Mucocele – Swelling On Inner Side Of The Lip

Mucocele is a fairly common condition seen in children.

How does it form?

The minor salivary glands, and, there are over 600 of them, are small glands that produce saliva. They are too small to be seen by the naked eye and consist of a small globular gland. The saliva that forms in the gland drains out through a narrow tube (the duct) into the mouth. This saliva helps us chew our food and also starts the process of digesting food.

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Doctor, my child’s testis cannot be felt! Should we do an ultrasound examination?

Is an ultrasound necessary in a child who has an undescended testis?

Almost every patient that comes to me for consultation for undescended testis, comes armed with an ultrasound (USG) report, that the parent will promptly proceed to show me after the initial formalities, even before I have had a chance to ask as to why they are consulting me.
The sad part is that ultrasound is not only unnecessary but actually misleading in children with undescended testes [1].

USG is accurate in predicting examination findings in only 54% of children. Additionally it delays required surgery in infants by as many as 3 months.
The algorithm for managing undescended testis only requires whether an experienced pediatric surgeon can palpate the testis or not. So please do not get unnecessary tests done.
1. Ultrasound Overused to Diagnose Undescended Testicle

Tongue Tied? Could be literally true!

Tight Frenulum causing tongue tie
Note the tight cord anchoring tongue to the floor of the mouth

While most of us get tongue tied when we are overawed by a famous personality or when asked to speak in public, or too overcome by emotions, in the case of your infant, it could be due to the fact that the cord of tissue (called the frenulum) that holds the tongue in place against the floor of the mouth is too tight / thick / rigid.

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