Perspectives in Medical Research

Volume: 10 Issue: 3

  • Open Access
  • Original Article

Surgical Management of Ranula- Floor of Mouth by Marsupialization: A Case Series.

1 Associate Professor, Department Of Dentistry, JIIU'S Indian Institute of Medical Sciences and Research, Jalna, Maharashtra
2 Professor, Dept. Of Obstetrics and gynaecology, JIIU's Indian Institute of Medical Sciences & Research, Jalna, Maharashtra
3 Professor, Department Of Dentistry, JIIU’S Indian Institute of Medical Sciences and Research
4 Associate Professor, Department Of Anaesthesia, JIIU’S IndianInstitute of Medical Sciences and Research
5 Associate Professor, Dept of Preventive and Social Medicine , JIIU'S Indian Institute of Medical Sciences
*Corresponding Author: Amjad Shaikh, Associate Professor, Department Of Dentistry, JIIU’S Indian Institute of Medical Sciences and Research, Jalna, Maharashtra
E-MAIL: [email protected]

Year: 2022, Page: 63-67, Doi: https://doi.org/10.47799/pimr.1003.11

Received: Oct. 12, 2022 Accepted: Dec. 12, 2022 Published: Dec. 12, 2022

Abstract

Introduction: The extravasation of saliva from the sublingual gland on the floor of the mouth results in a ranula. The most typical presentation is swelling under the tongue. The mylohyoid muscle may allow it to herniate, Causing a plunging ranula. Ranula can be treated in many ways, including ranula excision alone, excision of the sublingual gland with or without ranula, aspiration of cystic fluid, sclerotherapy, marsupialization, incision and drainage.
Material and methods: This case study includes six patients with ranula who underwent surgical treatment by marsupialization. The indications, age and sex distribution, Marsupialization methods, pathology reports, recurrence rates, and complications were seen.
Results: Out of 6 patients in our case series, no one patient has shown to be any recurrence or complications of marsupialization.
Conclusions: Management of Ranula by Marsupialization is a good option, but if it recurs after marsupialization, Excision of the lesion and the affected gland is the best course of action.

Keywords: Ranula marsupialization, Sublingual Gland, Floor of Mouth

References

  1. Suresh, K, Feng, A L & Varvares, M A . 2019. Plunging ranula with lingual nerve tether: Case report and literature review. Am J Otolaryngol 40(4):612–616.

  2. Velankar, H K, Dabholkar, Y G & Dawat, N . 2014. A large plunging ranula causing sleep apnoea: a case report. Int J Health Sci Res 4(5):301–304.

  3. Arunachalam, P & Priyadharshini, N . 2010. Recurrent plunging ranula. J Indian Assoc Pediatr Surg 15:36–44.

  4. Mahadevan, M & Vasan, N . 2006. Management of paediatric plunging ranula. Int J Paediatr Otorhinolaryngol 70(6):1049–54.

  5. Verma, G, Sheikhi, M, Jalalian, F, Rashidipoor, R & Mosavat, F . 2011. Plunging ranula of the submandibular area. Arch CranOroFac Sci 1(3):114–118.

  6. Soni, A, Suyal, P & Suyal, A . 2012. Congenital ranula in a newborn: a rare presentation. Ind J Otolaryngol Head Neck Surg 64(3):295–297.

  7. Sagari, S K, Vamsi, K C, Shah, D, Singh, V, Patil, G B & Saawarn, S . 2012. Micro-marsupialization: a minimally invasive technique for mucocele in children and adolescents. J Ind Soc Pedod Prev Dent 30:188–191.

  8. Lovrencic-Huzjan, A, Rundek, T & Katsnelson, M . 2012. Recommendations for the management of patients with carotid stenosis. Stroke Research and Treatment. Article ID 175869.

  9. Zhao, Y F, Jia, Y, Chen, X M & Zhang, W F . 2004. Clinical review of 580 ranulas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98(3):281–287.

  10. Yadav, R, Tewari, V & Ranula, . 2021. Its Etiopathogenesis and Management. A Systematic Review. ENT-Updates 11(1):56–61.

  11. Kumar, Mvsrv & Gulivindala, D . 2014. A case report of ranula treated with marsupialization and low-level laser therapy. Int J Sci Res Publ 4(10):1–3.

  12. Olojede, Aco, Ogundana, O M, Emeka, C I, Adewole, R A, Emmanuel, M M, Gbotolorun, O M, Ayodele, A O & Oluseye, S B . 2017. Plunging ranula: surgical management of case series and the literature review. Clin Case Rep. PMCID 6:5771944

  13. Kurabayashi, T, Ida, M, Yasumoto, M, Ohbayashi, N, Yoshino, N, Tetsumura, A, Sasaki, T, Mri, & Ranulas, . 2000. Gupta A, Karjodkar FR. Plunging ranula: a case report 42:917–939.

  14. Patel, M R, Deal, A M & Shockley, W W . 2009. Oral and plunging ranulas: What is the most effective treatment? Laryngoscope. PMID 119(8):4455536.

  15. Sahoo, R, Sahoo, P, Mohapatra, D & Subudhi, S . 2017. Two concurrent large epidermoid cysts in sublingual and submental region resembling plunging ranula: report of a rare case. Ann Maxillofac Surg 7:155–158.

  16. Kogo, Lida S, Tominaga, M, Matsuya, G & T . 2001. Plunging ranula as a complication of intraoral removal of a submandibular sialolith. Br J Oral Maxillofac Surg 39:214–216.

  17. Sigismund, P, Bozzato, A, Schumann, M, Koch, M, Iro, H & Zenk, J . 2013. Management of ranula: 9 years clinical experience in pediatric and adult patients. J Oral Maxillo Surg 71:538–544.

  18. Baurmash, H D . 2007. A case against sublingual gland removal as primary treatment of ranulas. J Oral Maxillofac Surg 65:117–121.

Cite this article

Shaikh A, Fatema I, Deshmukh V, Shaikh MM, Syed J. Surgical Management of RanulaFloor of Mouth by Marsupialization: A Case Series.. Perspectives in Medical Research. 2022;10(3):63-67 DOI: 10.47799/pimr.1003.11

Views
301
Downloads
217
Citations