n=172; 10.0%), were the most common affected sites, presenting clinically as nodules (n=978; 79.4%) of smooth surface (n=428; 77.5%) and normal color (n=768, 46.7%). Excisional biopsy was the treatment in most cases (n=1,392; 78.0%). Recurrent OMs represented 6.2% of all diagnosed cases (n=117). OMs recurred more commonly in younger patients (aged<20 years) (p<0.0001), in lesions larger than 2 cm in diameter (p<0.0001), and in those located in the ventral tongue (p=0.0351). Also, recurrence rates were higher significantly in cases treated with laser surgery than in those with conventional surgery (p=0.0005). Patients with OMs should be carefully informed of its possible recurrence, especially when found on the ventral tongue of young patients. Resumo A mucocele oral (MO) é a lesão mais comum das glândulas salivares menores. O presente estudo teve como objetivo relatar as características clínicas e demográficas de uma grande série de MOs e identificar possíveis variáveis preditivas associadas à taxa de recorrência dessas lesões. Foi realizado um estudo transversal descritivo retrospectivo. Foram analisados 43.754 registros de biópsias de quatro serviços de patologia no Brasil. Todos os casos diagnosticados como MOs foram revisados e dados clínicos e demográficos foram coletados. Participaram do estudo 1.002 mulheres (56,2%) e 782 homens (43,8%), com média de idade de 19,8 ± 16,4 anos (variação: 01-87 anos) e proporção de mulheres para homens de 1,3:1. O lábio inferior (n=1.160; 67,4%) e assoalho da boca (n=172; 10,0%), foram os locais mais acometidos, apresentando-se clinicamente como nódulos (n=978; 79,4%) de superfície lisa (n =428; 77,5%) e coloração normal (n=768, 46,7%). A biópsia excisional foi o tratamento na maioria dos casos (n=1.392; 78,0%). As MOs recorrentes representaram 6,2% de todos os casos diagnosticados (n = 117). As recorrências recorreram mais comumente em pacientes mais jovens (idade < 20 anos) (p < 0,0001), em lesões maiores que 2 cm de diâmetro (p < 0,0001) e naquelas localizadas na superfície ventral da língua (p = 0,0351). Além disso, as taxas de recorrência foram significativamente maiores nos casos tratados com cirurgia a laser do que aqueles com cirurgia convencional utilizando bisturi (p = 0,0005). Pacientes com mucoceles devem ser informados sobre uma possível recorrência, principalmente quando encontrados no lábio ou assoalho bucal de pacientes jovens.]]></abstract><pub>Fundação Odontológica de Ribeirão Preto</pub><pmid>36287502</pmid><doi>10.1590/0103-6440202204965</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-2380-109X</orcidid><orcidid>https://orcid.org/0000-0002-0794-4106</orcidid><orcidid>https://orcid.org/0000-0001-6666-0069</orcidid><orcidid>https://orcid.org/0000-0003-1297-4032</orcidid><orcidid>https://orcid.org/0000-0002-8787-5904</orcidid><orcidid>https://orcid.org/0000-0002-3692-9044</orcidid><orcidid>https://orcid.org/0000-0002-3846-4797</orcidid><orcidid>https://orcid.org/0000-0002-7769-4763</orcidid><orcidid>https://orcid.org/0000-0003-3855-9697</orcidid><orcidid>https://orcid.org/0000-0002-3259-606X</orcidid><orcidid>https://orcid.org/0000-0001-5221-6493</orcidid><orcidid>https://orcid.org/0000-0003-4444-7632</orcidid><orcidid>https://orcid.org/0000-0002-0679-8485</orcidid><oa>free_for_read</oa></addata></record>
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
title Oral mucoceles: A Brazillian Multicenter Study of 1,901 Cases
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