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Salivary Mucocele
Salivary Mucocele aka sialocele, salivary cyst,
honey cyst
A salivary mucocele is a collection of saliva that
has leaked from a damaged salivary gland or duct
and is surrounded by granulation tissue
Terms
•Cervical Mucocele
•Sublingual Mucocele
•Pharyngeal Mucocele
•Zygomatic Mucocele
•Complex Mucocele
•Marsupialisation
Pathophysiology
Salivary Gland
Trauma
Blocked Saliva
finds a way out
Saliva
Accumulation
Tissue Irritation
Inflammation and
Granulation Tissue
Membrane
Tumour vs Cyst vs Abscess vs
Mucocele
Etiology
Bone eating, Trauma
Physical Examination
• Soft and Fluctuant
• Side affected understood by laying animal in dorsal
recumbancy
Diagnostic Imaging
• Sialography difficult
• Perform cross-sectional imaging to understand better
• Do thoracic radiography if metastasis growth is suspected
Laboratory Findings
• Laboratory abnormalities are rare
• Salivary gland function and duct patency can be evaluated by
placing a drop of topical ophthalmic atropine solution on the
tongue to stimulate saliva flow; however, it may be difficult to
distinguish flow from individual ducts
• Aspiration of a clear, yellowish, or blood-tinged, ropy, mucoid
fluid with a low cell count is consistent with saliva. Staining a
smear with a mucus-specific stain such as periodic acid-Schiff
(PAS) confirms the presence of saliva
Medical Management
Medically:
• Ineffeicent
• Actual cause not removed
• The fluid is aspirated
• Swelling comes again!
• Anti-inflammatory don’t improve rather comlicates
Surgical Management
Anesthesia
• Gaseous Anesthesia
• Induction Propofol @2-4mg/kg
• Maintenance Isoflurane @
Surgical Anatomy
Surgical Technique
• Mandibular and Sublingual Salivary Gland Excision
Surgical Technique
• Zygomatic Gland Excision
Surgical Technique
• Parotid Gland Excision
POSTOPERATIVE CARE AND
ASSESSMENT
• Change dressing
• Soft food
• Penrose drain taken care of
Complications
• Regional Lymph Node
• Opposite Side surgery: misdiagnosis
• Seroma
Prognosis
• Excellent
• If everything diagnosis and excision are accurate
Thanks for listening!

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