Hegde Sapna, Bubna Ketan, Rao Dinesh
J Clin Pediatr Dent. 2017;41(4):305-307. doi: 10.17796/1053-4628-41.4.305.
Ranulas pose a challenging situation, both clinically and surgically, because of their location on the floor of the mouth, an area that exhibits tightly-netted vital structures. Several treatments have been proposed, including excision with or without removal of the sublingual gland, marsupialization with or without cauterization of the roof of the lesion, drainage of the lesion, and micro-marsupialization. It has been suggested that a modified micro-marsupialization technique can establish drainage of saliva and formation of new permanent epithelized tracts along the path of sutures, thereby reducing the recurrence. This paper presents a report of a ranula in a 12 year-old child that was successfully managed using a modified micro-marsupialization procedure.
由于舌下腺囊肿位于口底，该区域有紧密交织的重要结构，因此无论在临床还是手术方面，舌下腺囊肿都构成了具有挑战性的情况。已经提出了几种治疗方法，包括切除舌下腺与否的切除术、对病变顶部进行烧灼与否的袋形缝合术、病变引流术和微型袋形缝合术。有人提出，改良的微型袋形缝合术可以建立唾液引流，并沿着缝线路径形成新的永久性上皮化通道，从而减少复发。本文报告了一例12岁儿童舌下腺囊肿，采用改良微型袋形缝合术成功治疗。
