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The piercing–stretching suture technique for the treatment of simple oral floor ranula

Published online by Cambridge University Press:  27 October 2021

M Gaffuri ,
S Torretta ,
L Pignataro  and
P Capaccio
M Gaffuri*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS') Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
S Torretta
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS') Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
L Pignataro
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS') Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
P Capaccio
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS') Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
*
Author for correspondence: Dr Michele Gaffuri, Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122Milano, Italy E-mail: michele.gaffuri@policlinico.mi.it Fax: + 39 025 032 0248
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Abstract

Background

Oral floor ranulas are pseudocysts located in the floor of the mouth that result from the extravasation of mucus from a sublingual gland. Historically, there has been little consensus on the ideal first-line treatment. Currently, definitive treatment involves sublingual gland excision, which can injure the lingual nerve and submandibular duct. Minimally invasive surgical techniques have been proposed, but so far have been associated with a high rate of recurrence.

Methods

The so-called piercing–stretching suture technique was performed in 14 naïve adult and paediatric patients (6 females, with a mean age of 20.3 years (range, 7–55 years)). Clinical and ultrasonographic evaluations were performed in all patients; post-operative sialendoscopy was conducted in two paediatric patients.

Results

The surgical procedure was successful in all patients, and complete recovery of the ranula was seen in all but one of the patients who underwent suture replacement. No major or minor complications were encountered.

Conclusion

This minimally invasive procedure may be considered a reliable and first-line treatment for management of simple oral floor ranulas.

Keywords

RanulaMouth FloorSublingual GlandMinimally Invasive Surgical ProcedureEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 68 - 72
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr M Gaffuri takes responsibility for the integrity of the content of the paper

References

Packiri, S, Gurunathan, D, Selvarasu, K. Management of paediatric oral ranula: a systematic review. J Clin Diagn Res 2017;11:ZE06–9Google ScholarPubMed
Hills, A, Holden, A, McGurk, M. Evolution of the management of ranulas: change in a single surgeon's practice 2001-14. Br J Oral Maxillofac Surg 2016;54:992–6CrossRefGoogle Scholar
Yang, Y, Hong, K. Surgical results of the intraoral approach for plunging ranula. Acta Otolaryngol 2014;134:201–5CrossRefGoogle ScholarPubMed
Lomas, J, Chandran, D, Whitfield, BCS. Surgical management of plunging ranulas: a 10-year case series in South East Queensland. ANZ J Surg 2018;88:1043–6CrossRefGoogle ScholarPubMed
Morita, Y, Sato, K, Kawana, M, Takahasi, S, Ikarashi, F. Treatment of ranula--excision of the sublingual gland versus marsupialization. Auris Nasus Larynx 2003;30:311–14CrossRefGoogle ScholarPubMed
Walvekar, RR, Peters, G, Hardy, E, Alsfeld, L, Stromeyer, FW, Anderson, D et al. Robotic-assisted transoral removal of bilateral floor of mouth ranulas. World J Surg Oncol 2011;9:78CrossRefGoogle ScholarPubMed
Zhi, K, Gao, L, Ren, W. What is new in management of pediatric ranula? Curr Opin Otolaryngol Head Neck Surg 2014;22:525–9CrossRefGoogle ScholarPubMed
Harrison, JD. Modern management and pathophysiology of ranula: literature review. Head Neck 2010;32:1310–20CrossRefGoogle ScholarPubMed
Goodson, AM, Payne, KF, George, K, McGurk, M. Minimally invasive treatment of oral ranulae: adaption to an old technique. Br J Oral Maxillofac Surg 2015;53:332–5CrossRefGoogle Scholar
Than, JK, Rosenberg, TL, Anand, G, Sitton, M. The importance of sublingual gland removal in treatment of ranulas: a large retrospective study. Am J Otolaryngol 2020;7:102418CrossRefGoogle Scholar
Zhao, YF, Jia, J, Jia, Y. Complications associated with surgical management of ranulas. J Oral Maxillofac Surg 2005;63:51–4CrossRefGoogle ScholarPubMed
Capaccio, P, Canzi, P, Gaffuri, M, Occhini, A, Benazzo, M, Ottaviani, F et al. Modern management of paediatric obstructive salivary disorders: long-term clinical experience. Acta Otorhinolaryngol Ital 2017;37:160–7CrossRefGoogle ScholarPubMed
Truong, K, Guerin, LA, Hoffman, H. Value of sialendoscopy-assisted transoral sublingual gland resection for a plunging ranula: case report and review. J Laryngol Otol 2015;129:509–12CrossRefGoogle ScholarPubMed