Superfcial ranula managed by marsupialization surgical technique

Abstract

Background: Ranula is used to describe swelling that occur on the floor of the mouth. They are usually unilateral and it is typically has a bluish appearance that is compared to a frog’s belly, hence the term ranula. Usually it was caused by obstruction or trauma on sublingual gland. Ranulas have been classifed as superfcial and plunging. Purpose: The aim of this study is to report the marsupialization surgical technique in the treatment of superfcial ranula. This technique allow the base of the lesion to become mucosal base of floor of the mouth, with the purpose of obtain a spontaneous reduction of the lumen to avoid recurrent salivary duct obliteration. Case: A 42 years old male, came to RSCM referred from RSU Jambi with chief complain swelling on the floor of the mouth since a month ago that cause difculties in speaking. The swelling was growing slowly without pain. On physical examination there were swelling on right lateral floor of the mouth, its about 3 x 3 x 2 cm in size, with blue purplishcolor, well-defned border, frm consistency, and smooth surface. Case management: The superfcial ranula were treated by marsupialization surgical technique in general anesthesia. A week post-operative follow up shows good wound healing and patient ability to speaking return to normal. Conclusion: The conclusion is superfcial ranula can be treated successfully by marsupialization surgical technique.