하마종 수술에서 설하선 절제의 의의
Significance of Sublingual Gland Excision in Surgical Treatment of Ranula
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Background and Objectives Ranulas, pseudo cysts found on the floor of mouth, develop from the retention or extravasation of saliva from the sublingual gland. The main treatment of ranula is surgical excision but the extent of surgery is controversial. The aim of this study was to evaluate the significance of sublingual gland excision in the surgical treatment of ranula. Subjects and Method We retrospectively reviewed 112 patients with ranula who had undergone surgical excision from January 2004 to April 2016. Those who underwent any previous treatment such as sclerotherapy, marsupialization, or excision of cyst were excluded in the study. Surgical outcomes including complications and recurrence were compared between the group that went through simple cyst excision and the group that went through cyst and sublingual gland excision. Results Of 112 patients, 94 were simple ranula and 18 were plunging ranula. Thirty-seven (33%) were male and 75 (67%) were female. Of the 94 simple ranula patients, 23 underwent excision of cyst only; the remaining 71 patients and all other patients with plunging ranula underwent excision of cyst and sublingual gland together. The recurrence rate was significantly lower for the cyst and sublingual gland excision group than for the simple cyst excision group (2.2% vs. 17.4%, p=0.004). The complication rate did not differ between the two groups (4.3% vs. 1.1%, p=0.298). Conclusion The excision of sublingual glands as well as cysts is an important option to reduce recurrence in the surgical treatment of ranula. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(7):352-5
Abstract
Background and Objectives Ranulas, pseudo cysts found on the floor of mouth, develop from the retention or extravasation of saliva from the sublingual gland. The main treatment of ranula is surgical excision but the extent of surgery is controversial. The aim of this study was to evaluate the significance of sublingual gland excision in the surgical treatment of ranula. Subjects and Method We retrospectively reviewed 112 patients with ranula who had undergone surgical excision from January 2004 to April 2016. Those who underwent any previous treatment such as sclerotherapy, marsupialization, or excision of cyst were excluded in the study. Surgical outcomes including complications and recurrence were compared between the group that went through simple cyst excision and the group that went through cyst and sublingual gland excision. Results Of 112 patients, 94 were simple ranula and 18 were plunging ranula. Thirty-seven (33%) were male and 75 (67%) were female. Of the 94 simple ranula patients, 23 underwent excision of cyst only; the remaining 71 patients and all other patients with plunging ranula underwent excision of cyst and sublingual gland together. The recurrence rate was significantly lower for the cyst and sublingual gland excision group than for the simple cyst excision group (2.2% vs. 17.4%, p=0.004). The complication rate did not differ between the two groups (4.3% vs. 1.1%, p=0.298). Conclusion The excision of sublingual glands as well as cysts is an important option to reduce recurrence in the surgical treatment of ranula. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(7):352-5
참고문헌 (20)
- 김보해, "하마종의 병태생리와 치료", 대한이비인후과학회지 두경부외과학, 59(5), pp.339~345 (2016), 대한이비인후과학회[DOI]
- Zhao YF, "Clinical review of 580 ranulas", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 98(3), pp.281~287 (2004)
- 이흥만, "몰입성 하마종 22예에 대한 임상적 고찰", 대한이비인후과학회지 두경부외과학, 46(9), pp.764~768 (2003), 대한이비인후과학회
- McGurk M, "Conservative treatment of oral ranula by excision with minimal excision of the sublingual gland: histological support for a traumatic etiology", J Oral Maxillofac Surg, 66(10), pp.2050~2057 (2008)
- Langlois NE, "Plunging ranula: a case report and a literature review", Hum Pathol, 23(11), pp.1306~1308 (1992)
- Huang SF, "Transoral approach for plunging ranula--10-year experience", Laryngoscope, 120(1), pp.53~57 (2010)
- 홍기환, "구강을 통한 몰입형 하마종의 수술적 치료", 대한이비인후과학회지 두경부외과학, 53(11), pp.702~705 (2010), 대한이비인후과학회
- Sigismund PE, "Management of ranula: 9 years’ clinical experience in pediatric and adult patients", J Oral Maxillofac Surg, 71(3), pp.538~544 (2013)
- Lee DH, "Treatment outcomes of the intraoral approach for a simple ranula", Oral Surg Oral Med Oral Pathol Oral Radiol, 119(4), pp.e223~e225 (2015)
- Patel MR, "Oral and plunging ranulas: what is the most effective treatment?", Laryngoscope, 119(8), pp.1501~1509 (2009)
- Zhao YF, "Complications associated with surgical management of ranulas", J Oral Maxillofac Surg, 63(1), pp.51~54 (2005)
- Zhang B, "Are the patients with anatomic variation of the sublingual", Wharton’s duct system predisposed to ranula formation?, 2016, pp.83, 69~73
- Chen CJ, "Recurrent sublingual ranula or saliva leakage from the submandibular gland? Anatomical consideration of the ductal system of the sublingual gland", J Oral Maxillofac Surg, 73(4), pp.675.e1~675.e7 (2015)
- Morita Y, "Treatment of ranula--excision of the sublingual gland versus marsupialization", Auris Nasus Larynx, 30(3), pp.311~314 (2003)
- Zola M, "Treatment of a ranula using an Er, Cr: YSGG laser", J Oral Maxillofac Surg, 64(5), pp.823~827 (2006)
- Zhi K, "Management of infant ranula", Int J Pediatr Otorhinolaryngol, 72(6), pp.823~826 (2008)
- 김효선, "OK-432를 이용한 하마종의 경화 요법", 대한이비인후과학회지 두경부외과학, 49(10), pp.1003~1007 (2006), 대한이비인후과학회
- Yoshimura Y, "A comparison of three methods used for treatment of ranula", J Oral Maxillofac Surg, 53(3), pp.280~282 (1995)
- Chidzonga MM, "Ranula: experience with 83 cases in Zimbabwe", J Oral Maxillofac Surg, 65(1), pp.79~82 (2007)
- 유병욱, "몰입성 하마종에서 경구접근법을 통한 치료", 대한이비인후과학회지 두경부외과학, 48(4), pp.516~519 (2005), 대한이비인후과학회