Case Report: Ranula and Sublingual Glands Extirpation as Intraoral Ranula Procedures

  • Rizki Saputra Department Otorhinolaryngology Head and Neck Surgery FK Unand/ M Djamil Hospital Padang
  • Sukri Rahman Department Otorhinolaryngology Head and Neck Surgery FK Unand/ M Djamil Hospital Padang, Padang, Indonesia
  • Pamelia Mayorita Department of Pathology Anatomy FK Unand/ M Djamil Hospital Padang, Padang, Indonesia

Abstract

Ranula is a cystic lesion that develops from saliva extravasation caused by trauma to the sublingual gland or the occurrence of duct blockages. The ranula is divided into intraoral (simple ranula) and plunging ranula. There are several options of methods in the management of ranulas such as sclerotherapy, marsupialization, and extirpation with or without gland removal involved, incision and drainage with intraoral approach, excision lesions with the extra-oral approach. A case of ranula was reported in a girl aged 12 years diagnosed with intraoral ranula (simple ranula). Treatment is done by performing ranula extirpation accompanied by the removal of the sublingual gland and its ducts.  The extirpation of the ranula followed by removal of the involved sublingual salivary gland gave satisfactory results with no recurrence until 1 year of follow-up on the management of intra-oral ranula.


 


Keywords: ranula, simple ranula, intraoral ranula

References

Ahuja, N. K., & Tandon, R. (2016). Ranula: A rare cause of airway obstruction. Clinical Pulmonary Medicine, 23(5), 216–217. https://doi.org/10.1097/CPM.0000000000000170

Ayers, E. (2018). Plunging Ranula: A Case Report. Journal of Diagnostic Medical Sonography, 34(4), 285–290. https://doi.org/10.1177/8756479318767632

Carlini, V., Calcaterra, V., Pasqua, N., Guazzotti, M., Fusillo, M., Pelizzo, G., Irccs, F., Matteo, P. S., Unit, P., Irccs, F., Matteo, P. S., Unit, P. S., Di, B. G., & Palermo, A. R. N. A. S. (2016). Plunging ranula in children : case report and literature review. Pediatric Reports, 8. https://doi.org/10.4081/pr.2016.6576

Carson, E., & Ord, R. (2016). Cysts and Cyst-like Lesions of the Salivary Glands. In E. Carson & R. Ord (Eds.), Salivary Gland Disorders (2nd ed., pp. 97–116). Jhon Wiley & Sons.

Chen, J. X., Zenga, J., Emerick, K., & Deschler, D. (2018). Sublingual gland excision for the surgical management of plunging ranula. American Journal of Otolaryngology, 39(5), 497–500. https://doi.org/10.1016/j.amjoto.2018.05.011

Choi, M. (2019). Case report of the management of the ranula. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 45(6), 357. https://doi.org/10.5125/jkaoms.2019.45.6.357

Chung, Y. S., Cho, Y., & Kim, B. H. (2019). Comparison of outcomes of treatment for ranula: a proportion meta-analysis. British Journal of Oral and Maxillofacial Surgery, 57(7), 620–626. https://doi.org/10.1016/j.bjoms.2019.06.005

George, M. M., Mirza, O., Solanki, K., Goswamy, J., & Rothera, M. P. (2015). Serious neonatal airway obstruction with massive congenital sublingual ranula and contralateral occurrence. Annals of Medicine and Surgery, 4(2), 136–139. https://doi.org/10.1016/j.amsu.2015.04.006

Hegde, S., Bubna, K., & Rao, D. (2017). Management of Ranula in a Child by Modified Micro-Marsupialization Technique: A Case Report. Journal of Clinical Pediatric Dentistry, 41(4), 305–307. https://doi.org/10.17796/1053-4628-41.4.305

Huzaifah, M., & Sini, A. (2021). Mucocele And Ranula. Statpearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK560855/

Kamalakaran, A., Jayaraman, B., Balasubramaniam, S., Thirunavukkarasu, R., & Ramakrishnan, B. (2018). Plunging Ranula in a 78- year- old Male - a Rare Case Report. Journal of Clinical and Experimental Dentistry, 10(1), e92–e95. https://doi.org/10.4317/jced.54114

Kokong, D., Iduh, A., Chukwu, I., Mugu, J., Nuhu, S., & Augustine, S. (2017). Ranula: Current Concept of Pathophysiologic Basis and Surgical Management Options. World Journal of Surgery, 41(6), 1476–1481. https://doi.org/10.1007/s00268-017-3901-2

Kono, M., Satomi, T., Abukawa, H., Hasegawa, O., Watanabe, M., & Chikazu, D. (2017). Evaluation of OK-432 Injection Therapy as Possible Primary Treatment of Intraoral Ranula. Journal of Oral and Maxillofacial Surgery, 75(2), 336–342. https://doi.org/10.1016/j.joms.2016.08.013

Lee, D. H., Yoon, T. M., Lee, J. K., & Lim, S. C. (2015). Treatment outcomes of the intraoral approach for a simple ranula. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 119(4), e223–e225. https://doi.org/10.1016/j.oooo.2015.01.007

Nisi, Izzetti, Lardani, Scarpata, Giuca, & Gabriele. (2019). Sublingual Lymphangioma Mimicking a Ranula: A Case Report. Proceedings, 35(1), 66. https://doi.org/10.3390/proceedings2019035066

Packiri, S. (2017). Management of Paediatric Oral Ranula: A Systematic Review. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 11(9), 9–12. https://doi.org/10.7860/JCDR/2017/28498.10622

Pontes, F. S. C., de Souza, L. L., Pedrinha, V. F., & Pontes, H. A. R. (2018). Congenital Ranula: A Case Report and Literature Review. Journal of Clinical Pediatric Dentistry, 42(6), 454–457. https://doi.org/10.17796/1053-4625-42.6.9

Report, A. C., Nisi, M., Izzetti, R., Lardani, L., Scarpata, L., Giuca, M. R., & Gabriele, M. (2019). Sublingual Lymphangioma Mimicking a Ranula : J Korean Assoc Oral Maxillofac Surg, Figure 1, 10–12. https://doi.org/10.3390/proceedings2019035066

Schiarelli, C., Sciandra, M., & C, T. C. (2016). A Rare Case of Plunging Infected Ranula : MRI Diagnosis. JSM Clin Case Rep, 4, 2–4.

Silva, D. F. B., Neves, G. de V., Moura, R. Q. de, Carvalho, S. H. G. de, Pereira, J. V., & Gomes, D. Q. de C. (2020). Modified Micromarsupialization as Treatment of Ranula in a Pediatric Patient. Journal of Craniofacial Surgery, 31(3), e230–e232. https://doi.org/10.1097/SCS.0000000000006114

sulfiana, sulfiana, Sylvyana, M., Tasman, A., & Lia, E. (2019). Marsupialization as a ranula management: case report. International Journal of Medical Reviews and Case Reports, 1. https://doi.org/10.5455/IJMRCR.Marsupialization-ranula

Verma, G. (2013). Ranula : A Review of Literature. Archives of CraniOroFacial Sciences, I(Iii), 44–49.
Yoshimura, Y., Obara, S., Kondoh, T., & Naitoh, S. I. (1995). A comparison of three methods used for treatment of ranula. Journal of Oral and Maxillofacial Surgery, 53(3), 280–282. https://doi.org/10.1016/0278-2391(95)90224-4

Yoshizawa, K., Moroi, A., Kawashiri, S., & Ueki, K. (2016). A Case of Sublingual Ranula That Responded Successfully to Localized Injection Treatment with OK-432 after Healing from Drug Induced Hypersensitivity Syndrome. Case Reports in Dentistry, 2016(1), 1–5. https://doi.org/10.1155/2016/6939568

Zhao, Y.-F., Jia, J., & Jia, Y. (2005). Complications associated with surgical management of ranulas. Journal of Oral and Maxillofacial Surgery, 63(1), 51–54. https://doi.org/10.1016/j.joms.2004.02.018

Zhao, Y.-F., Jia, Y., Chen, X.-M., & Zhang, W.-F. (2004). Clinical review of 580 ranulas. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 98(3), 281–287. https://doi.org/10.1016/S1079210404000800
Published
2022-02-28
How to Cite
SAPUTRA, Rizki; RAHMAN, Sukri; MAYORITA, Pamelia. Case Report: Ranula and Sublingual Glands Extirpation as Intraoral Ranula Procedures. Journal of Agromedicine and Medical Sciences, [S.l.], v. 8, n. 1, p. 6-11, feb. 2022. ISSN 2714-5654. Available at: <https://jurnal.unej.ac.id/index.php/JAMS/article/view/27612>. Date accessed: 25 sep. 2022. doi: https://doi.org/10.19184/ams.v8i1.27612.
Section
Case Report Article