Treatment of ranula—excision of the sublingual gland versus marsupialization

Morita, Yuka; Sato, Katsuro; Kawana, Masahiro; S, Takahasi; Ikarashi, Fumio

doi:10.1016/s0385-8146(03)00058-0

Cited by 43 publications

(33 citation statements)

References 10 publications

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“…Ranula is a clinical term generally used for cystic lesions in the floor of the mouth (Quick and Lowell 1977;Morita et al 2003). There are two different concepts in the pathogenesis of ranula.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Intraoral Ranulas: An Analysis of Nine Cases

Yuca

Bayram

Çankaya

et al. 2005

Tohoku J. Exp. Med.

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(2), 151-155 An intraoral ranula is a retention cyst arises from the sublingual gland on the floor of the mouth as a result of ductal obstruction and fluid retention. Many techniques for management of ranulas have been described in the literature. The purpose of this study was to analyze our surgically treated pediatric patients with intraoral ranulas and to discuss the results in the light of the literature. Nine pediatric patients (six females and three males) with intraoral ranulas surgically treated were analyzed retrospectively regarding their treatment methods and results. The surgical specimens were also re-examined histologically. Seven cases of superficial, protruded and smaller than 2 cm ranulas were treated with marsupialization (unroofing). Two cases who were previously operated and then recurred had bigger than 2 cm ranulas. In these two cases, marsupialization of the ranula plus removal of the sublingual gland was performed. The most common complication was intraoperative cyst rupture of the ranula, which was noted in four cases. A recurrence was observed in only one case in the 16th months of follow up period. Our findings show that marsupialization is a suitable and effective method for pediatric intraoral ranulas, whereas in recurrent cases marsupialization of the ranula combined with total excision of sublingual gland may be preferred ranula; intraoral cyst; sublingual mass; marsupialization

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Section: Discussionmentioning

confidence: 99%

Pediatric Intraoral Ranulas: An Analysis of Nine Cases

Yuca

Bayram

Çankaya

et al. 2005

Tohoku J. Exp. Med.

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“…One is a true cyst within an epithelial lining formed due to ductal obstruction, and the other is a pseudocyst without an epithelial lining, formed due to ductal injury and extravasation of mucous from the sublingual gland. 1 The vast majority of ranulas are now recognized as extravasation cysts arising from sublingual gland. In particular, the plunging ranulas are almost exclusively extravasation cysts.…”

Section: Discussionmentioning

confidence: 99%

“…1 According to the variation of its extension, they are categorized into two: "simple/sublingual type" and "plunging/diving type." 1,2 A sublingual ranula develops in the floor of the mouth, while plunging ranula develops as a soft cystic swelling in the submandibular space or in upper cervical region. 3 The main differences between these two are elaborated in Table 1.…”

Section: Introductionmentioning

confidence: 99%

Bilateral Plunging Ranula due to Habitual Etiology

Singh¹,

Bishen²,

Limaye³

et al. 2017

Journal of Oral Health and Community Dentistry

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Plunging ranulas are pseudocysts in which mucous have extravasated either around or through the mylohyoid muscle to escape the confines of sublingual space to involve the submandibular and inferior aspect of parapharyngeal spaces. We describe a rare case of extensive bilateral plunging ranula in which involvement of multiple tissue spaces was well illustrated by magnetic resonance imaging. Clinical and histologic features and pathogenesis have been concisely discussed. The ranulas mostly occur unilaterally and to the best of our knowledge, the development of two discrete ranulas/bilateral presentations in the same patient is especially rare and very few cases have been reported until now. Although the cause of extravasations remains unclear, this case report is significant because of its characteristic possible habit-related etiology.

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“…The common form of a ranula is a pseudocyst derived from the extravasation of the sublingual gland [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] . The reason for the extravasation is considered to be trauma to the sublingual gland and related structure 1,7,8 .…”

Section: In-kyo Chung Et Al: Partial Sublingual Glandectomy With Ranumentioning

confidence: 99%

“…In general, a ranula is known as an extravasation phenomenon of the sublingual gland [3][4][5][6] . It looks like a cystic lesion, but it is a pseudocyst without epithelial lining 3,[7][8][9][10][11][12] . Note, however, that there have been few cases wherein mucus retention cysts 52 surgical treatments were performed on the 43 patients.…”

Section: Introductionmentioning

confidence: 99%