Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Case report of the management of the ranula

  • Choi, Moon-Gi (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University)
  • Received : 2018.07.19
  • Accepted : 2018.11.17
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Ranula is a mucocele caused by extravasation of the sublingual gland on the floor of the mouth. The most common presentation is a cystic mass in the floor of the mouth. A portion of the sublingual gland could herniate through the mylohyoid muscle, and its extravasated mucin can spread along this hiatus into submandibular and submental spaces and cause cervical swelling. This phenomenon is called plunging ranula. A variety of treatments for ranula has been suggested and include aspiration of cystic fluid, sclerotherapy, marsupialization, incision and drainage, ranula excision only, and excision of the sublingual gland with or without ranula. Those various treatments have shown diverse results. Most surgeons agree that removal of the sublingual gland is necessary in oral and plunging ranula. Four patients with ranula were investigated retrospectively, and treatment methods based on literature review were attempted.

Keywords

References

  1. Zhi K, Gao L, Ren W. What is new in management of pediatric ranula? Curr Opin Otolaryngol Head Neck Surg 2014;22:525-9. https://doi.org/10.1097/MOO.0000000000000103
  2. Zhao YF, Jia Y, Chen XM, Zhang WF. Clinical review of 580 ranulas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98:281-7. https://doi.org/10.1016/j.tripleo.2004.01.013
  3. Harrison JD. Modern management and pathophysiology of ranula: literature review. Head Neck 2010;32:1310-20. https://doi.org/10.1002/hed.21326
  4. Parekh D, Stewart M, Joseph C, Lawson HH. Plunging ranula: a report of three cases and review of the literature. Br J Surg 1987;74:307-9. https://doi.org/10.1002/bjs.1800740426
  5. Zhi K, Wen Y, Ren W, Zhang Y. Management of infant ranula. Int J Pediatr Otorhinolaryngol 2008;72:823-6. https://doi.org/10.1016/j.ijporl.2008.02.012
  6. Anastassov GE, Haiavy J, Solodnik P, Lee H, Lumerman H. Submandibular gland mucocele: diagnosis and management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:159-63. https://doi.org/10.1067/moe.2000.102771
  7. Crysdale WS, Mendelsohn JD, Conley S. Ranulas--mucoceles of the oral cavity: experience in 26 children. Laryngoscope 1988;98:296-8.
  8. Yoshimura Y, Obara S, Kondoh T, Naitoh S. A comparison of three methods used for treatment of ranula. J Oral Maxillofac Surg 1995;53:280-2; discussion 283. https://doi.org/10.1016/0278-2391(95)90224-4
  9. Shelley MJ, Yeung KH, Bowley NB, Sneddon KJ. A rare case of an extensive plunging ranula: discussion of imaging, diagnosis, and management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:743-6. https://doi.org/10.1067/moe.2002.122504
  10. Patel MR, Deal AM, Shockley WW. Oral and plunging ranulas: what is the most effective treatment? Laryngoscope 2009;119:1501-9. https://doi.org/10.1002/lary.20291
  11. Baurmash HD. Marsupialization for treatment of oral ranula: a second look at the procedure. J Oral Maxillofac Surg 1992;50:1274-9. https://doi.org/10.1016/0278-2391(92)90226-P
  12. Morita Y, Sato K, Kawana M, Takahasi S, Ikarashi F. Treatment of ranula--excision of the sublingual gland versus marsupialization. Auris Nasus Larynx 2003;30:311-4. https://doi.org/10.1016/S0385-8146(03)00058-0
  13. Baurmash HD. A case against sublingual gland removal as primary treatment of ranulas. J Oral Maxillofac Surg 2007;65:117-21. https://doi.org/10.1016/j.joms.2006.05.006
  14. Chung IK, Lee HJ, Hwang DS, Kim YD, Park HR, Shin SH, et al. Partial sublingual glandectomy with ranula excision: a new conservative method for treatment. J Korean Assoc Oral Maxillofac Surg 2012;38:160-5. https://doi.org/10.5125/jkaoms.2012.38.3.160
  15. Kim PD, Simental A Jr. Treatment of ranulas. Oper Tech Otolaryngol 2008;19:240-2. https://doi.org/10.1016/j.otot.2008.10.010
  16. Kono M, Satomi T, Abukawa H, Hasegawa O, Watanabe M, Chikazu D. Evaluation of OK-432 injection therapy as possible primary treatment of intraoral ranula. J Oral Maxillofac Surg 2017;75:336-42. https://doi.org/10.1016/j.joms.2016.08.013