AI Article Synopsis

  • Ranulas are fluid-filled lumps found on the floor of the mouth, and doctors usually treat them by cutting them out, but this can cause problems like bleeding or more lumps forming.
  • Instead of surgery, a technique called modified micromarsupialization can be used, which is less complicated and doesn’t usually need more treatment later.
  • An 11-year-old girl had a ranula, and after using the modified micromarsupialization, the lump completely disappeared after 90 days, making this method a good choice for kids with similar issues.

Article Abstract

Ranulas are mucoceles located on the floor of the mouth. The main form of treatment for these lesions is surgical excision, but this can lead to complications such as hemorrhage, recurrence of the lesion, and damage to the lingual nerve. Thus, other therapeutic modalities are indicated, such as modified micromarsupialization, which is a simple technique and not associated with recurrences, and without the need of a new intervention in the postoperative period. An 11-year-old female child, nonwhite, presented with bubble-shaped lesion located on floor of the mouth, on the left side, with exophytic growth, sessile base, bluish coloration, measuring about 4.0 cm in diameter, showing well-defined limits, well-delimited contours and borders, smooth surface, and softened consistency. Under the diagnostic hypothesis of the ranula, a modified micromarsupialization was performed. After 90 days of observation, complete regression and repair of the lesion were observed, without recurrence. Modified micromarsupialization is a simple therapeutic modality, low cost, and well-tolerated by the patient, mainly the pediatric one, being considered very effective in the treatment of lesions of difficult clinical management, as the ranula.

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http://dx.doi.org/10.1097/SCS.0000000000006114DOI Listing

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Ranula: Modified Micro-Marsupialization: Case Report and Review of Literature.

Iran J Otorhinolaryngol

March 2023

Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Palermo, Italy.

Introduction: Ranula is a limited mucus retention on the floor of mouth. Due to the young age of patients, over the years, attempts were made to find minimally invasive and effective surgical techniques. To date, however, there is still no gold standard.

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Objectives: Ranula is one of the commonest salivary gland cysts that mostly occur due to mucus extravasation from the sublingual salivary gland. Treatment of this lesion is still somewhat shrouded in controversy and varies from conservative treatment to surgical excision of the causative gland.

Materials And Methods: This was a case series in quasi-experimental design that evaluated the outcome and complications of the modified micromarsupialization technique as a newly introduced treatment at our center for simple sublingual ranula over a 2-year period.

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Article Synopsis
  • Ranulas are fluid-filled lumps found on the floor of the mouth, and doctors usually treat them by cutting them out, but this can cause problems like bleeding or more lumps forming.
  • Instead of surgery, a technique called modified micromarsupialization can be used, which is less complicated and doesn’t usually need more treatment later.
  • An 11-year-old girl had a ranula, and after using the modified micromarsupialization, the lump completely disappeared after 90 days, making this method a good choice for kids with similar issues.
View Article and Find Full Text PDF

The anatomical location of ranulas is challenging to the dental surgeon in terms of their management. The regional complexities of the area call for a skilled approach because of a number of vital structures within. Although complete excision with removal of the sublingual gland continues to be the gold standard of treatment, recent literature highlights successful outcomes by simple modification of the conventional ranular marsupialization technique.

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Background: This study was undertaken to compare micromarsupialization and modified micromarsupialization for the management of mucoceles.

Materials And Methods: A prospective randomized clinical study was done on thirty patients having mucocele on lower lip. In Group A ( = 15), micromarsupialization and in Group B ( = 15), modified micromarsupialization technique was used.

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