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Published on: November 30, 2010
Management of infant ranula
Keqian Zhi1, Yumin Wen, Wenhao Ren
1Department of Oral and Maxillofacial Surgery/Oncological Head and Neck Surgery, College of Stomatology, Xi'an Jiaotong University, Number 98, Xiwu Road, Xi'an, ShaanXi 710004, China. zhikeqian@sina.com
International Journal of Pediatric Otorhinolaryngology
|April 5, 2008
Summary
Management of infant ranulas involves observation, aspiration, marsupialization, or sublingual gland excision. This study found no recurrences with these infant ranula treatments, suggesting a safe and effective approach.
Area of Science:
- Pediatric Surgery
- Oral and Maxillofacial Surgery
Background:
- Ranulas are rare in infants, with limited established management guidelines.
- Intraoral ranulas in infants require specific treatment considerations.
Purpose of the Study:
- To evaluate the efficacy and safety of various treatment modalities for intraoral ranulas in infant patients.
- To establish a stepwise management approach for infant ranulas.
Main Methods:
- Eleven infant patients with intraoral ranulas were treated.
- Treatments included mucus aspiration, marsupialization, and sublingual gland excision.
- A 6-month observation period with aspiration was followed by marsupialization or excision if recurrence occurred.
Main Results:
- All eleven cases presented with simple intraoral ranulas.
- Seven patients underwent sublingual gland excision, two had marsupialization, and two were managed with aspiration alone.
- No recurrent ranula lesions were observed in any of the treated patients.
Conclusions:
- Conservative management, including observation and aspiration, can be effective for infant ranulas.
- Sublingual gland excision is a safe and recommended option for recurrent infant ranulas, with careful dissection of surrounding structures.
- A staged approach, starting with less invasive methods, is appropriate for managing ranulas in infants.
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