## 4 Discussion  
The management of oral mucoceles involves a spectrum of strategies, both surgical and non-surgical, tailored to the lesion's specific characteristics and the patient's requirements. Surgical interventions encompass various techniques, with excision being the most utilized approach. Surgical excision entails the complete removal of the cystic lesion and its associated surgical interventions.  
\begin{table}
\begin{tabular}{c c c c c c c c c c c} \hline \hline
**Author, Year** & **Q1** & **Q2** & **Q3** & **Q4** & **Q5** & **Q6** & **Q7** & **Q8** & **Q9** & **Q10** &
\begin{tabular}{c} **Overall** \\ **Appraisal** \\ \end{tabular} \\ \hline [PERSON] et al., & 2012 [21] & & & & & & & & & & & & \\ [PERSON] et al., & 2017 [22] & & & & & & & & & & & \\ [PERSON] et al., & 2016 [23] & & & & & & & & & & & \\ [PERSON] et al., & 2021 [24] & & & & & & & & & & & \\ [PERSON] et al., & 2021 [25] & & & & & & & & & & & \\ [PERSON] et al., & 2019 [26] & & & & & & & & & & & \\ [PERSON] et al., & 2021 [27] & & & & & & & & & & & \\ [PERSON] et al., & 2010 [28] & & & & & & & & & & & \\ [PERSON] et al., & 2012 [29] & & & & & & & & & & & \\ [PERSON] et al., & 2013 [30] & & & & & & & & & & & \\ [PERSON] et al., & 2022 [31] & & & & & & & & & & & \\ [PERSON] et al., & 2016 [32] & & & & & & & & & & & \\ [PERSON] et al., & 2016 [33] & & & & & & & & & & & \\ \hline \hline \end{tabular}
\end{table}
Table 2: The risk of bias in case series is represented by symbols (green for low risk of bias, yellow for high risk of bias, and blue for uncertain or unavailable data and medium risk of bias). In the first line the questions from the JBI tool checklist and the consequent answers in the subsequent lines are indicated with the letter Q and in increasing numbers.  
ated glandular tissue, minimizing the risk of recurrence. Laser ablation, an increasingly popular choice, provides precise removal with minimal bleeding and reduced scarring. Another surgical method, marsupialization, involves creating a controlled opening to facilitate continuous drainage, thereby reducing the risk of reaccumulation [34; 35].  
Non-surgical approaches are also considered, particularly for smaller, asymptomatic mucoceles. Cryotherapy employs freezing to eliminate the cystic tissue, while steroid injections help alleviate inflammation and encourage regression [34; 35]. However, these methods may have limitations in terms of the lesion's size and effectiveness. Conservative management, involving observation without active intervention, may be appropriate in specific cases, particularly when the mucoele exhibits signs of spontaneous regression.  
The choice between surgical and non-surgical approaches hinges on factors like lesion size, patient discomfort, location, and the potential for recurrence [36; 37; 38; 39]. Surgical methods are more definitive and efficacious for larger, symptomatic mucoceles. Non-surgical techniques, while less invasive, might be preferred for smaller lesions or individuals who wish to avoid surgery. A comprehensive evaluation by a healthcare professional is paramount to determine the optimal approach [39; 40]. Collaborative decision-making involving the patient's preferences, the clinician's expertise, and the specific characteristics of the mucoele contributes to a successful outcome, minimizing recurrence and ensuring patient satisfaction [41; 42].  
Surgical or non-surgical management is recommended when the mucoele is causing discomfort, pain, or interference with oral function. Generally, this is a growth-prone lesion, without spontaneous resolution, and can reach a considerable size [43; 44; 45; 46; 47; 48].