Modified Micromarsupialization as Treatment of Ranula in a Pediatric Patient

Silva, Diego Filipe Bezerra; Neves, Gabriella de Vasconcelos; Moura, Rodrigo Queiroga de; Carvalho, Sérgio Henrique Gonçalves De; Pereira, Jozinete Vieira; Gomes, Daliana Queiroga de Castro

doi:10.1097/scs.0000000000006114

Cited by 6 publications

(7 citation statements)

References 15 publications

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“…Patients with PR were diagnosed on the basis of clinical presentation and magnetic resonance imaging (MRI) examination. Micromarsupialization with sutures was performed according to the technique described by Silva et al 13 The sutures were maintained up to 30 days after micromarsupialization. The patients' characteristics, treatment, and follow-up are presented in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

Surgical Treatment of Sublingual Gland Ranulas

Gontarz

Bargiel

Gąsiorowski

et al. 2022

Int Arch Otorhinolaryngol

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Introduction Ranulas are divided into oral (OR) and plunging (PR) and comprise the most common pathology of the sublingual gland. This study presents a case series of patients operated due to OR and PR within different type of modalities in a 1-year period. Objective The aim of this study is to determine the optimal surgical treatment of ranulas based on our results as well as in the literature review. Methods The medical charts of 7 patients with sublingual gland ranulas treated in 2020 were reviewed. Results The median age of the patients was 19. Three patients with OR were treated by marsupialization, micromarsupialization, and sublingual gland excision. Four patients with PR were operated via cervical approach in three cases and intraoral approach in one case. No recurrence was observed in 14 months of follow-up, on average. Conclusion Micromarsupialization should be consider as the primary treatment for OR. In case of recurrent OR and primary or recurrent PR, the best results might be obtained by radical excision of the sublingual gland, which can be performed without resection of the ranula sac with the intraoral approach.

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Section: Resultsmentioning

confidence: 99%

Surgical Treatment of Sublingual Gland Ranulas

Gontarz

Bargiel

Gąsiorowski

et al. 2022

Int Arch Otorhinolaryngol

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“…Ultrasound can be used to define their exact extent. Various reports have described the use of ultrasound in ERs [ 1 , 21 – 25 ] or PRs [ 1 , 11 , 15 , 22 – 24 , 26 – 28 ], but without detailed assessment. Closer descriptions of the ultrasound findings have appeared in case reports and small case series, particularly for pediatric patients [ 9 , 18 – 20 ] and in reviews [ 1 , 7 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound in the diagnosis and differential diagnosis of enoral and plunging ranula: a detailed and comparative analysis

et al. 2022

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Purpose To develop sonographic criteria for ranula that to allow rapid and precise diagnosis, differentiation between enoral (ER) and plunging ranula (PR), and differential diagnosis from other competing pathologies in this region. Methods Patients who presented with or were referred with ranula between 2002 and 2022 were assessed in a retrospective study. After clinical investigation, ultrasound examinations were performed in all cases. Several sonographic parameters describing the echotexture, shape and size of ranulas, their relationship to important surrounding anatomical landmarks and the characteristic spreading pattern of ERs and PRs were elaborated and evaluated. Results 207 ranulas were included (82.12% ERs and 17.87% PRs). The ranulas were all in close anatomical relationship to the sublingual gland (SLG) and mylohyoid muscle (MM). The echo texture was hypoechoic to anechoic in 97.6% of the lesions. In comparison with ERs, PRs were larger and irregular in shape significantly more often (P = 0.0001). There were significant differences between ERs and PRs in their exact location relative to the SLG (superficial, deep, anterior, each P = 0.0001; posterior, P = 0.03) and level of the MM (above, below, above and below, P = 0.0001 each). The exact extent and plunging pattern were depicted in all PRs, but naturally in none of the ERs. Conclusions The ultrasound criteria developed in this study, confirming previously published results, indicate that ultrasound is an excellent diagnostic tool for diagnosing ranula and differentiating between ERs and PRs.

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“…Ranula shows many clinical similarities with mucocele. It is caused by trauma to the excretory duct of the salivary glands located in the floor of the mouth and is manifested as swelling [ 7 , 72 , 78 , 84 , 86 ]. It is very uncommon in newborns [ 7 ].…”

Section: Traumatic Lesionsmentioning

confidence: 99%

Oral Mucosal Lesions in Childhood

et al. 2022

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Childhood diseases are a continuous source of interest in all areas of general and dental medicine. Congenital, developmental, and hereditary diseases may either be present upon birth or appear in early childhood. Developmental anomalies, although often asymptomatic, may become grounds for different infections. Furthermore, they can indicate certain systemic disorders. Childhood age frequently brings about benign tumors and different types of traumatic lesions to the oral mucosa. Traumatic lesions can be caused by chemical, mechanical, or thermal injury. Mucocele and ranula are, by definition, traumatic injuries of the salivary glands or their ducts. Recurrent aphthous lesions are the most common type of ulcerations in childhood, and their etiology is considered multifactorial. Oral mucosal lesions in children require different treatment approaches depending on etiological factors and clinical presentation. Clinicians should have adequate knowledge of oral anatomy in order to diagnose and treat pathological conditions.

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Modified Micromarsupialization as Treatment of Ranula in a Pediatric Patient

Cited by 6 publications

References 15 publications

Surgical Treatment of Sublingual Gland Ranulas

Surgical Treatment of Sublingual Gland Ranulas

Ultrasound in the diagnosis and differential diagnosis of enoral and plunging ranula: a detailed and comparative analysis

Oral Mucosal Lesions in Childhood

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