Partial sublingual glandectomy with ranula excision: a new conservative method for treatment.
10.5125/jkaoms.2012.38.3.160
- Author:
In Kyo CHUNG
1
;
Hyo Ji LEE
;
Dae Seok HWANG
;
Yong Deok KIM
;
Hae Ryoun PARK
;
Sang Hun SHIN
;
Uk Kyu KIM
;
Jae Yeol LEE
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea. id9753153@gmail.com
- Publication Type:Original Article
- Keywords:
Ranula;
Sublingual gland;
Treatment outcome
- MeSH:
Acinar Cells;
Humans;
Ranula;
Recurrence;
Sublingual Gland;
Treatment Outcome
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2012;38(3):160-165
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: This study evaluated the clinical results of partial sublingual glandectomy accompanying the excision of ranula as new treatment modality. MATERIALS AND METHODS: A total of 43 patients who were treated between 1999 and 2007 for oral or plunging ranula were reviewed. All patients were treated surgically by various methods with a total of 55 different procedures performed. Ten cases of partial sublingual glandectomy with excision of the ranula were conducted. All excised specimens were examined. We compared the clinical outcomes resulting from each treatment method. RESULTS: The recurrence rates for marsupialization, excision of ranula, marsupialization with gauze packing, total excision of sublingual gland and ranula, and partial sublingual glandectomy with excision of ranula were 50%, 25%, 25%, 0% and 10%, respectively. Of the 10 patients treated by partial sublingual glandectomy with ranula excision, only one experienced recurrence (10%), i.e., plunging ranula. None of the ranulas contained an epithelial lining, and the excised portion of the feeding sublingual glands showed degenerative changes. CONCLUSION: In removal of ranulas, we found that excision of the attached sublingual gland, which removed the feeding portion and degenerative acinar cells, yielded good outcomes. Thus, as a new conservative method for treatment, we recommend partial sublingual glandectomy to accompany excision of the ranula.
