Conservative Treatment of Oral Ranula by Excision With Minimal Excision of the Sublingual Gland: Histological Support for a Traumatic Etiology
Purpose
This study investigates, clinically and histologically, a new conservative technique for the treatment of oral ranula based on the premise that a discrete unit of the sublingual gland feeds the ranula, which can therefore be treated by local removal with the attached part of the sublingual gland.
Patients and Methods
The study group consisted of 8 patients with ranula treated by decompression of the ranula followed by local surgical removal together with the attached part of the sublingual gland. Detailed histologic examination of the entire specimen was undertaken in every case.
Results
The treatment was successful in all the patients and there have been no recurrences after reviews of from 13 to 29 months (median, 26 months). Histologic examination of the entire specimen showed communication between the removed part of the sublingual gland and the ranula by way of a torn duct in every case.
Conclusions
The premise that the ranula is fed by an attached, discrete unit of the sublingual gland has been vindicated and is the basis for the successful conservative treatment of ranula by decompression and local surgical removal together with the attached part of the sublingual gland. The finding of communication between the attached sublingual gland and ranula in every case indicates a traumatic etiology for these ranulas.
⁎Professor and Consultant in Oral and Maxillofacial Surgery, King's College London Dental Institute at Guy's, King's College and St Thomas' Hospitals, London, England
†Lecturer in Oral and Maxillofacial Surgery, King's College London Dental Institute at Guy's, King's College and St Thomas' Hospitals, London, England
‡Lecturer in Oral and Maxillofacial Surgery, King's College London Dental Institute at Guy's, King's College and St Thomas' Hospitals, London, England
§Reader and Consultant in Oral Pathology, King's College London Dental Institute at Guy's, King's College and St Thomas' Hospitals, London, England
Address correspondence and reprint requests to Dr Harrison: Department of Oral Pathology, Floor 28, Guy's Tower, Guy's Hospital, London, SE1 9RT, England
ABSTRACT