SHIRA technique an unconventional approach to mucocele excision: case report

Abstract

Mucocele is a benign pseudocystic lesion with non-neoplastic retention in minor salivary glands, common in the lower lip. Characterized by the rupture of the minor glandular duct, with mucus or saliva leaking into the connective tissue, of various etiological origin, trauma or inflammation of the salivary duct. Clinically there is a nodular lesion of up to 3 cm, circumscribed, translucent or bluish-red, painless and floating on palpation, with a higher prevalence in the lower lip. The conventional treatment modality includes excision of the lesion, cryosurgery, electrocauterization, marsupialization, injection corticosteroids, sclerosing agents, laser ablation has been explored. However, the treatment methods dictated in the literature are based on the characteristics of the lesion and can vary from surgical to conservative. The purpose of this study is to report a clinical case in which the patient underwent surgical removal of mucocele, with immediate elimination of the signs and symptoms reported by the patient, using the Shira technique. An unconventional, simple, inexpensive and safe technique; complete removal of the lesion, preventing recurrence. The surgery presented postoperative and satisfactory healing.