Significance of Sublingual Gland Excision in Surgical Treatment of Ranula

Abstract

Background and ObjectivesZZRanulas, pseudo cysts found on the floor of mouth, develop from the retention or extravasation of saliva from the sublingual gland. The main treatment of ranula is surgical excision but the extent of surgery is controversial. The aim of this study was to evaluate the significance of sublingual gland excision in the surgical treatment of ranula. Subjects and MethodZZWe retrospectively reviewed 112 patients with ranula who had undergone surgical excision from January 2004 to April 2016. Those who underwent any previous treatment such as sclerotherapy, marsupialization, or excision of cyst were excluded in the study. Surgical outcomes including complications and recurrence were compared between the group that went through simple cyst excision and the group that went through cyst and sublingual gland excision. ResultsZZOf 112 patients, 94 were simple ranula and 18 were plunging ranula. Thirty-seven (33%) were male and 75 (67%) were female. Of the 94 simple ranula patients, 23 underwent excision of cyst only; the remaining 71 patients and all other patients with plunging ranula underwent excision of cyst and sublingual gland together. The recurrence rate was significantly lower for the cyst and sublingual gland excision group than for the simple cyst excision group (2.2% vs. 17.4%, p=0.004). The complication rate did not differ between the two groups (4.3% vs. 1.1%, p=0.298). ConclusionZZThe excision of sublingual glands as well as cysts is an important option to reduce recurrence in the surgical treatment of ranula.

Transoral Drainage of Plunging Ranula using Intraoperative Ultrasonography after Sublingual Gland Resection: A Case Report

“…3,[9][10][11] Choi 등은 설하선의 절제와 함께 낭종을 흡입 기로 흡입해주는 것이 에탄올 경화요법보다 효과적이고 재발률이 낮다고 보고하기도 하였다.12) 본 증례의 환자 또한 타병원에서 에탄올 경화치료를 4회 시행 받았으나 재발한 경우였다. 설하선은 해부학적으로 구강저, 하악, 악설골근과 복 잡하게 얽혀 위치하고 있고 악하선관, 설신경, 설하신경 의 분지, 혀의 외인성 근육, 설하 동맥 및 정맥 등 여러 주요 구조물들과 인접해 있기 때문에 설하선 절제술을 시행할 때 여러 합병증을 유발할 수 있다.…”