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Mucocele accompanied by a traumatic neuroma: a case report.

Jaafari Ashkavandi Z, Dehghani Nazhvani A, Hamzavi M - J Dent (Shiraz) (2013)

Bottom Line: Mucocele and traumatic neuroma are two lesions related to the traumatic events; however there is only one reported case in which these two entities were perceived simultaneously.The current study reported a 21-year-old man who complained of painless recurrent swelling, accompanied by paresthesia on his left lower labial mucosa.Microscopic surveys displayed a traumatic neuroma in the vicinity of a mucocele which seems to be arising from the previous surgical treatment.

View Article: PubMed Central - PubMed

Affiliation: Dept. of Oral and Maxillofacial Pathology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

ABSTRACT
Mucocele and traumatic neuroma are two lesions related to the traumatic events; however there is only one reported case in which these two entities were perceived simultaneously. The current study reported a 21-year-old man who complained of painless recurrent swelling, accompanied by paresthesia on his left lower labial mucosa. He had a previous history of similar lesion and had been treated with surgery and cauterization last year. The primary clinical impression was a recurrent mucocele. Microscopic surveys displayed a traumatic neuroma in the vicinity of a mucocele which seems to be arising from the previous surgical treatment.

No MeSH data available.


Related in: MedlinePlus

a Traumatic neuroma: haphazard arrangement of nerve bundles within the stroma b Mucocele: area of spilled mucin surrounded by granulation tissue c Minor salivary glands b Traumatic neuroma: nerve bundles within dense fibrous connective tissue (×100)
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Figure 2: a Traumatic neuroma: haphazard arrangement of nerve bundles within the stroma b Mucocele: area of spilled mucin surrounded by granulation tissue c Minor salivary glands b Traumatic neuroma: nerve bundles within dense fibrous connective tissue (×100)

Mentions: The clinical impression was consistent with recurrent mucocele, however paresthesia was not justified. The lesion was removed by excisional surgery. The surgical specimen consisted of multiple pieces of a cyst-like creamy elastic soft tissue. It comprised of some small round structures similar to the minor salivaryglands with one bigger than the others, totally measuring: 1x 0.8 x 0.7 cm. Microscopic examination revealed a pool of mucin surrounded by granulation tissues. Adjacent minor salivary gland showed mild sialoadenitis (Figures 2). Close to this area, a large irregular proliferation of the nerve fibers in a fibrous stroma was observed. According to these clinical and histopathological data, the diagnosis of mucocele accompanied with traumatic neuroma was established. Four months after the surgery, the patient was still suffering from paresthesia and vague pain, although the swelling subsided completely.


Mucocele accompanied by a traumatic neuroma: a case report.

Jaafari Ashkavandi Z, Dehghani Nazhvani A, Hamzavi M - J Dent (Shiraz) (2013)

a Traumatic neuroma: haphazard arrangement of nerve bundles within the stroma b Mucocele: area of spilled mucin surrounded by granulation tissue c Minor salivary glands b Traumatic neuroma: nerve bundles within dense fibrous connective tissue (×100)
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3927670&req=5

Figure 2: a Traumatic neuroma: haphazard arrangement of nerve bundles within the stroma b Mucocele: area of spilled mucin surrounded by granulation tissue c Minor salivary glands b Traumatic neuroma: nerve bundles within dense fibrous connective tissue (×100)
Mentions: The clinical impression was consistent with recurrent mucocele, however paresthesia was not justified. The lesion was removed by excisional surgery. The surgical specimen consisted of multiple pieces of a cyst-like creamy elastic soft tissue. It comprised of some small round structures similar to the minor salivaryglands with one bigger than the others, totally measuring: 1x 0.8 x 0.7 cm. Microscopic examination revealed a pool of mucin surrounded by granulation tissues. Adjacent minor salivary gland showed mild sialoadenitis (Figures 2). Close to this area, a large irregular proliferation of the nerve fibers in a fibrous stroma was observed. According to these clinical and histopathological data, the diagnosis of mucocele accompanied with traumatic neuroma was established. Four months after the surgery, the patient was still suffering from paresthesia and vague pain, although the swelling subsided completely.

Bottom Line: Mucocele and traumatic neuroma are two lesions related to the traumatic events; however there is only one reported case in which these two entities were perceived simultaneously.The current study reported a 21-year-old man who complained of painless recurrent swelling, accompanied by paresthesia on his left lower labial mucosa.Microscopic surveys displayed a traumatic neuroma in the vicinity of a mucocele which seems to be arising from the previous surgical treatment.

View Article: PubMed Central - PubMed

Affiliation: Dept. of Oral and Maxillofacial Pathology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

ABSTRACT
Mucocele and traumatic neuroma are two lesions related to the traumatic events; however there is only one reported case in which these two entities were perceived simultaneously. The current study reported a 21-year-old man who complained of painless recurrent swelling, accompanied by paresthesia on his left lower labial mucosa. He had a previous history of similar lesion and had been treated with surgery and cauterization last year. The primary clinical impression was a recurrent mucocele. Microscopic surveys displayed a traumatic neuroma in the vicinity of a mucocele which seems to be arising from the previous surgical treatment.

No MeSH data available.


Related in: MedlinePlus