Oral mucocele of the lips is a common ailment in patients who are habituated to lip biting or by trauma to lip mucosa. Lower lip is said to be the more prone site in oral cavity. The treatment of choice is excision or marsupialization under local anaesthesia. But these interventions come with complications like injury to adjacent salivary ducts, which further develops new lesions. Thus, this case study was undertaken to evaluate the effectiveness of Kshara karma in oral mucocele as a minimal invasive procedure. A 42
years old health seeker with no significant medical history, reported with the chief complaints of a painless swelling, over the inner aspect of lower lip for 8 months. The lesion was diagnosed as a retention mucocele of the lower lip based on the history and clinical findings. It was treated with Kshara karma under topical anaesthesia. Patient was observed post operatively for 7 days. The lesion had regressed in size gradually without any post-operative discomfort or complication. A follow up after 6 months shows no recurrence, no visible scar/ fibrosis at the site of lesion. As the chances of recurrence in oral mucocele is high, the management with conventional surgical techniques is challenging. Kshara karma being a minimal invasive procedure is seen to have better outcome. Further prospective studies are needed to evaluate the reproducibility, pros and cons of this procedure.
Key words: Case report; Ayurveda; Minimal invasive; Oral mucocele; Kshara.
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