Oral Mucocele in Early Childhood: Clinical and Behavioral Approaches in An 18-Month-Old

Introduction: Oral mucoceles are benign lesions resulting from trauma or obstruction of salivary gland ducts, most commonly affecting the lower lip. Although frequently seen in pediatric populations, their occurrence before the age of two is relatively uncommon. 

Case History: This report presents a case of an 18-month-old male with a fluctuant, bluish swelling on the lower labial mucosa. Due to the patient’s age and limited cooperation, surgical excision under local anesthesia was performed using pediatric wrap immobilization. A scalpel technique was chosen to minimize tissue trauma and allow complete removal of the lesion along with associated minor salivary glands. 

Discussion: The use of a body wrap technique, supported by pediatric behavioral guidelines, enabled safe intraoperative management. Scalpel excision provided clear margins with minimal damage to surrounding tissues. Histopathological analysis confirmed an extravasation-type mucocele, with granulation tissue and absence of an epithelial lining. No recurrence was noted at the one-week follow-up.

Conclusion: This case highlights the importance of early diagnosis and age-appropriate behavioral management in pediatric mucocele. Scalpel excision combined with passive immobilization proved effective and safe for treating mucoceles in toddlers.