Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
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CiteScore (2021) – 2.0
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2016, vol. 53, nr 1, January-March, p. 142–146

doi: 10.17219/dmp/60347

Publication type: clinical case

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Mucocele of the Glands of Blandin-Nuhn – Case Report

Torbiel gruczołu Blandin-Nuhna – opis przypadku

Tomasz Krzysztof Jachewicz1,A,B,C,D, Beata Nyrka1,A,D,E

1 Department of Oral Surgery, Lublin Medical University, Lublin, Poland

Abstract

A mucocele is a retention cyst in the oral mucosa of small salivary glands. The changes occur predominantly within the lower lip, but sometimes in other locations where there are small salivary glands – on the tongue, floor of the mouth, buccal mucosa, upper lip and palate. This paper presents the rare case of a patient of the Department of Oral Surgery at the Medical University in Lublin, with a Blandin-Nuhn gland cyst, located on the ventral side of the tongue. A patient diagnostic puncture was performed, which confirmed the clinical diagnosis. The cyst was removed using a classical surgical technique described in the article. The paper discusses the causes, predisposing factors and the mechanisms of their formation. We describe two types of cysts which have different locations for stopping the secretions. We present the histology of the retention and extravasation types. We describe the types of salivary glands present on the tongue and the anatomy of the Blandin-Nuhn gland. The authors present the possible locations of retention cysts in the ventral tongue, and present methods of conservative and surgical treatment of Blandin-Nuhn mucoceles. The authors discuss the differential diagnosis and clinical manifestations.

Key words

minor salivary glands, tongue, mucocele, Blandin-Nuhn mucocele

Słowa kluczowe

małe gruczoły ślinowe, język, torbiel zastoinowa, torbiel Blandin-Nuhna

References (22)

  1. Andiran N., Sarikayalar F., Unal O.F., Baydar D.E., Ozaydin E.: Mucocele of the anterior lingual salivary glands: from extravasation to an alarming mass with a benign course. Int. J. Pediatr. Otorhinolaryngol. 2001, 61, 143–147.
  2. Adachi P., Soubhia A.M., Horikawa F.K., Shinohara E.H.: Mucocele of the glands of Blandin-Nuhn – clinical, pathological, and therapeutic aspects. Oral Maxillofac. Surg. 2011, 15, 11–13.
  3. Yamasoba T., Tayama N., Syoji M., Fukuta M.: Clinicostatistical study of lower lip mucoceles. Head & Neck, 1990, 12, 316–320.
  4. Bednarz W., Orchel-Bednarz M.: Mucous cyst of salivary gland (Mucocele) – diagnostics and methodology of treatment – a case report. e-Dennico, 2009, 21, 64–73 [in Polish].
  5. Jinbu Y., Kusama M., Itoh H., Matsumoto K., Wang J., Noguchi T.: Mucocele of the glands of BlandinNuhn: a clinical and histopathologic analysis of 26 cases. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2003, 95, 467–470.
  6. De Camargo Moraes P., Bönecker M., Furuse C., Thomaz L.A., Teixeira R.G., de Araújo V.C.: Mucoceles of the gland of Blandin-Nuhn: histological and clinical findings. Clin. Oral Investig. 2009, 13, 351–353.
  7. Mandel L., Kaynar A.: Mucocele of the gland of Blandin-Nuhn. NY State Dent. J. 1992, 58, 40–41.
  8. Sugerman P.B., Savage N.W., Young W.G.: Mucocele of the anterior lingual salivary glands (glands of Blandin and Nuhn): report of 5 cases. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2000, 90, 478–482.
  9. Harrison J.D.: Salivary mucoceles. Oral Surg. Oral Med. Oral Pathol. 1975, 39, 268–278.
  10. Saza H.: Clinico-statistical study of salivary mucoceles. Jpn. J. Oral Maxillofac. Surg. 1982, 28, 1545–1550.
  11. Nico M.M., Park J.H., Lourenço S.V.: Mucocele in pediatric patients analysis of 36 children. Pediatric Dermatol. 2008, 25, 308–311.
  12. Kumaresan R., Karthikeyan P., Mohammed F., Thapasum Fairozekhan A.: A novel technique for the management of a Blandin-Nuhn mucocele: a case report. Int. J. Clin. Pediatr. Dent. 2013, 6, 201–204.
  13. Sarada P., Reddy C.H., Ak P., Kurra S.: Solitary nodular lesion of tongue – a rare entity. J. Clin. Diag. Res. 2014, 8, 256–258.
  14. Ren Y.F., Tian R.X.: A discussion of the treatment of Blandin-Nuhn mucoceles. Chin. J. Misdiagnosis to Learn, 2009, 14, 3295–3296.
  15. Luiz A.C., Hiraki K.R., Lemos C.A., Hirota S.K., Migliari D.A.: Treatment of painful and recurrent oral mucoceles with a high-potency topical a corticosteroid: a case report. J. Oral. Maxillofac. Surg. 2008, 66, 1737–1739.
  16. Zhenpeng Z.: A clinical investigation of electrosurgical knife burning to treat Blandin-Nuhn mucoceles. Cancer Cell Res. 2014, 2, 42–46.
  17. Yeh C.J.: Simple cryosurgical treatment for oral lesion. Int. J. Oral Maxillofac. Surg. 2000, 29, 211–216.
  18. Rezende K.M.: Cryosurgery as an effective alternative for treatment of oral lesion in children. Braz. Dent. J. 2014, 25, 352–356.
  19. Nihdi M., Arun R.: Excision of mucocele: a surgical case report. Biol. Biomed. Rep. 2012, 2, 115–118.
  20. Mansur R., Świątkowski W., Jachewicz T.: Large radicular cyst of maxilla. A case report. Stomatol. 2015, 1–2, 16–19 [In Polish].
  21. Baurmash H.D.: Mucoceles and ranulas. J. Oral. Maxillofac. Surg. 2003, 61, 369–378.
  22. Guimarães M.S., Hebling J., Filho V.A., Santos L.L., Vita T.M., Costa C.A.: Extravasation mucocele involving the ventral surface of the tongue (glands of Blandin-Nuhn). Int. J. Paediatr. Dent. 2006, 16, 435–439.