Surgical excision of ranula: Case report
DOI:
https://doi.org/10.33448/rsd-v12i7.42530Keywords:
Ranula; Oral surgery; Salivary gland diseases; Case reports.Abstract
Introduction: "Ranula" is the term used to refer to mucoceles that occur on the floor of the mouth. They are benign lesions that occur due to the phenomenon of extravasation of saliva into the surrounding tissue. Among the most common etiologies are traumas in the region of the sublingual gland or obstruction of the duct of this gland. Clinically, the ranula appears as a swelling with a bluish or translucent color, resembling the abdomen of a frog, which gave rise to its name. Objective: The objective of this work is to report the case of a male patient, aged 35 years, normossystemic, who attended the Oral Diagnosis Clinic of Faculdade Paulo Picanço, complaining of swelling in the sublingual region, caused by difficulty in feeding and movement of the tongue. To confirm the diagnosis, a histopathological examination was performed, which confirmed the hypothesis of ranula. Therefore, surgical excision of the lesion was performed. The patient was followed up for a period of 1 year and showed no signs of recurrence. Final considerations: Surgical excision of the lesion is considered a conservative approach compared to marsupialization and excision of the sublingual gland, but it has high success rates. After the procedure, it is essential that the patient is monitored to ensure the effectiveness of the treatment and provide a better prognosis.
References
Bezerra, T. M. M., Monteiro, B. V. de B., Henriques, Á. C. G., de Vasconcelos Carvalho, M., Nonaka, C. F. W., & da Costa Miguel, M. C. (2016). Epidemiological survey of mucus extravasation phenomenon at an oral pathology referral center during a 43 year period. Brazilian Journal of Otorhinolaryngology (English Edition), 82(5), 536–542. https://doi.org/10.1016/j.bjorl.2015.09.013
Bowers, E. M. R., & Schaitkin, B. (2021). Management of Mucoceles, Sialoceles, and Ranulas. Otolaryngologic Clinics of North America, 54(3), 543–551. https://doi.org/10.1016/j.otc.2021.03.002
Chung, Y. S., Cho, Y., & Kim, B. H. (2019). Comparison of outcomes of treatment for ranula: a proportion meta-analysis. British Journal of Oral and Maxillofacial Surgery, 57(7), 620–626. https://doi.org/10.1016/j.bjoms.2019.06.005
Choi, M.-G. (2019). Case report of the management of the ranula. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 45(6), 357. https://doi.org/10.5125/jkaoms.2019.45.6.357
Gomes F. P., de Almeida PercianoI. C., Oliveira D. M. de, Santos B. T. M. dos, Canuto L. C., Oliveira A. L. P. de, & Peixoto F. B. (2019). Técnica de Marsupialização em Rânula: Relato de caso. Revista Eletrônica Acervo Saúde, (37), e2369. https://doi.org/10.25248/reas.e2369.2019
Gomes, S. S., Coli, A. A., Pereira, R. do N., Silva, V. G. S., Souza, M. F. de, Aguiar, J. E. S., Sousa, A. C. C. de, & Pereira, E. M. L. (2023). Exérese da glândula sublingual para o tratamento de rânula mergulhante. Research, Society and Development, 12(2), e23012240234. https://doi.org/10.33448/rsd-v12i2.40234
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.
Horvat Aleksijević, L., Prpić, J., Muhvić Urek, M., Pezelj-Ribarić, S., Ivančić-Jokić, N., Peršić Bukmir, R., Aleksijević, M., & Glažar, I. (2022). Oral Mucosal Lesions in Childhood. Dentistry Journal, 10(11), 214. https://doi.org/10.3390/dj10110214
Huzaifa, M., & Soni, A. (2022). Mucocele And Ranula. PubMed; StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/32809690/
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. da S., Bassi, A. P. F., Faverani, L. P., Magro Filho, O., Garcia Júnior, I. R., & Souza, F. Á. (2020). Estratégia para tratamento de rânula mergulhante. Relato de caso. Research, Society and Development, 9(11), e93791110596. https://doi.org/10.33448/rsd-v9i11.10596
Jia, T., Xing, L., Zhu, F., Jin, X., Liu, L., Tao, J., Chen, Y., Gao, Z., & Zhang, H. (2015). Minimally invasive treatment of oral ranula with a mucosal tunnel. The British Journal of Oral & Maxillofacial Surgery, 53(2), 138–141. https://doi.org/10.1016/j.bjoms.2014.10.015
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.
Leal, R. M., & Braulio, I. T. (2017). Marsupialização em rânula: relato de caso clínico. Arquivo Brasileiro De Odontologia, 10(1), 15-20. Recuperado de http://periodicos.pucminas.br/index.php/Arquivobrasileirodontologia/article/view/14903
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.
Minomi, T. M., Ganzaroli, V. F., & Ponzoni, D. (2021). Diagnosis and surgical treatment of mucocele: Clinical case report. Research, Society and Development, 10(8), e19010817289. https://doi.org/10.33448/rsd-v10i8.17289
Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2016). Patologia Oral & Maxilofacial, (4ª edição). Elsevier.
Ogle, O. E. (2021). Excision of Sublingual Gland. Oral and Maxillofacial Surgery Clinics of North America, 33(2), 161–168. https://doi.org/10.1016/j.coms.2020.12.001
Packiri, S. (2017). Management of Paediatric Oral Ranula: A Systematic Review. Journal of clinical and diagnostic research. https://doi.org/10.7860/jcdr/2017/28498.10622
Pereira, A. S., Shitsuka D. M., Parreira, F. J., Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM.
Silva, F. R. da, Jacomé, N. M., Azevedo, S. P. de O. de, Carvalho, D. O. da C., Lourenço, S. de Q. C., & Júnior, J. de A. S. (2022). Fenômeno de extravasamento de muco: relato de dois casos clínicos. Revista Fluminense de Odontologia, 2(58), 159–168. https://doi.org/10.22409/ijosd.v2i58.53859
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Copyright (c) 2023 Cícero Alexandre Oliveira Sá; Ricardo Anderson de Oliveira Vasconcelos; Graziele de Lima Klen; Giovanna Déa Mitre Wenzel; Clara Rodrigues Damasceno; Thiago Fonteles de Sousa; Francisco Jonas da Silva Farias
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