Exeresis of the sublingual gland for the treatment of plunging ranula
Keywords:Ranula; Sublingual gland; Treatment; Excision.
Plunging ranulas are pseudocysts that originate in the sublingual salivary gland and extend into the submandibular space and then into deeper cervical spaces. Several approaches have been described in the literature regarding the treatment of plunging ranula, including surgical and non-surgical methods. Due to this bias, the main objective of the present study is to provide arguments based on clinical and scientific evidence that complete intraoral excision of the sublingual gland is the most rational approach for the treatment of plunging ranula. The article was carried out through a systematic literature review, which included scientific articles indexed in databases such as Google Scholar, SciELO and PubMed. The methodological steps dealt with the definition and application of inclusion and exclusion criteria, bibliographic survey according to the mentioned databases and synthesis in writing the review. Of the 145 results obtained initially, the present work had 27 articles for its construction, in which, reports acquired from the selected studies declare that the removal of the sublingual gland is the best choice in the surgical management of the plunging ranula instead of the excision of the cyst, since the gland presents itself as the source of formation of this mucus whose accumulation is related to the pathological process. Thus, this treatment approach depends on the surgeon's experience, through knowledge about the pathological alterations of the salivary glands, their clinical characteristics and the involvement of adjacent structures, taking into account the extent and position of the lesion.
Abdul- Aziz, D., & Adil, E. (2015). Ranula excision. Operative Techniques in Otolaryngology. 26 (1), 21-27.
Bachesk, A. B., Bin, L. R., Iwaki, I. V., & Filho, L. I. (2021). Ranula in children: Retrospective study of 25 years and literature review of the plunging variable. International Journal of Pediatric Otorhinolaryngology. 148, 1-5.
Chen, J. X., Zenga, J., Emerick, K., & Deschler, D. (2018). Sublingual gland excision for the surgical management of plunging ranula. Am J Otorrinolaringol. 39(5), 497-500.
Friedman, E., Patiño, M. O., & Udayasankar, U. K. (2018). Imaging of pediatric salivary glands. Neuroimaging Clin N Am. 28(2), 206-209.
Garofalo, Mussa, A., Mostert, M., Suteu, L., Vinardi, S., Gamba, S., Lonati, L., Teruzzi, E., Tommasoni, N., Bassignana, M., Masi, G., Marenzi, G., Sammartino, G., & Mortellaro, C. (2014). Successful medical treatment for ranula in children. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 117 (4), 97-289.
Gonzalez, A. A., Nascimento, A. S., Lima, A. C. A. A., Lago, C. A. P. do., Brito, F. R. C., Santos, G. M. A., Pinto, J. V. S., Cabral, L. P., Filho, N. J. S., Pinto, P. S., Silva, R. G. M. da., & Neto, W. F. M. (2021). O uso da técnica de micromarsupialização modificada no tratamento de rânula bilateral: Relato de caso clínico. Research, Society and Development. 10 (4), 2.
Jesus, L. K. de., Hadad, H., Silva, R. B. P. da., Santos, A. F. P., Colombo, L. T., Gonçalves, P. Z., Ferreira, S., Matsumoto, M. A., Fabris, A. L. S., Bassi, A. P. F., Faverani, L. P., Filho, O. M., Garcia-Júnior, I. R., & Souza, F. A. (2020). Estratégia para tratamento de rânula mergulhante. Relato de caso. Research, Society and Development. 9(11), 4.
Júnior, A. J. A. P., Parya, A. H. A., Lopes, C. H. T. C., Machado, S. J. L., & Paula, M. V. Q. (2018). Rânula mergulhante – relato de caso controlado por 5 anos. Rev. Port Estomatol Med Dent Cir Maxilofac. 59(1), 49-53.
Kamalakaran, A., Jayaraman, B., Balasubramaniam, S., Thirunavukkarasu, R., & Ramakrishnan, B. (2018). Plunging Ranula in a 78- year- old male – a rare case report. J Clin Exp Dent. 10(1), 5-92.
Kokong, D., Iduh, A., Chukwu, I., Mugu, J., Nuhu, S., & Agostinh, S. (2017). Ranula: Current Concept of Pathophysiologic Basis and Surgical Management Options. World J Surg. 41(6), 1476-1481.
Kolomvos, N., Kalfarentzos, E., & Papadogeorgakis, N. (2019). Surgical treatment of plunging ranula: Report of three cases and review of literature. Oral and Maxillofacial Surgery Cases. 5(1), 1-2.
Leal, R. M., & Braulio, I. T. (2014). Marsupialização em rânula: relato de caso clínico. Arquivo Brasileiro de Odontologia, 10 (1), 15–20.
Liu, Z., & Wang, B. (2016). Anterograde excision of a sublingual gland: new surgical technique for the treatment of ranulas. Br J Oral Maxillofac Surg, 54(2), 151-4.
Lomas, J., Chandran, D., & Whitfield, B. C. S. (2018). Surgical management of plunging ranulas: a 10-year case series in South East Queensland. ANZ J Surg. 88(10), 1043-1046.
Lucamba, A. J., Sousa, J. F., Sales, R. R., Veloso, I. F. C. L., & Bastos, E. G. (2022). Rânula mergulhante em paciente pediátrico de 5 anos de idade: relato de caso. Rev. Cir. Traumatol. Buco-Maxilo-Fac. 22(2), 39-41.
Lyly, A., Castrén, E., Aronniemi, J., & Klockars, T. (2017). Plunging ranula–patient characteristics, treatment, and comparison between different populations. Acta oto-laryngologica. 137 (12), 1271-1274.
Moraes, P. de. C., Teixeira, R. G., Thomaz, L. A., Junqueira, J. L. C., & Oliveira, L. B. (2015). Cryosurgery for the treatment of pediatric plunging ranula: a conservative management. RGO-Revista Gaúcha de Odontologia. 63 (4), 492-495.
Nguyen, B., Malone, B. N., Sidman, J. D., & Roby, B. B. (2017). Excision of sublingual gland as treatment for ranulas in pediatric patients. Int J Pediatr Otorrinolaringo. 97, 154-156.
O’Connor, R., & McGurk, M. (2013). The plunging ranula: diagnostic difficulties and a less invasive approach to treatment. Int. J. Oral Maxillofac. Surg. 42 (11), 1469–1474.
Packiri, S., Gurunathan, D., & Selvarasu, K. (2017). Management of paediatric oral ranula: A systematic review. Journal of Clinical and Diagnostic Research, 11 (9), ZE06-ZE09.
Pouzoulet, P., Collet, C., Foletti, J. M., Guyot, L., & Chossegros, C. (2016). Ranulas à expression cervicale. Mise au pointPlunging ranula. Review. Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale. 117(2), 84-88.
Roh, J-L. (2022). Transoral complete vs Partial Excision of the Sublingual Gland for Plunging Ranula. Otolaryngol Head Neck Surg. 67(3), 479-483.
Soares, L. S., Rodrigues, L. D. C. V., Martins, L. N., Silveira, F. D. R. da., & Figueiredo, M. do. L. F. (2013). Literature review: particularities of each type of study. Revista de Enfermagem da UFPI. 2(5), 16-17.
Syebele, K., & Munzhelele, T. (2020). The anatomical basis and rational for the transoral approach during the surgical excision of the sublingual salivary gland for the management of plunging ranula. Am J Otolaryngol. 41(2), 102371.
Suresh, K., Feng, A., & Varvares, M. (2019). Plunging ranula with lingual nerve tether: Case report and literature review. Am J Otolaryngol, 40 (4), 612-614.
Yang, Y., & Hong, K. (2014). Surgical results of the intraoral approach for plunging ranula. Acta oto-laryngologica, 134(2), 201–205.
Zhao, G. R., Ji, P., Zhao, H. W., Li, Y., Li, Y., Liu, P., Zeng, L., & Zhang, F. G. (2015). Modified L-shaped surgical approach to excision of the sublingual gland. Br. J. Oral Maxillofac. Surg. 53 (8), 725-729.
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Copyright (c) 2023 Silma Silva Gomes; Amanda Achkar Coli; Raires do Nascimento Pereira; Vitor Gabriel Santos Silva; Marina Ferreira de Souza; João Eduardo Santos Aguiar; Ana Clara Carvalho de Sousa; Estefany Monteiro Lopes Pereira
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