Successful medical treatment for ranula in children.

Abstract

OBJECTIVES:

We compare the outcome of medical treatment for ranula versus surgery in children.

STUDY DESIGN:

Multicentric cohort study.

METHODS:

The case series includes 37 children with ranulas (diameter 2.7 ± 1.5 cm). Eighteen patients, including 3 who had relapsed after either simple marsupialization or ranula removal alone, received oral nickel gluconate, mercurius heel, and glandula submandibularis suis D10/D30/D200. Fifteen cases underwent marsupialization with packing, and 2 underwent sublingual gland and ranula en-bloc excision. Two patients who recovered spontaneously shortly after diagnosis were excluded.

RESULTS:

No recurrences occurred among medical patients. Of the 17 surgical patients, 3 treated with marsupialization with packing relapsed. With the 3 surgical failures from other centers a total of 6 of 20 relapses were considered. Swelling or tension was common in surgical cases but unusual in medical patients.

CONCLUSIONS:

In this case series oral medical treatment for ranula was very effective and more effective than marsupialization with packing.

• Authors: Salvatore Garofalo, Alessandro Mussa, Michael Mostert, Liana Suteu, Simona Vinardi, Stefano Gamba, Luca Lonati, Elisabetta Teruzzi, Nicola Tommasoni, Massimo Bassignana, Guido Masi, Gaetano Marenzi, Gilberto Sammartino, Carmen Mortellaro
• Journal: Oral surgery, oral medicine, oral pathology and oral radiology (Oral Surg Oral Med Oral Pathol Oral Radiol) Vol. 117 Issue 4 Pg. e289-97 (Apr 2014) ISSN: 2212-4411 [Electronic] United States
• PMID: 23021915 (Publication Type: Journal Article, Multicenter Study)
• Copyright: Copyright © 2014 Elsevier Inc. All rights reserved.

Topics

• Adolescent
• Child
• Child, Preschool
• Diagnostic Imaging
• Female
• Humans
• Infant
• Male
• Ranula (diagnosis, therapy)
• Retreatment
• Retrospective Studies
• Treatment Outcome