Abstract
Reporting a case of simultaneous bilateral oral ranula treated by marsupialization and to present a literature review on the profile of affected patients and also to correlate the treatment.
Woman presenting a simultaneous bilateral oral ranula with no apparent etiology. Marsupialization was performed on both sides with the preservation of sublingual glands. No recurrence has been noted for 2 years of following.
The literature review was conducted in August 2021 using PubMed, Web of Science, Embase, Scopus, LILACS and OpenGrey databases. Included articles were reviewed for mean age at presentation, gender, average size, treatment and recurrence. Literature review revealed 6 previous reported cases of bilateral oral ranula occurring simultaneously.
Only 6 cases of bilateral oral ranula occurring simultaneously have been described in the literature. In general, the treatment is the excision of the lesion and also of the associated gland, as it has a lower recurrence rate. However, in the present case, we proposed marsupialization as a less invasive conduction of bilateral oral ranula occurring simultaneously, and the remission of the lesion occurred after this treatment with preservation of the gland.
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References
Barker GR (1984) Bilateral ranula. Int J Oral Surg 13:352–354. https://doi.org/10.1016/S0300-9785(84)80044-7
Chung YS, Cho Y, Kim BH (2019) Comparison of outcomes of treatment for ranula: a proportion meta-analysis. Br J Oral Maxillofac Surg 57:620–626. https://doi.org/10.1016/j.bjoms.2019.06.005
Harrison JD (2010) Modern management and pathophysiology of ranula: literature review. Head Neck 32:1310–1320. https://doi.org/10.1002/hed.21326
Mun SJ, Choi HG, Kim H et al (2014) Ductal variation of the sublingual gland: a predisposing factor for ranula formation. Head Neck 36:540–544. https://doi.org/10.1002/hed.23324
Zhao YF, Jia Y, Chen XM, Zhang WF (2004) Clinical review of 580 ranulas. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology 98:281–287. https://doi.org/10.1016/j.tripleo.2004.01.013
George MM, Mirza O, Solanki K et al (2015) Serious neonatal airway obstruction with massive congenital sublingual ranula and contralateral occurrence. Ann Med Surg 4:136–139. https://doi.org/10.1016/j.amsu.2015.04.006
Choi HJ, Kim SG, Kim JD et al (2012) A case of bilateral submandibular gland mucoceles in a 16-month-old child. Korean J Pediatr 55:215–218. https://doi.org/10.3345/kjp.2012.55.6.215
Cavalcante ASR, Rosa LEB, Costa NCS et al (2009) Congenital ranula: a case report. J Dent Child (Chic) 76:78–81
Ghani NA, Ahmad R, Rahman RA et al (2009) A retrospective study of ranula in two centres in Malaysia. J Maxillofac Oral Surg 8:316–319. https://doi.org/10.1007/s12663-009-0077-9
Bahnassy M (2009) A huge oral ranula. Oman Med J 24:306–307. https://doi.org/10.5001/omj.2009.63
Yaman H, Arbağ H, Cenİk Z et al (2006) Case report bilateral ranula in an elderly patient : a case report. KBB-Forum 5:41–43
Walvekar RR, Peters G, Hardy E et al (2011) Robotic-assisted transoral removal of a bilateral floor of mouth ranulas. World J Surg Oncol 9:78. https://doi.org/10.1186/1477-7819-9-78
Date AS, Padhye M, Desai R, Hire A (2016) Simultaneous bilateral ranula in an edentulous patient. Rare presentation with a brief review of the literature. Stomatologija 18:133–136
Kokong D, Iduh A, Chukwu I et al (2017) Ranula: current concept of pathophysiologic basis and surgical management options. World J Surg 41:1476–1481. https://doi.org/10.1007/s00268-017-3901-2
Sigismund PE, Bozzato A, Schumann M et al (2013) Management of ranula: 9 years’ clinical experience in pediatric and adult patients. J Oral Maxillofac Surg 71:538–544. https://doi.org/10.1016/j.joms.2012.07.042
Jain P, Jain R, Morton RP, Ahmad Z (2010) Plunging ranulas: high-resolution ultrasound for diagnosis and surgical management. Eur Radiol 20:1442–1449. https://doi.org/10.1007/s00330-009-1666-1
Yoshimura Y, Obara S, Kondoh T, Naitoh S (1995) A comparison of three methods used for treatment of ranula. J Oral Maxillofac Surg 53:280–2; discussion 283. https://doi.org/10.1016/0278-2391(95)90224-4
Parekh D, Stewart M, Joseph C, Lawson HH (1987) Plunging ranula: a report of three cases and review of the literature. Br J Surg 74:307–309. https://doi.org/10.1002/bjs.1800740426
Haberal I, Göçmen H, Samim E (2004) Surgical management of pediatric ranula. Int J Pediatr Otorhinolaryngol 68:161–163. https://doi.org/10.1016/j.ijporl.2003.09.017
Zhao YF, Jia J, Jia Y (2005) Complications associated with surgical management of ranulas. J Oral Maxillofac Surg 63:51–54. https://doi.org/10.1016/j.joms.2004.02.018
Baurmash HD (1992) Marsupialization for treatment of oral ranula: a second look at the procedure. J Oral Maxillofac Surg 50:1274–1279. https://doi.org/10.1016/0278-2391(92)90226-p
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Rebeca Nascimento –literature review conduction, paper writing.
Nara Araujo—literature review conduction, paper writing.
Geisiani Menezes—clinical case conduction, paper writing.
Pauline Magalhães Cardoso—clinical case conduction.
André Carlos de Freitas – clinical case conduction.
Flávia Xavier—clinical case conduction, taking pictures, supervision of paper writing.
Manoela Carrera—clinical case conduction, taking pictures, supervision of paper writing.
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This study has been approved by the Ethics Committee of Faculty of Dentistry—Federal University of Bahia—Brazil (no 2.674.644 2.674.644). The patient of this case agrees to the publication of this case report.
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Nascimento, R.B., Araujo, N.S., Menezes, G.P.S.T. et al. Rare Presentation of Simultaneous Bilateral Oral Ranula Treated by Marsupialization: Case Report and Review of the Literature. Indian J Surg 84, 1083–1088 (2022). https://doi.org/10.1007/s12262-021-03130-4
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DOI: https://doi.org/10.1007/s12262-021-03130-4