Sure Shot Technique for Management of Ranula

Introduction Ranula is a pseudocyst in the floor of the mouth originating from the sublingual salivary gland.A variety of surgical procedures have been quoted in the literature. But the main concern is high rate of recurrence. Aim of the present study is to describe a definitive technique for man...

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Main Authors: Chiranjib Das, Pritam Chatterjee
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2020-04-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal3/index.php/bjohns/article/view/175
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author Chiranjib Das
Pritam Chatterjee
author_facet Chiranjib Das
Pritam Chatterjee
author_sort Chiranjib Das
collection DOAJ
description Introduction Ranula is a pseudocyst in the floor of the mouth originating from the sublingual salivary gland.A variety of surgical procedures have been quoted in the literature. But the main concern is high rate of recurrence. Aim of the present study is to describe a definitive technique for managing ranula and compare the result with review of literature. Materials and Methods A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from 1st April, 2014 to 31st March, 2019. Patients presenting with ranula irrespective of age and sex; size of the mass; whether primary or recurrent case were included in the study. Patients presenting with congenital and plunging ranula were excluded. Patients were treated with total excision of ranula along with sublingual salivary gland. Patients were followed up regularly for at least one year post-operatively. Results We treated thirteen primary and four recurrent cases of ranula. Among them eight were male and nine were female. Patients were from seven to thirty three years of age with most being in the second decade of life. There was no injury to lingual nerve or submandibular duct in any patient. We did not observe any recurrence till date. Conclusion Successful management of a ranula includes identification of the extent of the cyst and removal of the cyst along with the sublingual salivary gland.  When done meticulously, this technique gives 100% success without any complication.
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spelling doaj.art-35bf26b270de448eb1b44657fce9ea4d2024-03-03T06:15:01ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072020-04-0128110.47210/bjohns.2020.v28i1.175Sure Shot Technique for Management of RanulaChiranjib Das0Pritam Chatterjee1Coochbehar Government Medical College and HospitalBankura Sammilani Medical College & Hospital, West BengalIntroduction Ranula is a pseudocyst in the floor of the mouth originating from the sublingual salivary gland.A variety of surgical procedures have been quoted in the literature. But the main concern is high rate of recurrence. Aim of the present study is to describe a definitive technique for managing ranula and compare the result with review of literature. Materials and Methods A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from 1st April, 2014 to 31st March, 2019. Patients presenting with ranula irrespective of age and sex; size of the mass; whether primary or recurrent case were included in the study. Patients presenting with congenital and plunging ranula were excluded. Patients were treated with total excision of ranula along with sublingual salivary gland. Patients were followed up regularly for at least one year post-operatively. Results We treated thirteen primary and four recurrent cases of ranula. Among them eight were male and nine were female. Patients were from seven to thirty three years of age with most being in the second decade of life. There was no injury to lingual nerve or submandibular duct in any patient. We did not observe any recurrence till date. Conclusion Successful management of a ranula includes identification of the extent of the cyst and removal of the cyst along with the sublingual salivary gland.  When done meticulously, this technique gives 100% success without any complication.https://bjohns.in/journal3/index.php/bjohns/article/view/175Sublingual GlandRanula
spellingShingle Chiranjib Das
Pritam Chatterjee
Sure Shot Technique for Management of Ranula
Bengal Journal of Otolaryngology and Head Neck Surgery
Sublingual Gland
Ranula
title Sure Shot Technique for Management of Ranula
title_full Sure Shot Technique for Management of Ranula
title_fullStr Sure Shot Technique for Management of Ranula
title_full_unstemmed Sure Shot Technique for Management of Ranula
title_short Sure Shot Technique for Management of Ranula
title_sort sure shot technique for management of ranula
topic Sublingual Gland
Ranula
url https://bjohns.in/journal3/index.php/bjohns/article/view/175
work_keys_str_mv AT chiranjibdas sureshottechniqueformanagementofranula
AT pritamchatterjee sureshottechniqueformanagementofranula