Skip to main content
Log in

Rare Presentation of Simultaneous Bilateral Oral Ranula Treated by Marsupialization: Case Report and Review of the Literature

  • Case Report
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data Availability

Any time.

Code Availability

Not applicable.

References

  1. Barker GR (1984) Bilateral ranula. Int J Oral Surg 13:352–354. https://doi.org/10.1016/S0300-9785(84)80044-7

    Article  CAS  PubMed  Google Scholar 

  2. 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

    Article  CAS  PubMed  Google Scholar 

  3. Harrison JD (2010) Modern management and pathophysiology of ranula: literature review. Head Neck 32:1310–1320. https://doi.org/10.1002/hed.21326

    Article  PubMed  Google Scholar 

  4. 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

    Article  PubMed  Google Scholar 

  5. 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

    Article  Google Scholar 

  6. 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

    Article  Google Scholar 

  7. 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

    Article  PubMed  PubMed Central  Google Scholar 

  8. Cavalcante ASR, Rosa LEB, Costa NCS et al (2009) Congenital ranula: a case report. J Dent Child (Chic) 76:78–81

    Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. Bahnassy M (2009) A huge oral ranula. Oman Med J 24:306–307. https://doi.org/10.5001/omj.2009.63

    Article  PubMed  PubMed Central  Google Scholar 

  11. 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

    Google Scholar 

  12. 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

    Article  PubMed  PubMed Central  Google Scholar 

  13. 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

    PubMed  Google Scholar 

  14. 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

    Article  PubMed  PubMed Central  Google Scholar 

  15. 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

    Article  PubMed  Google Scholar 

  16. 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

    Article  PubMed  Google Scholar 

  17. 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

  18. 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

    Article  CAS  PubMed  Google Scholar 

  19. 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

    Article  PubMed  Google Scholar 

  20. 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

    Article  PubMed  Google Scholar 

  21. 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

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

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.

Corresponding author

Correspondence to Manoela Carrera.

Ethics declarations

Ethics Approval and Consent to Participate

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.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-021-03130-4

Keywords

Navigation