Mukozelea. Tratamendu-aukerak

• Maitena Urberuaga Erce ^[1] ; Iñaki Izaguirre Mendikute ^[1] ; Ander Izaguirre Urberuaga ^[1] ; Inés Egaña Mata ^[2] ; Carmen Martín San Juan ^[3]
  1. [1] Odontologoa. ESI Debabarrena
  2. [2] Higienista. ESI Debabarrena
  3. [3] Odontologoa. Madrilgo Osasun Zerbitzua

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• Localización: Osagaiz: osasun-zientzien aldizkaria, ISSN-e 2530-9412, Vol. 10, 1 Extra 1 (Número extraordinario 1), 2026 (Ejemplar dedicado a: XVIII.Pediatria Topaketa), págs. 33-38
• Idioma: euskera
• Títulos paralelos:
  • Mucocele. Treatment alternatives.
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• Resumen
  • euskara

    Testuingurua:Mukozelea edo kiste-mukosoa listu-guruin txikiagoetan edo haien hodietan sortzen da. Ahoko ehun biguneko kiste motarik ohikoena da. Mota ohikoena estrabasazio-mukozelak dira eta hozkadak eragindako traumatismo baten ondorioz listu-guruinaren hodia haustearekin lotzen da.Helburua: Azterketa honen helburua da Debabarreneko ESIan Osakidetzaren Haurren Hortz Programan tratatutako mukozeleen kasuen azterketa egitea da, kirurgia-konbentzionalaren eta diodo-laserraren bidez lortutako emaitzak konparatuz.Materiala eta metodoak: Azken hamar urteetan, 2015eko urtarriletik 2025eko abendura bitartean, pediatriako pazienteetan, zazpi eta hamabost urte bitarte, diagnostikatutako eta tratatutako hogeita bi mukozele kasuren atzera begirako azterketa egin zen. Diagnostikoa, hasiera batean, miaketa klinikoaren bidez ezarri zen, lesioaren ohiko ezaugarrietan oinarrituta. Kasu guztietan berrespen-histologikoa egin zen biopsia-eszisional bidez.Emaitzak: Aztertutako 22 kasuetatik, mukozeleen kokapenik ohikoena beheko ezpaina izan zen, 19 kasurekin (%86,4). Proportzio txikiagoan, bi kasu identifikatu ziren (% 9,1) goiko ezpainean eta kasu bat (% 4,5) aho-barrunbeko lurrean, klinikoki erranula batekin bateragarria dena. Tratamenduari dagokionez, 16 kasutan ohiko teknika-kirurgikoa aukeratu zen. Gainerako 6 kasuetan, diodo-laserra erabili zen, eta lesioaren lurruntze kontrolatua egin zen.Ondorioak: Mukozelea kirurgia konbentzionalaren bidez tratatzea aukera eraginkorra, segurua eta merkea da oraindik ere. Hala ere, diodo-laserra erabiltzea aukera-terapeutiko gisa aurkezten da, eta abantaila nabarmenak ditu paziente-pediatrikoen maneiuan.

  • English

    Background: A mucocele, or mucous cyst, originates in the minor salivary glands or their ducts. It is the most common type of soft tissue cyst in the oral cavity. The most frequent variant is the extravasation mucocele, which is associated with the rupture of a salivary gland duct resulting from bite-induced local trauma.Objective: The objective of this study is to analyze the cases of mucocele treated within Osakidetza's Children's Dental Program at the Debabarrena Integrated Health Service Organization (ESI) over the last ten years, specifically from January 2015 to December 2025, while comparing the clinical outcomes obtained through conventional surgery versus diode laser treatment.Materials and methods: A retrospective review was conducted on twenty-two cases of mucocele diagnosed and treated in pediatric patients aged between seven and fifteen years over a ten-year period (January 2015 –December 2025). The initial diagnosis was established through clinical examination based on the typical presentation of the lesion. In all cases, histological confirmation was obtained via excisional biopsy.Results: Among the 22 cases analyzed, the most frequent location for mucoceles was the lower lip, accounting for 19 cases(86.4%). In smaller proportions, two cases (9.1%) were identified on the upper lip, and one case (4.5%) was located on the floor of the mouth, which was clinically compatible with a ranula. Regarding therapeutic management, conventional surgery was chosenin 16 cases. In the remaining 6 cases, a diode laser was utilized to perform controlled ablation of the lesion.Conclusion: The management of oral mucoceles using conventional surgery remains an effective, safe, and cost-efficient option. However, the useof a diode laser emerges as an excellent therapeutic alternative, offering significant advantages in the management of pediatric patients.