TY - JOUR
T1 - Sublingual ranula
T2 - A closer look to its surgical management
AU - Mortellaro, Carmen
AU - Dall'Oca, Susanna
AU - Lucchina, Alberta Greco
AU - Castiglia, Antonino
AU - Farronato, Gianpietro
AU - Fenini, Emanuele
AU - Marenzi, Gaetano
AU - Trosino, Oreste
AU - Cafiero, Carlo
AU - Sammartino, Gilberto
PY - 2008/1
Y1 - 2008/1
N2 - 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.
AB - 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.
KW - Marsupialization
KW - Ranula
KW - Recurrence
KW - Sublingual gland
UR - http://www.scopus.com/inward/record.url?scp=38549142335&partnerID=8YFLogxK
U2 - 10.1097/SCS.0b013e31815ca1cd
DO - 10.1097/SCS.0b013e31815ca1cd
M3 - Article
SN - 1049-2275
VL - 19
SP - 286
EP - 290
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 1
ER -