A Rare Occurrence of Mucocele of Ventral Surface of the Tongue : A Case Report

Abstract

Mucoceles are benign lesions of the oral cavity, usually resulting from trauma or obstruction caused in the salivary glands. However, their occurrence on the ventral surface of the tongue is rare and often misdiagnosed due to their hidden presentation. This case highlights an unusual mucous extravasation cyst presenting as a subtle swelling on the ventral tongue, emphasizing the need for careful clinical and histopathological evaluation. Prompt diagnosis and appropriate surgical intervention ensured complete resolution and prevented recurrence. This report underlines the necessity of considering mucocele in the differential diagnosis of lingual swellings. Due to their asymptomatic and often translucent appearance, mucoceles on the ventral tongue may be mistaken for vascular or soft tissue lesions such as hemangiomas, lymphangiomas, or lipomas. Clinical vigilance is required, especially when the lesion persists or changes in size over time. Histopathological confirmation remains essential, as imaging alone may not differentiate mucoceles from other cystic pathologies. The treatment of choice involves complete surgical excision, including the affected glandular tissue, to minimize the risk of recurrence. The rarity of ventral tongue mucoceles necessitates increased awareness among clinicians and pathologists for accurate identification and management.