Odovtos - International Journal of Dental Sciences ISSN Impreso: 1659-1046 ISSN electrónico: 2215-3411

OAI: https://revistas.ucr.ac.cr/index.php/Odontos/oai
Ranula, Surgical Versus Nonsurgical Treatment Alternatives
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Keywords

Ranula
Sublingual mucous retention
Sublingual gland
Marsupialization

How to Cite

Rojas Jiménez DDS, D., Porras Fernández DDS, I., & Zamora Arce DDS, D. (2016). Ranula, Surgical Versus Nonsurgical Treatment Alternatives. Odovtos - International Journal of Dental Sciences, 18(1.1), 15–28. https://doi.org/10.15517/ijds.v0i0.24398

Abstract

A review of literature describing performed ranula. The pathological condition called "ranula" from latin term, derived ran frog, and ula small. It is defined as an extravasation of pseudocystic mucus and is subdivided into simple, where the volume increase occurs only on the floor of mouth and "plunging" in which an extravasation is given to the neck, accumulating saliva below the mylohyoid muscle.  It also investigates about its etiology is unknown although there are certain factors such as obstruction of the excretory duct of the sublingual gland, trauma, surgery and congenital abnormalities have been implicated.  Subsequently different types of treatments for ranula described with surgical approach and non-surgical approach. Including: 432 OK, carbon dioxide laser, cryosurgery, botulinum toxin, fenestration and continuous pressure, marsupialization, incision and drainage, surgical removal of the ranula and sublingual gland involved, among others.  Sublingual gland removal is considered the most reliable method of treatment, although there are risks such as injury to the lingual nerve and submandibular duct.


https://doi.org/10.15517/ijds.v0i0.24398
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References

George M., Mirza O., Solanki K., Goswamy J., Rothera M. Serious neonatal airway obstruction with massive congenital sublingual ranula and contralateral occurrence. Annals of Medicine and Surgery. 2015; 4(14): 136-139.

Hassan A., Beltagi E., Sayed E., Al Far A., Sahmmary N. Horseshoe shaped, anterior crossing ranula, a case report. European Journal of Radiology. 2007; 64(3): 95–98.

Nadershah M., Salama A. Removal of Parotid, Submandibular, and Sublingual Glands. Oral Maxillofac Surg Clin North Am. 2012; 24(2):295-305.

Nadershah M., Salama A. Removal of Parotid, Submandibular, and Sublingual Glands. Oral Maxillofac Surg Clin North Am. 2012; 24(2):295-305.

Orloff L., Hwang H., Jecker P. The role of ultrasound in the diagnosis and management of salivary disease. Operative Techniques in Otolaryngology. 2009; 20(2):136-144.

Gaurang V., Shah M. MR imaging of salivary glands. Magn Reson Imaging Clin NAm. 2004; 14(4): 777–808.

Shah G. MR imaging of salivary glands. Magn Reson Imaging Clin N Am. 2002; 10(4):631–662.

Shah G. MR imaging of salivary glands. Magn Reson Imaging Clin N Am. 2002;

(4):631–662.

Raju R., Digoy G. Management of pediatric ranula. Elsevier. 2009; 20(4): 260-262.

Silvers A., Som P. Salivary glands. Radiologic clinics of north America. 1998; 36(5): 941-964.

Nathanson N., Quinn T. Ránula. A Review of the literatura and report of three cases. Oral Surg. Oral Med. Oral Pathol. 1952; 5(3): 250-255.

Galloway R., Dwayne P., Thompson S. Pathogenesis and Treatment Report of Three Cases of Ranula. J Oral Maxillofac Surg. 1989; 47(3):299-302.

De Visscher J., Van der Wal K., Vogel P. The Plunging Ranula. Pathogenesis, Diagnosis and Management. J. Cranio-Max.-Fac. Surg. 1989; 17(4):182-185.

Ostrower S., Parikh R. Pediatric skull base plunging ranula: Case report and review of the literatura. International Journal of Pediatric Otorhinolaryngology Extra. 2007; 2(1): 54-57.

Hze-Khoong E., Xu L., Shen S., Yin X., Wang L., Zhang C. Submandibular gland mucocele associated with a mixed ranula. Elsevier. 2012; 113(6): 6-.

Brunner H., Newark N. Pathology of Ranula. Oral Surg. Oral Med. Oral Pathol.1949; 2(12):1591-1598.

Campos L. Hyperplasia of the sublingual glands in adult patients. Oral Surg Oral Med Oral Pathol Oral Radiol Fndod. 1996; 81(5):584-5.

Ozturk K., Yaman H., Arbag H., Koroglu D., Toy H., Turkey K. Submandibular gland mucocele: Report of two cases. Oral Surgery Oral Medicine Oral Pathology Oral Radiology Endodoncy. 2005; 100(5): 732-735.

Charles Lee Ch., Fattahi T., Caldwell G. Neuroimaging of neck pathology. Atlas Oral Maxillofac Surg Clin North Am. 2003; 11(1):55-72.

Zhao Y., Jia Y., Chen X., Zhang W. Clinical review of 580 ranulas. Oral Surgery Oral Medicine, Oral Pathology, Oral Radioogy, Endodoncy 2004; 98(3): 281-287.

Redpath T. Congenital ranula. Oral surgery department, eastman dental hospital. 1969 octubre; 28(4): 542-544.

Chow T., Chan S., Lam S. Ranula sucessfully treated by botulium toxin type A: report of three cases. Oral Surgery Oral Medicine, Oral Pathology, Oral Radioogy, Endodoncy 2008; 105(1):41-2.

McGurk M. Management of the Ranula. J Oral Maxillofac Surg. 2007; 65(1):115-116.

Lucchesi F., Sant’Ana-Filho M., Varvaki P. Ranula Management: Suggested Modifications in the Micro-Marsupialization Technique. J Oral Maxillofac Surg. 2007; 65(7):1436-1438.

Garofalo S., Briganti V., Caballaro S., Pepe E., Prete M., Suteu L., Tavormina P. Nickel gluconate-mercurius heel-potentised swine organ preparations: a new therapeutical approach for the primary treatment of pediatric ranula and intraoral mucocele. Elsevier. 2006; 71(2): 247-255.

Roh J., Kim H. Primary treatment of pediatric plunging ranula with nonsurgical sclerotherapy using OK-432. (PicibanilW). International Journal of Pediatric Otorhinolaryngology. 2008; 72(9): 1405-1410.

Kinoshita M., Kida W., Nakahara H. Plunging ranula intruding into the parapharyngeal space treated with OK-432. American Journal of Otolaryngology–Head and Neck Medicine and Surgery. 2012; 33(3): 345-348.

Peral B., Serrat A., Calero H., Verrier H. OK-432 Therapy for Cervicofacial Lymphangioma in Adults. Acta Otorrinolaringol Esp. 2007; 58(5):222-224.

Rosa P., Hirsch D., Dierks E. Congenital Neck Masses. Oral Maxillofacial Surg Clin N Am. 2008; 20(3): 339-352.

Baurmash H. A case against sublingual gland removal as primary treatment of ranulas. Journal oral maxillofacial surgery. 2007; 65(1): 117-121.

Lai J., Poon C. Treatment of ranula using carbon dioxide laser – Case series Report. Elsevier. 2009; 38(10): 1107–1111.

Mintz S., Barak S., Horowitz I. Carbon dioxide laser excision and vaporization of nonplunnging ranulas: a comparision of two treatment protocols. Journal oral maxillofacial surgery. 1964; 52(4): 370-372.

Yang S., Chen T. Transoral carbon dioxide laser sialolithectomy with topical anaesthesia. A simple, effective, and minimally invasive method. Journal of Oral Maxillofacial Surgery. 2011; 40(2): 169–172.

Rezende K., Moraes P., Butini L., Thomaz L., Cintra J., Bonecker M. Cryosurgery as an effective alternative for treatment of oral lesions in children. Brazilian Dental Journal (2014) 25(4): 352-356.

Narula R., Malik B. Rol of cryosurgery in the management of bening and premalignant lesions of the maxillofacial region. Indian Journal of Dental Sciences. 2012; 2(4): 63-66.

Yoshimura Y., Obara S., Kondoh T., Naitoh S. A comparasion of three methods used for treatment of ranula. Journal oral maxillofacial surgery. 1995; 53(3): 280-282.

Kujan O., Azzeghaiby S., Tarakji B., Abuderman A., Sakka S. Cryosurgery of the oral and peri-oral region: a literatura review of the mechanism, tissue response, and clinical applications. Journal of Investigative and Clinical Dentistry. 2013; 4(2): 71–77.

Garg A., Tripathi A., Chowdhry S., Sharma A., Biswas G. Cryosurgery: Painless and fearless management of mucocele in young patient. Journal of Clinical and Diagnostic Research. 2014; 8(8): 4-6.

Bansal A., Jain S., Gupta S. Cryosurgery in the treatment of oro-facial lesions. Indian Journal of Dental Research. 2012; 23(2): 1-8.

Garofalo S., Briganti V., Caballaro S., Pepe E., Prete M., Suteu L., Tavormina P. Nickel gluconate-mercurius heel-potentised swine organ preparations: a new therapeutical approach for the primary treatment of pediatric ranula and intraoral mucocele. Elsevier. 2006; 71(2): 247-255.

Ohta N., Fukase S., Suzuki Y., Aoyagi M. Treatment of salivary mucocele of the lower lip by OK-432. Elsevier. 2011; 38(2): 240-243.

Hoque A., McAndrew M. Use of botulinum toxin in dentistry. New York State Dental Journal. 2009; 75(6): 52-55.

Di Nasso P., Bacco J., Mansilla J. Toxina botulínica para la secreción descontrolada de saliva: Presentación de un caso. Revista de la Facultad de Odontología. Universidad Nacional de Cuyo. 2010; 4(1): 39-44.

Majid O. Clinical use of botulinum toxins in oral and maxillofacial surgery International Journal of Oral and Maxillofacial Surgery. 2010; 39(3): 197–207.

Takagi S., Mizukawa N., Kimura T., Asaumi J. Treatment of a plunging ranula with fenestration and continuous pressure. British journal oral maxillofacial surgery. 2003; 41(6): 410–413.

Zhao Y., Jia J., Jia Y. Complications Associated With Surgical Management of Ranulas. J Oral Maxillofac Surg. 2005; 63(1):51-54.

Haberal I., Göçmen H., Samim E. Surgical management of pediatric ranula. Int J Pediatr Otorhinolaryngol. 2004; 68(2):161-163.

Baurmash H. Mucoceles and Ranulas. J Oral Maxillofac Surg. 2003; 61(3):369-378.

Baurmash H. Marsupialization for Treatment of Oral Ranula: A Second Look at the Procedure. Journal Oral Maxillofacial Surgery. 1992; 50(12):1274-1279.

Baurmash H. Treating oral ranula: another case against blanket removal of the sublingual gland. Br J Oral Maxillofac Surg. 2001; 39(3), 217–220.

Amaral M., De Freitas J., Mesquita R. Upgrading of the micromarsupialisation technique for the management of mucus extravasation or retention phenomena. Int. J. Oral Maxillofac. Surg. 2012; 41(12): 1527–1531.

Abdul-Aziz D., Adil E. Ranula excision. Operative Techniques in Otolaryngology. 2015; 26(1):21–27.

Sigismund P, Bozzato A, Schumann M, Koch M, Iro M, Zenk J. Management of Ranula: 9 Years’ Clinical Experience in Pediatric and Adult Patients. American Association of Oral and Maxillofacial Surgeons. 2013; 71(3):538-544.

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