Journal of Case Reports in Medical Science

Aim: The present study describes two cases of lower-lip oral mucocele managed by conventional surgical excision and intralesional triamcinolone acetonide and to compare their clinical courses descriptively.

Case presentation: A 35-year-old male presented with a 1.8 × 1.2 cm bluish, fluctuant lesion of two months’ duration. The lesion and adjacent minor salivary glands were excised under local anaesthesia, and histopathological examination confirmed a mucus extravasation phenomenon. A 23-year-old male presented with a 1.0 × 0.8 cm recurrently rupturing and refilling lesion of four months’ duration. In accordance with the patient’s preference for minimally invasive treatment, 0.3 mL of triamcinolone acetonide (10 mg/mL) was injected intralesionally.

Results: The surgical site healed uneventfully after suture removal, while the injected lesion regressed progressively and showed complete clinical resolution at four weeks. Neither lesion recurred during six months of follow-up, and no treatment-related complication was observed in the corticosteroid-treated patient.

Discussion: Surgical excision provided tissue for definitive histopathological confirmation but required suturing, analgesics, and postoperative wound care. Intralesional triamcinolone acetonide avoided surgery and was well tolerated, but histopathological confirmation was unavailable.

Conclusion: Both approaches were followed by complete clinical resolution in these individual cases. Because only one patient received each intervention and spontaneous regression cannot be excluded, the findings do not establish comparative effectiveness. Treatment should be individualised according to lesion characteristics, diagnostic certainty, patient preference, and follow-up requirements.