Management Of Oral Ranula With Modified MicroMarsupialization: Case Report And Review Of Literature

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Karabiyik Z., Yolal M. S., Basiry M. N.

AÇBİD, Antalya, Turkey, 11 - 15 May 2022, pp.103-104

  • Publication Type: Conference Paper / Summary Text
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.103-104
  • Kütahya Health Sciences University Affiliated: Yes


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.