Oral and plunging ranulas: What is the most effective treatment?
Objectives/Hypothesis: Preferred treatment of oral/plunging ranulas remains controversial. We present our experience with ranulas at the University of North Carolina (UNC) and review the literature. Methods: Retrospective review. From 1990 to 2007, 16 oral ranulas and 10 plunging ranulas were treate...
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| Veröffentlicht in: | The Laryngoscope 2009-08, Vol.119 (8), p.1501-1509 |
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| container_title | The Laryngoscope |
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| creator | Patel, Mihir R. Deal, Allison M. Shockley, William W. |
| description | Objectives/Hypothesis:
Preferred treatment of oral/plunging ranulas remains controversial. We present our experience with ranulas at the University of North Carolina (UNC) and review the literature.
Methods:
Retrospective review. From 1990 to 2007, 16 oral ranulas and 10 plunging ranulas were treated at UNC. Combining the UNC series with the literature identified 864 cases for review. An online survey was conducted to identify current treatment patterns.
Results:
In the UNC series, procedures for oral ranulas varied from ranula excision (50%), combined ranula and sublingual gland excision (44%), excision of the ranula along with the sublingual gland and submandibular gland (6%). A cervical approach was used in nine plunging ranula cases. One case was treated transorally with sublingual gland removal and evacuation of the ranula. Otherwise, the plunging ranula was removed along with the sublingual gland (20%), submandibular gland (50%), or both (20%). One hundred fifty‐one complications were identified from the literature. Recurrence was considered a complication and was most prevalent (63%). Nonrecurrent complications included tongue hypesthesia (26%), bleeding/hematoma (7%), postoperative infection (3%), and Wharton's duct injury (1%). Sublingual gland excision yielded the fewest complications (3%). Procedures and associated complication rates were: transoral excision of sublingual gland (3%); transoral excision of sublingual gland and ranula (12%); marsupialization (24%); transcervical excision of sublingual gland, submandibular gland, and ranula (33%); OK‐432 (49%); and aspiration (82%).
Conclusions:
Based on our review, definitive treatment yielding lowest recurrence and complication rates for all ranulas is transoral excision of the ipsilateral sublingual gland with ranula evacuation. Laryngoscope, 2009 |
| doi_str_mv | 10.1002/lary.20291 |
| format | Article |
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Preferred treatment of oral/plunging ranulas remains controversial. We present our experience with ranulas at the University of North Carolina (UNC) and review the literature.
Methods:
Retrospective review. From 1990 to 2007, 16 oral ranulas and 10 plunging ranulas were treated at UNC. Combining the UNC series with the literature identified 864 cases for review. An online survey was conducted to identify current treatment patterns.
Results:
In the UNC series, procedures for oral ranulas varied from ranula excision (50%), combined ranula and sublingual gland excision (44%), excision of the ranula along with the sublingual gland and submandibular gland (6%). A cervical approach was used in nine plunging ranula cases. One case was treated transorally with sublingual gland removal and evacuation of the ranula. Otherwise, the plunging ranula was removed along with the sublingual gland (20%), submandibular gland (50%), or both (20%). One hundred fifty‐one complications were identified from the literature. Recurrence was considered a complication and was most prevalent (63%). Nonrecurrent complications included tongue hypesthesia (26%), bleeding/hematoma (7%), postoperative infection (3%), and Wharton's duct injury (1%). Sublingual gland excision yielded the fewest complications (3%). Procedures and associated complication rates were: transoral excision of sublingual gland (3%); transoral excision of sublingual gland and ranula (12%); marsupialization (24%); transcervical excision of sublingual gland, submandibular gland, and ranula (33%); OK‐432 (49%); and aspiration (82%).
Conclusions:
Based on our review, definitive treatment yielding lowest recurrence and complication rates for all ranulas is transoral excision of the ipsilateral sublingual gland with ranula evacuation. Laryngoscope, 2009</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.20291</identifier><identifier>PMID: 19504549</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Child, Preschool ; Cohort Studies ; complications ; Female ; Follow-Up Studies ; Humans ; Infant ; Male ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures - adverse effects ; Minimally Invasive Surgical Procedures - methods ; Oral Surgical Procedures - adverse effects ; Oral Surgical Procedures - methods ; Otorhinolaryngology. Stomatology ; plunging ranula ; Postoperative Complications - pathology ; Postoperative Complications - surgery ; Ranula ; Ranula - epidemiology ; Ranula - pathology ; Ranula - surgery ; Recurrence ; Reoperation ; Retrospective Studies ; Risk Assessment ; Sublingual Gland - pathology ; Sublingual Gland - surgery ; Submandibular Gland - pathology ; Submandibular Gland - surgery ; surgical approach ; treatment ; Treatment Outcome ; Young Adult</subject><ispartof>The Laryngoscope, 2009-08, Vol.119 (8), p.1501-1509</ispartof><rights>Copyright © 2009 The American Laryngological, Rhinological, and Otological Society, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5521-7f5f87a95eef5d833f093430a4f5fc34278f22bcbbef40e98a9151377296f0fe3</citedby><cites>FETCH-LOGICAL-c5521-7f5f87a95eef5d833f093430a4f5fc34278f22bcbbef40e98a9151377296f0fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.20291$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.20291$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,310,311,315,782,786,791,792,887,1419,23937,23938,25147,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21780335$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19504549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Patel, Mihir R.</creatorcontrib><creatorcontrib>Deal, Allison M.</creatorcontrib><creatorcontrib>Shockley, William W.</creatorcontrib><title>Oral and plunging ranulas: What is the most effective treatment?</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives/Hypothesis:
Preferred treatment of oral/plunging ranulas remains controversial. We present our experience with ranulas at the University of North Carolina (UNC) and review the literature.
Methods:
Retrospective review. From 1990 to 2007, 16 oral ranulas and 10 plunging ranulas were treated at UNC. Combining the UNC series with the literature identified 864 cases for review. An online survey was conducted to identify current treatment patterns.
Results:
In the UNC series, procedures for oral ranulas varied from ranula excision (50%), combined ranula and sublingual gland excision (44%), excision of the ranula along with the sublingual gland and submandibular gland (6%). A cervical approach was used in nine plunging ranula cases. One case was treated transorally with sublingual gland removal and evacuation of the ranula. Otherwise, the plunging ranula was removed along with the sublingual gland (20%), submandibular gland (50%), or both (20%). One hundred fifty‐one complications were identified from the literature. Recurrence was considered a complication and was most prevalent (63%). Nonrecurrent complications included tongue hypesthesia (26%), bleeding/hematoma (7%), postoperative infection (3%), and Wharton's duct injury (1%). Sublingual gland excision yielded the fewest complications (3%). Procedures and associated complication rates were: transoral excision of sublingual gland (3%); transoral excision of sublingual gland and ranula (12%); marsupialization (24%); transcervical excision of sublingual gland, submandibular gland, and ranula (33%); OK‐432 (49%); and aspiration (82%).
Conclusions:
Based on our review, definitive treatment yielding lowest recurrence and complication rates for all ranulas is transoral excision of the ipsilateral sublingual gland with ranula evacuation. Laryngoscope, 2009</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>complications</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Oral Surgical Procedures - adverse effects</subject><subject>Oral Surgical Procedures - methods</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>plunging ranula</subject><subject>Postoperative Complications - pathology</subject><subject>Postoperative Complications - surgery</subject><subject>Ranula</subject><subject>Ranula - epidemiology</subject><subject>Ranula - pathology</subject><subject>Ranula - surgery</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Sublingual Gland - pathology</subject><subject>Sublingual Gland - surgery</subject><subject>Submandibular Gland - pathology</subject><subject>Submandibular Gland - surgery</subject><subject>surgical approach</subject><subject>treatment</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1v1DAQxS1ERZfChT8A-QKHSin-mnXMAagq-iEFKkFR4WR5s-NdUyfZxkmh_31ddlngwmkO7zfvzTxCnnF2wBkTr6Lrbw8EE4Y_IBMOkhfKGHhIJlmURQni6y55nNJ3xriWwB6RXW6AKVBmQt6d9y5S187pKo7tIrQL2rt2jC69ppdLN9CQ6LBE2nRpoOg91kO4QTr06IYG2-HtE7LjXUz4dDP3yJfj9xdHp0V1fnJ2dFgVNYDghfbgS-0MIHqYl1J6ZqSSzKks1FIJXXohZvVshl4xNKUzHLjUWpipZx7lHnmz9l2Nswbndc7Ol9tVH5r8vu1csP8qbVjaRXdjlQIAOc0GLzcGfXc9YhpsE1KNMboWuzHZqQapQMsM7q_Buu9S6tFvQziz94Xb-8Ltr8Iz_Pzvs_6gm4Yz8GIDuFS76HO7dUhbTnBdMikhc3zN_QgRb_8TaavDT99-hxfrnZAG_Lndcf1V_kZqsJcfT-yHi6rSlTq1n-UdxyyoQA</recordid><startdate>200908</startdate><enddate>200908</enddate><creator>Patel, Mihir R.</creator><creator>Deal, Allison M.</creator><creator>Shockley, William W.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200908</creationdate><title>Oral and plunging ranulas: What is the most effective treatment?</title><author>Patel, Mihir R. ; Deal, Allison M. ; Shockley, William W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5521-7f5f87a95eef5d833f093430a4f5fc34278f22bcbbef40e98a9151377296f0fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>complications</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Oral Surgical Procedures - adverse effects</topic><topic>Oral Surgical Procedures - methods</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>plunging ranula</topic><topic>Postoperative Complications - pathology</topic><topic>Postoperative Complications - surgery</topic><topic>Ranula</topic><topic>Ranula - epidemiology</topic><topic>Ranula - pathology</topic><topic>Ranula - surgery</topic><topic>Recurrence</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Sublingual Gland - pathology</topic><topic>Sublingual Gland - surgery</topic><topic>Submandibular Gland - pathology</topic><topic>Submandibular Gland - surgery</topic><topic>surgical approach</topic><topic>treatment</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Patel, Mihir R.</creatorcontrib><creatorcontrib>Deal, Allison M.</creatorcontrib><creatorcontrib>Shockley, William W.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Patel, Mihir R.</au><au>Deal, Allison M.</au><au>Shockley, William W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oral and plunging ranulas: What is the most effective treatment?</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2009-08</date><risdate>2009</risdate><volume>119</volume><issue>8</issue><spage>1501</spage><epage>1509</epage><pages>1501-1509</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objectives/Hypothesis:
Preferred treatment of oral/plunging ranulas remains controversial. We present our experience with ranulas at the University of North Carolina (UNC) and review the literature.
Methods:
Retrospective review. From 1990 to 2007, 16 oral ranulas and 10 plunging ranulas were treated at UNC. Combining the UNC series with the literature identified 864 cases for review. An online survey was conducted to identify current treatment patterns.
Results:
In the UNC series, procedures for oral ranulas varied from ranula excision (50%), combined ranula and sublingual gland excision (44%), excision of the ranula along with the sublingual gland and submandibular gland (6%). A cervical approach was used in nine plunging ranula cases. One case was treated transorally with sublingual gland removal and evacuation of the ranula. Otherwise, the plunging ranula was removed along with the sublingual gland (20%), submandibular gland (50%), or both (20%). One hundred fifty‐one complications were identified from the literature. Recurrence was considered a complication and was most prevalent (63%). Nonrecurrent complications included tongue hypesthesia (26%), bleeding/hematoma (7%), postoperative infection (3%), and Wharton's duct injury (1%). Sublingual gland excision yielded the fewest complications (3%). Procedures and associated complication rates were: transoral excision of sublingual gland (3%); transoral excision of sublingual gland and ranula (12%); marsupialization (24%); transcervical excision of sublingual gland, submandibular gland, and ranula (33%); OK‐432 (49%); and aspiration (82%).
Conclusions:
Based on our review, definitive treatment yielding lowest recurrence and complication rates for all ranulas is transoral excision of the ipsilateral sublingual gland with ranula evacuation. Laryngoscope, 2009</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>19504549</pmid><doi>10.1002/lary.20291</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Biological and medical sciences Child Child, Preschool Cohort Studies complications Female Follow-Up Studies Humans Infant Male Medical sciences Middle Aged Minimally Invasive Surgical Procedures - adverse effects Minimally Invasive Surgical Procedures - methods Oral Surgical Procedures - adverse effects Oral Surgical Procedures - methods Otorhinolaryngology. Stomatology plunging ranula Postoperative Complications - pathology Postoperative Complications - surgery Ranula Ranula - epidemiology Ranula - pathology Ranula - surgery Recurrence Reoperation Retrospective Studies Risk Assessment Sublingual Gland - pathology Sublingual Gland - surgery Submandibular Gland - pathology Submandibular Gland - surgery surgical approach treatment Treatment Outcome Young Adult |
| title | Oral and plunging ranulas: What is the most effective treatment? |
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