title: Mucoceles of minor salivary glands in children. Own clinical observations.
abstract: BACKGROUND
  Mucoceles are benign lesions associated with the pathology of the oral mucosa of minor salivary glands. Two types of cysts are distinguished depending on their pathogenesis. Most often they occur as a result of mechanical trauma and mucus extravasation into tissues or obstruction of the gland ducts.
  
  
  OBJECTIVE
  The aim of the study was to present our own experiences regarding mucoceles of minor salivary glands in the oral cavity taking into account how frequently the individual types of cysts occur in children.
  
  
  METHODS
  The research was carried out based on medical files from the years 2005-2015. These were: medical case records, operating books and the medical registry of patients treated at the Clinic of Maxillofacial Surgery, Frederic Chopin Clinical Regional Hospital in Rzeszow. In that period 64 children and teenagers, 28 girls and 36 boys were treated. What was considered was the age and gender of the patients, the reason for their appointment with a doctor, the location, size and histopathological type of the cysts, as well as the course and results of the diagnostic and therapeutic process.
  
  
  RESULTS
  In the group analyzed, the reasons for referral to the Clinic were: in 25 patients accidental ascertainment of a non-symptomatic tumor in the oral cavity during examination by a dentist, pediatrician or laryngologist which had not caused any discomfort to the children; in 13 patients concern had been raised by a gradually increasing tumor; in 18 cases there was an increased tissue tension surrounding the tumor, while in 3 children red oedema was observed in the oral cavity (suspicion of abscess). The most frequent mucocele location was the lower lip (34 children). The most frequent size was 2.1-3 cm (28 children). The most frequent histological type was MEP. All the patients were treated at the Clinic in the one-day surgery mode, with good outcome.
  
  
  CONCLUSIONS
  Mucocele ascertainment in children's oral cavity could be made accidentally in routine pediatric examination, therefore it is necessary to extend pediatricians' knowledge about small salivary gland mucoceles. The most frequent type of MEP could be related to different types of trauma in the oral mucose.
authors.affiliation: Chair of Emergency Medical Service, Faculty of Medicine, the University of Rzeszow, Poland, Department of Maxillofacial Surgery, Frederic Chopin Clinical Regional Hospital in Rzeszow, Poland, e-mail: boglewandowski@wp.pl.
authors.forename: Bogumił
authors.initials: B
authors.lastname: Lewandowski
authors.affiliation: Department of Maxillofacial Surgery, Frederic Chopin Clinical Regional Hospital in Rzeszow, Poland.
authors.forename: Robert
authors.initials: R
authors.lastname: Brodowski
authors.affiliation: Department of Maxillofacial Surgery, Frederic Chopin Clinical Regional Hospital in Rzeszow, Poland.
authors.forename: Paweł
authors.initials: P
authors.lastname: Pakla
authors.affiliation: Department of Maxillofacial Surgery, Frederic Chopin Clinical Regional Hospital in Rzeszow, Poland.
authors.forename: Aleksander
authors.initials: A
authors.lastname: Makara
authors.affiliation: Department of Maxillofacial Surgery, Frederic Chopin Clinical Regional Hospital in Rzeszow, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Stopyra
authors.affiliation: Department of Maxillofacial Surgery, Frederic Chopin Clinical Regional Hospital in Rzeszow, Poland.
authors.forename: Bartek
authors.initials: B
authors.lastname: Startek
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008047:Lip Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D009060:Mouth Floor / Q000473:pathology; D011044:Poland; D012466:Salivary Gland Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D012469:Salivary Glands / Q000000981:diagnostic imaging / Q000473:pathology*; D012470:Salivary Glands, Minor / Q000000981:diagnostic imaging / Q000473:pathology*
keywords:  diagnosis;  mucus retention in minor mucous glands;  surgery ; Mucus Extravasation Phenomenon (MEP) Mucoceles