Innovative applications of electrocautery in oral soft tissue lesion treatment: Focus on mucoceles

Introduction: Oral mucoceles are common benign lesions in children, frequently caused by trauma to minor salivary glands, with the lower lip being the most affected site. Chronic lip biting is a common etiological factor. While conventional excision is widely practiced, electrocautery presents a minimally invasive alternative with superior hemostasis and healing properties, making it suitable for pediatric patients. 

Case History: A 10-year-old male presented with a painless, clear, soft swelling on the left side of the lower lip, present for approximately one month. The lesion measured 5 mm in diameter. The patient reported a habitual lip biting behavior. Based on clinical findings, an extravasation-type mucocele was diagnosed and the lesion diagnosis was confirmed by histopathology anatomy (HPA). The lesion was excised under local anesthesia using electrocautery, along with adjacent minor salivary glands to prevent recurrence. The procedure was bloodless, quick, and required no sutures. Postoperative recovery was uneventful, with observed within one weeks follow up. 

Discussion: Electrocautery offers precise tissue removal, excellent intraoperative control, and minimal postoperative morbidity. Compared to scalpel or laser excision, it is cost-effective and better tolerated by pediatric patients. Addressing etiological habits, such as lip biting, is essential to prevent recurrence. 

Conclusion: Electrocautery is an effective, minimally invasive method for managing soft tissue lesion, specifically a mucocele in a pediatric patient. Its ability as an innovative treatment that results in minor bleeding and promotes accelerating recovery.