Southern Georgia Oral Surgery in Statesboro-Roger Myers DMD-Traumatic Soft Tissue Lesion

The patient presented as a 27 yr old female with no medical issues, medications and NKDA
CC " This bump under my tongue gets larger and goes away, but it will always come back"
The patient also expressed that the lesion gets larger when she is hungry.  At dinner time the lesion become markedly larger and then burst with thick fluid be exuded.  The condition has been ongoing for several months and  continues to be a recurring theme. 
   The lesion is fluctuant, soft and non-tender to touch.  The patient is not experiencing any parathesia or glossodynia.  However, clinically the patient appeared to have multiple crowded lower anterior teeth which seemed to be the etiology causing the problem.  The lesion consisted of a red/blue appearance and white ulcerated superficial surface.
Assumptive diagnosis: 
   1)  Traumatic ulcer
   2)  mucocele
   3)  Ranula
   4)  Vascular lesion


MUCOCELE
The lesion appeared to be a mucocele.  Mucoceles usually occur on the lower lip, ventral surface of the tongue and inner part of the cheek, as these are frequent areas of mouth trauma, but they can occur anywhere inside the mouth. A mucocele is usually a single bump with a slight bluish or normal skin color, varying in size from 1/2 to 1 inch, and it is soft and painless. A mucocele may appear suddenly, while a mucus-retention cyst may slowly enlarge.

Southern Georgia Oral Surgery in Statesboro GA
Roger Myers DMD