Research Information System
AÇBİD, Antalya, Turkey, 11 - 15 May 2022, pp.103-104
Objective: Oral ranulas are cysts in the floor of the mouth that result from the extravasation
of mucous. Historically there has been little consensus on the ideal first-line treatment, but
currently, definitive treatment involves excision of the sublingual gland, which can injure the
lingual nerve and submandibular duct. Minimally invasive surgical alternatives such as micromarsupialization have been proposed. This technique involves passing of 1 or more sutures
through the base of the lesion to create alternate drainage pathway for the collected mucus so
that the cyst dissolves and dissipates by itself thereby avoiding surgery.
Case: A 40-year-old female patient presented to our department with bubble-shaped lesion
located on floor of the mouth, on the left side, with exophytic growth, sessile base, bluish
coloration measuring about 1 cm in diameter, showing well-defined limits and borders, smooth
surface, and softened consistency. Under the diagnostic hypothesis of the ranula, a modified
micro-marsupialization was performed. After the 50 days of observation, complete regression
and repair of the lesion was observed without recurrence.
Conclusion: Modified micro-marsupialization is a simple, minimally invasive, low-cost,
comfortable technique for both patient and operator with a decent percentage of successive
rate. It is well-tolerated by the patient, mainly uncooperative patient.