Volume 37, Issue 2 pp. 197-201
Original Article

Treatment of intraoral ranulas with micromarsupialization: Clinical outcomes and safety from a phase II clinical trial

Seung Hoon Woo MD

Seung Hoon Woo MD

Department of Otolaryngology, Gyeongsang National University, Jinju, Republic of Korea

Institute of Health Sciences, Gyeongsang National University, Jinju, Republic of Korea

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Jun Hyuk Chi MD

Jun Hyuk Chi MD

Department of Otorhinolaryngology – Head and Neck Surgery, Dongguk University Ilsan Hospital, Goyang, Republic of Korea

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Bo Hae Kim MD

Bo Hae Kim MD

Department of Otorhinolaryngology – Head and Neck Surgery, Dongguk University Ilsan Hospital, Goyang, Republic of Korea

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Seong Keun Kwon MD, PhD

Corresponding Author

Seong Keun Kwon MD, PhD

Department of Otorhinolaryngology – Head and Neck Surgery, Seoul National University, Seoul, Republic of Korea

Corresponding author: S. K. Kwon, Department of Otorhinolaryngology – Head and Neck Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea. E-mail: [email protected]Search for more papers by this author
First published: 22 December 2013
Citations: 15

ABSTRACT

Background

Micromarsupialization of an oral ranula has been introduced to clinical practice. However, the technical feasibility, indications, and safety of the procedure were not fully studied. In this study, we report the results of a prospective phase II clinical trial to evaluate the clinical outcomes.

Methods

Twenty patients diagnosed with oral ranula were enrolled in this trial. The ranulas were confirmed by oral examination and CT scans. We implemented micromarsupialization on the patients after receiving their consent. We evaluated the clinical outcomes and complications related to this procedure for longer than a 12-month period.

Results

All patients showed resolution after the first micromarsupialization, after which 5 patients developed a recurrence that required revision micromarsupialization. Six months later, only 2 patients showed recurrence, requiring resection of the ranula and sublingual gland.

Conclusion

Micromarsupialization can be a very effective and safe approach as an initial treatment for intraoral ranula. © 2014 Wiley Periodicals, Inc. Head Neck 37: 197-201, 2015

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