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Surgery for plunging ranula: the lesson not yet learned?
Sumit Samant1, Randall P Morton, Zahoor Ahmad
1Department of Otolaryngology-Head and Neck Surgery, Counties-Manukau DHB, PO Box 98743, South Auckland Mail Centre, Manukau City, New Zealand.
Summary
Transoral excision of the sublingual gland is an effective first-line treatment for plunging ranula. This surgical approach demonstrated a low recurrence rate and manageable complications in a large case series.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Surgical Oncology
Background:
- Plunging ranula is a cystic lesion originating from the sublingual gland, often requiring surgical intervention.
- Diverse treatment modalities exist for ranula, with varying degrees of success and complication rates.
Purpose of the Study:
- To review the experience with plunging ranula treatment.
- To evaluate the efficacy of transoral sublingual gland excision as the primary treatment modality.
Main Methods:
- Retrospective chart review of 95 consecutive plunging ranula cases treated between January 2001 and February 2010.
- Surgical treatment involved transoral excision of the sublingual gland and ranula evacuation.
- Literature search conducted using MEDLINE and OLD MEDLINE databases.
Main Results:
- Eighty-one patients underwent transoral sublingual gland excision with a mean operating time of 75.3 minutes.
- One recurrence was observed, requiring sublingual gland remnant excision.
- Two cases had minor trauma to the submandibular duct, necessitating submandibular gland excision; other complications were minor and transient.
Conclusions:
- Transoral sublingual gland excision is a safe and effective first-line treatment for plunging ranula.
- This approach offers a low recurrence rate and acceptable complication profile.
- The study contributes significant data to the reported cases of plunging ranula globally.
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