Open AccessManagement of Oral Ranula
Author(s) -
Woo HyunJae,
Chi Deok Hwan
Publication year - 2012
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599812451426a130
Subject(s) - ranula , marsupialization , sublingual gland , medicine , surgery , sclerotherapy , complication , hematoma , salivary gland , cyst
Objective Preferred treatment of oral ranulas remains controversial. We present our experience with ranulas at Gumi CHA Medical Center (GCMC) and review the literature. Method Retrospective review. From 2002 to 2010, 61 oral ranulas were treated at GCMC. Combining the GCMC series with the literature identified 271 cases for review. Results In the GCMC series, procedures for oral ranulas varied from ranula excision (9 cases, 32%), marsupialization (18 cases), combined ranula and sublingual gland excision (24 cases, 45%), sclerotherapy with OK‐432 (10 cases, 23%). Recurrences of ranula excision only, marsupialization, combined ranula and sublingual gland excision, and sclerotherapy were 5 cases (56%), 5 cases (28 %), 0 cases (0%), and 5 cases (50%), respectively. Sixty complications were identified from the literature. Recurrence was considered a complication and was most prevalent (68%). Nonrecurrent complications included tongue hypesthesia (12%), bleeding/hematoma (12%), postoperative infection (7%), and Wharton’s duct injury (2%). Procedures and associated complication rates were: ranula excision only (20%), marsupialization (20%), combined ranula and sublingual gland excision (13%), and sclerotherapy (57%). Conclusion Based on our review, definitive treatment yielding lowest recurrence and complication rates for oral ranulas is transoral excision of the ipsilateral sublingual gland and ranula.