Sublingual Gland Excision and Sclerotherapy for Plunging Ranula and Management of Recurrence
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Background and Objectives For plunging ranula, excision of the sublingual gland hasbeen the major treatment option, with sclerotherapy being widely used as minimal invasivetreatment. We compared the outcomes of these two methods as an initial treatment for ranulaand investigated the outcomes of salvage procedure in recurred patients. Subjects and Method Patients were classified into the excision group (n=35) and the sclerotherapygroup (n=39) according to the type of their initial treatment. The outcomes of the initialand salvage treatment were determined as recurrence or non-recurrence at 3 months aftertreatment, and statistically compared between the excision and the sclerotherapy groups. Results Recurrence in the sclerothearpy group (n=20, 51.3%) showed a significantly higherrate (p<0.001) than in the excision group (n=3, 8.6%). Recurring patients who received treatmentdifferent from the initial treatment (n=7) were cured, while those who had same procedureas the initial treatment (n=11) showed recurrence of 72.7% (n=8). There was no procedurerelated complication among the patients. Conclusion Sublingual gland excision was more effective than ethanol sclerotherapy for thetreatment of plunging ranula. In addition, sublingual gland excision was effective even afterthe failure of ethanol sclerotherapy.
Abstract
Background and Objectives For plunging ranula, excision of the sublingual gland hasbeen the major treatment option, with sclerotherapy being widely used as minimal invasivetreatment. We compared the outcomes of these two methods as an initial treatment for ranulaand investigated the outcomes of salvage procedure in recurred patients. Subjects and Method Patients were classified into the excision group (n=35) and the sclerotherapygroup (n=39) according to the type of their initial treatment. The outcomes of the initialand salvage treatment were determined as recurrence or non-recurrence at 3 months aftertreatment, and statistically compared between the excision and the sclerotherapy groups. Results Recurrence in the sclerothearpy group (n=20, 51.3%) showed a significantly higherrate (p<0.001) than in the excision group (n=3, 8.6%). Recurring patients who received treatmentdifferent from the initial treatment (n=7) were cured, while those who had same procedureas the initial treatment (n=11) showed recurrence of 72.7% (n=8). There was no procedurerelated complication among the patients. Conclusion Sublingual gland excision was more effective than ethanol sclerotherapy for thetreatment of plunging ranula. In addition, sublingual gland excision was effective even afterthe failure of ethanol sclerotherapy.
참고문헌 (26)
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