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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Cheek Bite Followed By Tooth Extraction

I had a tooth extracted, and subsequently started biting the side/underside of my tongue, which I believe led to my developing a ranula. I've had a consultation with an oral maxillofacial surgeon, who would operate to remove the cyst. I was a bit overwhelmed with our conversation and don't remember or didn't quite understand everything he said. He did say marsupialization, and he also said it was likely that the ranula would return after the first surgery because of the size of the cyst and the thinness of the tissue, but that a second surgery if the recurring cyst was caught small enough could be removed. I've also read that these ranula tend to return with just marsupialization and that the sublingual gland needs to be removed to prevent recurrence. What is the "standard" procedure for ranula removal and what is the success rate? Do I even need to have it removed? Is the sublingual gland commonly removed? What are the risks?
posted on Fri, 14 Mar 2014
Twitter Mon, 7 Jul 2014 Answered on
Twitter Tue, 8 Jul 2014 Last reviewed on
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Dentist, Oral and Maxillofacial Surgery,  's  Response
Thanks for your query, I have gone through your query.
The ranula can be removed surgically by either marsupialization or enucleation. when you do enucleation (indicated when the lesion is smaller), the complete cyst lining will be removed so the chances of reccurence rate is less. Where as in marsupialization(indicated when the lesionis bigger) the cyst will be opened and the edges will be sutured to the adjacent normal mucosa. Once the size of the lesion reducesThen a second surgery is done to remove the complete lining.
There is no need to remove the gland as such, you can get the ranula removed. You might end up with slight reduction in salivary secretion following gland removal, but it is negligible.
I hope my answer will help you, take care.

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Suggest Treatment For Cheek Bite Followed By Tooth Extraction

Thanks for your query, I have gone through your query. The ranula can be removed surgically by either marsupialization or enucleation. when you do enucleation (indicated when the lesion is smaller), the complete cyst lining will be removed so the chances of reccurence rate is less. Where as in marsupialization(indicated when the lesionis bigger) the cyst will be opened and the edges will be sutured to the adjacent normal mucosa. Once the size of the lesion reducesThen a second surgery is done to remove the complete lining. There is no need to remove the gland as such, you can get the ranula removed. You might end up with slight reduction in salivary secretion following gland removal, but it is negligible. I hope my answer will help you, take care.