Management of Mucoceles, Sialoceles, and Ranulas

Otolaryngol Clin North Am. 2021 Jun;54(3):543-551. doi: 10.1016/j.otc.2021.03.002.


Mucoceles are common salivary gland disorders. Mucoceles are benign, mucus-filled extravasation pseudocysts that commonly arise on the lower lip of children and young adults. Although surgical excision is commonly performed to remove these lesions, other treatments include marsupialization, micromarsupialization laser ablation, cryotherapy, intralesional steroid injection, and sclerosing agents. Traumatic sialoceles commonly arise from injury to the parotid duct. Treatment of sialoceles from acute parotid duct injury and for delayed presentations after injury are discussed. Ranulas are a subtype of mucocele from the sublingual gland classified as superficial or plunging. Treatment of ranulas must address the sublingual gland.

Keywords: Lip; Marsupialization; Mouth floor; Mucocele; Ranula; Sialocele; Surgical management.

Publication types

  • Review

MeSH terms

  • Child
  • Humans
  • Laser Therapy*
  • Mucocele* / surgery
  • Ranula* / surgery
  • Salivary Gland Diseases* / surgery
  • Sublingual Gland
  • Young Adult