Management Of Oral Ranula With Modified Micro-Marsupialization

Year 2023, Volume: 3 Issue: 1, 55 - 57, 29.04.2023

Zülfikar Karabıyık , Mahmut Sami Yolal , Mohammad Nabi Basiry

Abstract

Abstract
Ranulas are lesions on the floor of the mouth that result from the extravasation of mucous. There
has been an ongoing dilemma on the treatment, but currently, minimally invasive surgical ways
such as micro- marsupialization have been put on forward. A 40-year-old female patient was
consulted to our department with a bubble-shaped lesion located the floor of the mouth, on the left
side. The provisional diagnosis was ranula. A modified micro-marsupialization was applied. After
the 50 days of observation, complete resolution of the lesion was observed without recurrence.
Modified micro-marsupialization is a minimally invasive, comfortable technique for both patient
and operator with a high percentage of successive rate. It is well-accepted by the patient, mainly
uncooperative patients.
Key Words: Ranula, Minimally Invasive Treatment, Micro-marsupialization
ÖZET
Ranula, ektravazasyon fenomeniyle ilişkili olarak mucusun ağız tabanında toplanması
sonucu meydana gelen lezyonlardır. Literatürde bir çok tedavi seçeneği mevcut olmasına
ragmen, hangi tedavi seçeneğinin seçileceğine dair kesin bilgi mevcut değildir. Son yıllarda
ranulanın tedavisinde minimali invaziv bir yöntem olan mikro-marsüpyalizasyon ön plana
çıkmıştır. 40 yaşında bayan hasta kliniğimize sol ağız tabanında şişlik şikayetiyle
başvurmuştur. Lezyona, ranula ön tanısı konmuştur. Tedavi seçeneği olarak mikro
marsüpyalizasyonu modifiye ettiğimiz yöntem uygulanmıştır. Mikro-marsüpyalizasyonu
takiben 50. günde lezyon tamamen iyileşmiştir ve 6 aylık takipte herhangi bir nüksle
karşılaşılmamıştır.

Keywords

Ranula, Minimally Invasive Treatment, Micro-marsupialization

Project Number

yok

References

• P. Rachana, R. Singh, and V. Patil, “Modified micro-marsupialization in pediatric patients: A minimally invasive technique,” SRM J. Res. Dent. Sci. 2018;9(2):83.
• M. C. Piezzatta, T. C. Pereira, and M. J. Amenebar, “Micro‐marsupialization as an alternative treatment for mucocele in pediatric dentistry,” Int. Pediatr. Dent. 2012;22: 318–323.
• R. Chauhan Singh, V. Chauhan Singh, D. Shirol, and G. Lele, “Ranula in an Adolescent Patient,” J. Dent. Allied Sci. 2014;3(2):105–107.
• C. A. M. Goodson, B. F. K. Payne, K. George, and M. McGurk, “Minimally invasive treatment of oral ranulae: adaptation to an old technique,” British J. Oral Maxillofac. Surg. 2015;53:332–335.
• D. Kokong, A. Iduh, I. Chukwu, J. Mugu, S. Nuhu, and S. Sugustine, “Ranula: Current Concept of Pathophysiologic Basis and Surgical Management Options,” World J. Surg., vol. 41, no. 6, pp. 1476–1481, 2017.
• S. Hegde, B. Ketan, and D. Rao, “Management of Ranula in a Child by Modified MicroMarsupialization Technique,” J. Clin. Pediatr. Dent. 2017;41(4):305–307.
• B. Aluko-Olokun and A. A. Olaitan, “Ranula Decompression Using Stitch and Stab Method: The Aluko Technique,” Journal of Maxillofacial and Oral Surgery. 2017; 16(2): 192–196.
• A. Hills, A. Holden, and M. McGurk, “Evolution of the management of ranulas: change in a single surgeon’s practice 2001-14,” British Journal of Oral and Maxillofacial Surgery. 2016;54(9):992–996.
• S. Y. Chung, Y. Cho, and H. B. Kim, “Comparison of outcomes of treatment for ranula: a proportion meta-analysis,” Br. J. Oral Maxillofac. Surg. 2019;57:620–626.