Clinical articlesComplications associated with surgical management of ranulas
Section snippets
Materials and methods
Five hundred seventy-one patients with ranulas had 606 procedures. All patients were treated surgically in the Department of Oral and Maxillofacial Surgery at the Hospital of Stomatology, Wuhan University, China.
Treatments used were excision of the lesion only, marsupialization, excision of the sublingual gland, or sublingual gland removal combined with ranula excision. Surgery was performed under local or general anesthesia. Tissues obtained at surgery were routinely sectioned and stained for
Results
Five hundred seventy-one patients had 606 operations, in which there were 9 marsupializations, 28 excisions of the ranula, 356 excisions of the sublingual gland, and 213 excisions of both the sublingual gland and ranula. Evaluation of damage of Wharton’s duct, postoperative bleeding or hematoma, dehiscence of wound, and infection were based on records of 606 procedures for treatment of ranulas. Loss of tongue sensation and recurrence of the lesion were evaluated by clinical examination or
Discussion
Ranulas are treated by various surgical methods. Marsupialization has a high recurrence rate, but is still used perhaps because of fear of potential surgical injury to adjacent structures when removing the sublingual gland or because of preservation of the function of the gland.
When conventional marsupialization is undertaken, the wound margins tend to be in contact with each other because of the narrow space and the movement of the tongue and the floor of the mouth. As a result, the lesion
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