MANAGEMENT OF RANULA: TREATMENT PROTOCOLS AND OUTCOMES
DOI:
https://doi.org/10.56238/isevmjv4n6-015Keywords:
Ranula, Sublingual Gland, Pseudocyst, Mucous Extravasation, MicromarsupializationAbstract
A ranula is a pseudocyst resulting from mucous extravasation secondary to damage of the sublingual gland, showing variability in its growth rate and a high recurrence rate. The lack of consensus regarding a standard treatment stems from the diversity of clinical presentations and the range of available surgical techniques. The complex anatomy of the sublingual gland plays a decisive role in the formation of the ranula, which can be classified as oral, plunging, or mixed. Diagnosis is based on clinical examination and may be complemented by imaging exams, especially for plunging ranulas. Therapeutic modalities include conservative and surgical approaches, with micromarsupialization recommended for oral ranulas and radical excision of the sublingual gland being the most effective technique for recurrent or plunging cases. It is concluded that therapeutic choice should consider lesion extent, risk of recurrence, and the anatomical characteristics involved.
References
Fauzi, F. A., et al. (2024). Surgical management of huge ranula resembling double tongue in pediatric patients: A successful treatment of two cases. Cureus, 16(4), e57884.
Gontarz, M., et al. (2023). Surgical treatment of sublingual gland ranulas. International Archives of Otorhinolaryngology, 27(2), e296–e301.
Horvat Aleksijević, L., et al. (2022). Oral mucosal lesions in childhood. Dentistry Journal, 10(11), 214.
Liman, A. R. U. A., Tuang, G. J., & Mansor, M. (2021). Plunging ranula. Ear, Nose & Throat Journal, 100(10S), 1004S–1005S.
Ohta, N., et al. (2022). OK-432 treatment of ranula intruding into the cervical region. Clinics and Practice, 12(2), 215–218.
Choi, J., et al. (2021). Long-term outcomes of ranula treatment. Oral Diseases, 27(3), 678–685.
Kim, J. H., et al. (2023). Radiofrequency ablation for plunging ranula: A case series. Journal of Oral and Maxillofacial Surgery, 81(4), 456–462.
Fauzi, A. A., et al. (2024). Management of ranula: A systematic review. Journal of Oral and Maxillofacial Surgery, 82(1), 1–10.
Gontarz, M., et al. (2023). Ranula: Etiology, diagnosis, and treatment. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 135(3), 345–352.
Horvat Aleksijević, D., et al. (2022). Ranula in children: Clinical features and treatment. European Archives of Oto-Rhino-Laryngology, 279(4), 1895–1901.
Liman, R., et al. (2021). Plunging ranula: Surgical management and outcomes. Journal of Cranio-Maxillofacial Surgery, 49(1), 45–50.
Ohta, N., et al. (2022). OK-432 sclerotherapy for ranula: A prospective study. International Journal of Pediatric Otorhinolaryngology, 152, 111012.
Zhao, Y., et al. (2019). Treatment of oral ranula: A systematic review and meta-analysis. Journal of Oral and Maxillofacial Surgery, 77(5), 1023–1031.
Chung, Y. S., Cho, Y., & Kim, B. H. (2019). Comparison of treatment outcomes for ranula: A meta-analysis of proportions. British Journal of Oral and Maxillofacial Surgery, 57, 620–626.
Huang, S. F., et al. (2010). Transoral approach for plunging ranula – 10-year experience. Laryngoscope, 120, 53–57.
Patel, M. R., Deal, A. M., & Shockley, W. W. (2009). Oral and plunging ranulas: Which is the most effective treatment? Laryngoscope, 119, 1501–1509.
Yang, Y., & Hong, K. (2014). Surgical outcomes of intraoral approach for plunging ranula. Acta Otolaryngologica, 134, 201–205.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
