Sublingual ranula: a closer look to its surgical management.
Ranulas have been managed by various surgical methods, and the optimal treatment is still controversial. The aim of this study was to analyze a group of 124 surgically treated patients with intraoral ranula to assess 3 different methods: sublingual gland removal combined with the ranula excision, conventional marsupialization, and a variant of the marsupialization technique usually performed in our departments. Recurrence rate was 0% after radical treatment, 25.8% after marsupialization, and 12% after modified marsupialization. We suggest that conservative methods should always be considered as treatment of superficial oral ranulas. The modification of the conventional marsupialization by suturing the edges of the pseudocyst before unroofing of the lesion was demonstrated to be a useful technical strategy that simplifies and accelerates the surgical procedures and probably contributed to preventing recurrences.
Mortellaro
Carmen
C
Faculty of Medicine, Department of Medical Science, University of Eastern Piedmont, Italy.
Dall'Oca
Susanna
S
Lucchina
Alberta Greco
AG
Castiglia
Antonino
A
Farronato
Gianpietro
G
Fenini
Emanuele
E
Marenzi
Gaetano
G
Trosino
Oreste
O
Cafiero
Carlo
C
Sammartino
Gilberto
G
D000293:Adolescent; D000328:Adult; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D002648:Child; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology; D006801:Humans; D006847:Hydrocarbons, Iodinated / Q000627:therapeutic use; D006987:Hypesthesia / Q000209:etiology; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods; D019106:Postoperative Hemorrhage / Q000209:etiology; D011900:Ranula / Q000000981:diagnostic imaging / Q000601:surgery*; D012008:Recurrence; D012466:Salivary Gland Diseases / Q000601:surgery*; D013361:Sublingual Gland / Q000000981:diagnostic imaging / Q000601:surgery*; D015503:Surgical Sponges; D013530:Surgical Wound Infection / Q000209:etiology; D013536:Suture Techniques; D014060:Tongue Diseases / Q000209:etiology; D014463:Ultrasonography
D000891:Anti-Infective Agents, Local; D006847:Hydrocarbons, Iodinated; C010473:iodoform