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Case Report



Management of ranula wıth marsupıalızatıon technıque: Case series

Endang Syamsudin, Siti Deinar Andhitya, Asri Arumsari, Kiki Ahmad Rizki.


Abstract

Introduction: There are various kinds of salivary gland lumps in the oral cavity therefore required history taking and adequate examination for proper diagnosis. One of the most common salivary lumps of the salivary glands is the ranula. Ranula is a term to describe an extravasational cyst that occurs on the floor of the mouth. It usually looks unilateral and is a bluish lump like a frog belly. Purpose: The purpose of this case series to explain the proper management of the ranula with marsupialization techniques. Case Report: Three cases of ranula at the floor of the mouth in the oral and maxillofacial surgery department of Dr. Hasan Sadikin Hospital. Clinical examination in all three patients there was a lump under the tongue that was not painful and growing larger. Discussion: Ranula is a form of cyst due to obstruction of the major salivary glands found on the floor of the mouth, which will give swelling and bluish appearances under the tongue. If it’s not immediately treated will have a bad effect, because swelling can disrupt the function of talking, chewing, swallowing, and breathing. In this case, we performed surgical therapy with marsupialization technique that aims to decompress the ranula. Excisional ranula therapy can cause trauma to the lingual nerve, causing paresthesia and injury to the submandibular salivary duct. Conclusion: The marsupialization technique has the advantage of being less invasive because it can protect the vital structures from surgical damage.

Key words: Salivary gland, Marsupialization, Ranula






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