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Simple sublingual ranulas: pathogenesis and management

R P Morton¹, J R Bartley

¹Department of Otolaryngology-Head and Neck Surgery, Green Lane Hospital, Auckland, New Zealand.

The Journal of Otolaryngology

|August 1, 1995

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Simple ranulas, often caused by minor salivary gland injury, are mucus collections. A novel technique using a silk suture or seton offers a less invasive treatment option for these common oral lesions.

Area of Science:

Oral and Maxillofacial Surgery
Dermatology
Otolaryngology

Background:

Simple ranulas are benign, mucus-filled cysts in the floor of the mouth.
They typically result from a mucus escape reaction following minor salivary gland duct disruption.
Distinguishing simple ranulas from plunging ranulas is crucial for appropriate management.

Purpose of the Study:

To evaluate the efficacy of a minimally invasive technique for simple ranula treatment.
To present a novel approach using a silk suture or seton for ranula management.
To report outcomes from four cases treated with this method.

Main Methods:

A retrospective review of four patients with simple ranulas treated with a silk suture or seton.
The technique involves placing the suture material into the ranula's dome to promote drainage.

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Standard surgical excision and marsupialization were considered alternatives.

Main Results:

The silk suture/seton technique demonstrated successful ranula resolution in all four reported cases.
This method offers a less invasive alternative to traditional surgical interventions.
No significant complications were reported during or after the treatment.

Conclusions:

Placement of a silk suture or seton is a viable and effective treatment for simple ranulas.
This technique provides a conservative approach, minimizing surgical morbidity.
Further studies are warranted to confirm the long-term efficacy and applicability of this method.