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Surgical Treatment of Sublingual Gland Ranulas

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Publisher Thieme
Date 2023 May 1
PMID 37125362
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Abstract

 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.  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.  The medical charts of 7 patients with sublingual gland ranulas treated in 2020 were reviewed.  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.  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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