Oral Mucosal Tags: Causes, Removal Options, and Risks

Q: Oral Mucosal Tags: Causes, Removal Options, and Risks

Hello： If there have been no significant changes for over a decade, it is usually a benign condition that can be monitored. <br>If you wish to have it surgically removed, you can consult an otolaryngologist or an oral surgeon at a hospital. <br>Generally, there should be no adver

Papilloma on the upper alveolar ridge in the oral cavity?

Hello Dr.
Cheng,
I have a small protruding skin tag (approximately 0.1 cm in size) located on the upper alveolar ridge of my oral cavity, near the midline.
It has been present for over a decade, with no significant changes in size or color.
I would like to ask Dr.
Cheng the following questions:
1.
Is it possible that this protruding skin tag is part of the alveolar ridge?
2.
When I consulted a dentist about this protrusion, the dentist assessed it as a simple skin tag and not an oral lesion.
Since my tongue often touches this protrusion, I am wondering if I can have it removed at a medical facility.
Would this have any adverse effects on my oral health?
3.
If I wish to remove this skin tag (approximately 0.1 cm in size), do general ENT clinics perform such minor excision procedures, or would it be better to go to a hospital's oral surgery department? (Considering that anesthesia may be required.)
Thank you, Dr.
Cheng.

Axiang, 30~39 year old female. Ask Date: 2020/04/28

Dr. Zheng Jueyi reply Otolaryngology

Hello: If there have been no significant changes for over a decade, it is usually a benign condition that can be monitored.
If you wish to have it surgically removed, you can consult an otolaryngologist or an oral surgeon at a hospital.
Generally, there should be no adverse effects on the oral cavity after the surgery.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/28

More Info

Dear Patient,
Thank you for your inquiry regarding the oral mucosal tag you have described. It’s understandable to be concerned about any changes or persistent features in your oral cavity, especially when they have been present for many years. Let’s address your questions one by one.

1. Is the mucosal tag part of the palatal fold?
The mucosal tag you are describing, located near the midline of the hard palate, could indeed be a normal anatomical variation or a benign growth such as a fibroma or a mucosal tag. These tags are often harmless and can occur due to friction, irritation, or other benign processes. Given that it has remained unchanged in size and color for over a decade, it is likely benign. However, it is always wise to have any persistent oral lesions evaluated by a dental professional.

2. Can I have the tag removed, and are there any risks?
If the tag is causing discomfort, such as being frequently licked by your tongue, removal may be a reasonable option. Surgical excision of mucosal tags is a common procedure and can typically be performed under local anesthesia in an outpatient setting. The risks associated with this procedure are generally low, but they can include bleeding, infection, and scarring. Additionally, there is a slight chance that the tag could recur after removal. It’s essential to discuss these potential risks with your healthcare provider before proceeding.

3. Where should I go for removal?
For the removal of a small mucosal tag, you have a couple of options. An ear, nose, and throat (ENT) specialist may be able to perform this procedure, especially if they have experience with oral lesions. However, it is often more appropriate to consult with an oral surgeon or a dentist who specializes in oral surgery. They are specifically trained to handle oral lesions and can provide a more comprehensive evaluation and treatment plan. They will also be equipped to administer local anesthesia safely and effectively.

In summary, while the mucosal tag you described appears to be benign, if it is causing you discomfort, removal is a viable option. Consulting with an oral surgeon or a dentist specializing in oral surgery would be the best course of action. They can assess the tag, discuss the procedure, and ensure that you are informed about the potential risks and benefits.

If you have any further questions or concerns, please do not hesitate to reach out. Your oral health is important, and it’s crucial to address any issues that may arise.

Best wishes for your health,
Doctor Q&A Teams

[Your Institution or Practice]

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