Zülfikar KARABIYIK, Mahmut Sami YOLAL, Mohammad Nabi BASİRY

Management Of Oral Ranula With Modified Micro-Marsupialization

Abstract Ranulas are lesions on the floor of the mouth that result from the extravasation of mucous. There has been an ongoing dilemma on the treatment, but currently, minimally invasive surgical ways such as micro- marsupialization have been put on forward. A 40-year-old female patient was consulted to our department with a bubble-shaped lesion located the floor of the mouth, on the left side. The provisional diagnosis was ranula. A modified micro-marsupialization was applied. After the 50 days of observation, complete resolution of the lesion was observed without recurrence. Modified micro-marsupialization is a minimally invasive, comfortable technique for both patient and operator with a high percentage of successive rate. It is well-accepted by the patient, mainly uncooperative patients. Key Words: Ranula, Minimally Invasive Treatment, Micro-marsupialization ÖZET Ranula, ektravazasyon fenomeniyle ilişkili olarak mucusun ağız tabanında toplanması sonucu meydana gelen lezyonlardır. Literatürde bir çok tedavi seçeneği mevcut olmasına ragmen, hangi tedavi seçeneğinin seçileceğine dair kesin bilgi mevcut değildir. Son yıllarda ranulanın tedavisinde minimali invaziv bir yöntem olan mikro-marsüpyalizasyon ön plana çıkmıştır. 40 yaşında bayan hasta kliniğimize sol ağız tabanında şişlik şikayetiyle başvurmuştur. Lezyona, ranula ön tanısı konmuştur. Tedavi seçeneği olarak mikro marsüpyalizasyonu modifiye ettiğimiz yöntem uygulanmıştır. Mikro-marsüpyalizasyonu takiben 50. günde lezyon tamamen iyileşmiştir ve 6 aylık takipte herhangi bir nüksle karşılaşılmamıştır.

Keywords:

Ranula, Minimally Invasive Treatment, Micro-marsupialization,

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