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@article{203233,
        author = {Dr. Vidya Patil and Dr. Pallavi Ambore and Dr. Rajendra Dhate},
        title = {ROLE OF APAMARGA KSHARA IN REDUCING RECURRENCE OF MUCOCELE POST-SURGERY: AN EVIDENCE-BASED CASE STUDY},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {12},
        number = {12},
        pages = {10469-10475},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=203233},
        abstract = {Background: Mucocele is the most common benign cystic lesion of the oral mucosa, arising primarily from minor salivary gland ducts. Despite surgical excision being the standard treatment, recurrence rates remain notably high, particularly in young adults. In Ayurveda, oral mucocele correlates with Vata Kaphaja Ostha Jalarbuda. Apamarga Kshara (alkaline caustic derived from Achyranthes aspera) exerts Shodhana (purification) and Lekhana (scraping) properties, offering a rational pharmacological basis for preventing post-surgical recurrence.
Case Presentation: A 28-year-old male engineer from Pune, Maharashtra, presented to the OPD on 28 April 2025 with a one-month history of painless progressive swelling on the inner aspect of the lower lip, accompanied by mild discomfort during eating and speaking. The patient had a documented prior episode of mucocele managed with allopathic medication and surgical excision approximately four months earlier, following which recurrence occurred. Surgical excision of the mucocele was performed under local anaesthesia (2% lignocaine), followed immediately by application of Pratisaraneeya Apamarga Kshara to the surgical bed. The Kshara was neutralised after Shatmatra Kala (100 seconds) using Nimbu Swarasa (lemon juice). Post-operative follow-up was conducted at Day 3, Day 7, Day 14, and at 3 months.
Results: The lesion demonstrated progressive healing with normalisation of mucosal colour by Day 7. At 3-month follow-up, no recurrence was detected, and no visible scarring was present, indicating excellent cosmetic and clinical outcome.
Conclusion: Adjuvant post-surgical application of Apamarga Kshara significantly reduces mucocele recurrence by ablating residual mucin-secreting epithelium through its Ksharana, Lekhana, and Shodhana properties. This integrative approach offers a safe, minimally invasive, and cosmetically superior alternative to repeat surgical excision.},
        keywords = {Apamarga Kshara, Mucocele, Kshara Karma, Jalarbuda, Pratisaraneeya KsharaRecurrence, Shalakyatantra, Oral Mucocele, Post-surgical management.},
        month = {May},
        }