Download PDF
CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(02): e296-e301
DOI: 10.1055/s-0042-1744166
Original Research

Surgical Treatment of Sublingual Gland Ranulas

Michał Gontarz 
1   Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, Cracow, Poland
2   University Hospital, Cracow, Poland
,
Jakub Bargiel 
1   Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, Cracow, Poland
2   University Hospital, Cracow, Poland
,
Krzysztof Gąsiorowski 
1   Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, Cracow, Poland
2   University Hospital, Cracow, Poland
,
Tomasz Marecik 
1   Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, Cracow, Poland
2   University Hospital, Cracow, Poland
,
Paweł Szczurowski 
1   Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, Cracow, Poland
2   University Hospital, Cracow, Poland
,
Jan Zapała 
1   Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, Cracow, Poland
2   University Hospital, Cracow, Poland
,
Krystyna Gałązka 
2   University Hospital, Cracow, Poland
3   Department of Pathology, Jagiellonian University Medical College, Cracow, Poland
,
Grażyna Wyszyńska-Pawelec 
1   Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, Cracow, Poland
2   University Hospital, Cracow, Poland
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Introduction 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.

Objective 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.

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

Results 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.

Conclusion 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.

Keywords

ranula - oral ranula - plunging ranula - salivary gland - sublingual gland - treatment


Publication History

Received: 07 June 2021

Accepted: 17 January 2022

Article published online:
19 December 2022

© 2022. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil