Modified micromarsupialization technique as an alternative primary treatment for ranulas: A case series in a resource‐challenged economy
Abstract 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 gla...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-12-01
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| Series: | Clinical and Experimental Dental Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cre2.627 |
| _version_ | 1828115330649554944 |
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| author | Mutassim Elnager Samuel E. Udeabor Abosofyan S. A. Elfadeel Chidozie I. Onwuka Mashail M. M. Hamid Yassin M. A. Alsubaie |
| author_facet | Mutassim Elnager Samuel E. Udeabor Abosofyan S. A. Elfadeel Chidozie I. Onwuka Mashail M. M. Hamid Yassin M. A. Alsubaie |
| author_sort | Mutassim Elnager |
| collection | DOAJ |
| description | Abstract 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. Results Twenty patients were treated by the modified micromarsupialization technique and followed up for 1 year. There was complete resolution following this technique in 17 patients (85%) with no evidence of recurrence or complications, whereas 2 patients (10%) showed partial resolution and the remaining 1 patient (5%) showed a failure and recurrence. The age of the patient, the size of the ranula, and the retention of sutures throughout the study period did not significantly affect the treatment outcome. Conclusions The modified micromarsupialization technique was a simple and effective treatment that should be used as a primary treatment option for simple ranulas and we recommend it to be the first‐choice treatment before surgical excision of the sublingual gland, especially in a resource‐challenged economy like ours. |
| first_indexed | 2024-04-11T12:38:36Z |
| format | Article |
| id | doaj.art-33d9c9b2a59d4034aa58e7da14f9c2a7 |
| institution | Directory Open Access Journal |
| issn | 2057-4347 |
| language | English |
| last_indexed | 2024-04-11T12:38:36Z |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical and Experimental Dental Research |
| spelling | doaj.art-33d9c9b2a59d4034aa58e7da14f9c2a72022-12-22T04:23:34ZengWileyClinical and Experimental Dental Research2057-43472022-12-01861434143910.1002/cre2.627Modified micromarsupialization technique as an alternative primary treatment for ranulas: A case series in a resource‐challenged economyMutassim Elnager0Samuel E. Udeabor1Abosofyan S. A. Elfadeel2Chidozie I. Onwuka3Mashail M. M. Hamid4Yassin M. A. Alsubaie5Department of Oral and Maxillofacial Surgery, College of Dentistry King Khalid University Abha Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, College of Dentistry King Khalid University Abha Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, College of Dentistry King Khalid University Abha Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, College of Dentistry King Khalid University Abha Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, College of Dentistry King Khalid University Abha Saudi ArabiaDepartment of Oral and Maxillofacial Surgery Khartoum Teaching Dental Hospital Khartoum SudanAbstract 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. Results Twenty patients were treated by the modified micromarsupialization technique and followed up for 1 year. There was complete resolution following this technique in 17 patients (85%) with no evidence of recurrence or complications, whereas 2 patients (10%) showed partial resolution and the remaining 1 patient (5%) showed a failure and recurrence. The age of the patient, the size of the ranula, and the retention of sutures throughout the study period did not significantly affect the treatment outcome. Conclusions The modified micromarsupialization technique was a simple and effective treatment that should be used as a primary treatment option for simple ranulas and we recommend it to be the first‐choice treatment before surgical excision of the sublingual gland, especially in a resource‐challenged economy like ours.https://doi.org/10.1002/cre2.627case seriesmodified micromarsupializationsublingual ranula |
| spellingShingle | Mutassim Elnager Samuel E. Udeabor Abosofyan S. A. Elfadeel Chidozie I. Onwuka Mashail M. M. Hamid Yassin M. A. Alsubaie Modified micromarsupialization technique as an alternative primary treatment for ranulas: A case series in a resource‐challenged economy Clinical and Experimental Dental Research case series modified micromarsupialization sublingual ranula |
| title | Modified micromarsupialization technique as an alternative primary treatment for ranulas: A case series in a resource‐challenged economy |
| title_full | Modified micromarsupialization technique as an alternative primary treatment for ranulas: A case series in a resource‐challenged economy |
| title_fullStr | Modified micromarsupialization technique as an alternative primary treatment for ranulas: A case series in a resource‐challenged economy |
| title_full_unstemmed | Modified micromarsupialization technique as an alternative primary treatment for ranulas: A case series in a resource‐challenged economy |
| title_short | Modified micromarsupialization technique as an alternative primary treatment for ranulas: A case series in a resource‐challenged economy |
| title_sort | modified micromarsupialization technique as an alternative primary treatment for ranulas a case series in a resource challenged economy |
| topic | case series modified micromarsupialization sublingual ranula |
| url | https://doi.org/10.1002/cre2.627 |
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