See more common healing sequence: Sequence of Healing After Lip Biopsy for Sjogren's Syndrome (Minor Salivary Gland Biopsy)
For Initial Surgery Details, see: Lip Biopsy for Sjogren's Syndrome (Minor Salivary Gland Biopsy) Using Chalazion Clamp
Lower Lip Bump (Mucocele) Minor Salivary Gland Traumatic Lesion with Histopathology
Modified Operative Note
Procedure: Resection of left lower lip mucocele (unroofing with removal of minor salivary gland)
Preop Diagnosis: Left lower lip mucocele following lip biopsy establishing Sjogren's syndrome
Postop Diagnosis: Same
Anesthesia: 2% lidocaine with 100,000 epinephrine to the tissue about the left lower lip mucocele
Description of Procedure: Following identification the patient informed consent and a brief timeout in the minor room the lower lip was wiped once with a Betadine swab after the above-mentioned anesthesia had time to set in. Employing loupe magnification forceps and scissors were used with the lip everted to remove the overlying mucosa identifying 1 enlarged minor salivary gland which is also resected in a very superficial fashion with specimen sent for pathology.
Meticulous attention to bipolar cautery allowed for very minimal and superficial cautery to allow for the wound to be stable with no bleeding. Instructions were given regarding use of the peroxide she is used previously and a request that she perhaps send me images intermittently by email for follow-up with the telemedicine follow-up targeted as above.