Treatment of a ranula using an Er,Cr:YSGG laser

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Malcolm ZolaKwaku Anakwa

Abstract

A ranula is an extravasational cyst arising from the sublingual gland. The "cyst" cavity does not have an epithelial lining, and because of this is notoriously difficult to eliminate. Usual treatment requires complete excision of the sublingual gland, exteriorizing the gland through establishment of a secondary ductal structure by placement of a long-term indwelling catheter, or packing, all requiring patient compliance. Unroofing alone is often followed by recurrence via resealing or closure with formation of a new roof. The accompanying scarring and damage to additional ducts may also result in recurrence. Combining unroofing with a technique that would prevent resealing of the remaining portion, scarify the base of the ranula to eliminate residual glandular acini, and be more comfortable and non-interfering with the daily activity of the patient, is an acceptable object of treatment of a ranula. The use of a water-based laser system to accomplish these goals appears to be a desirable and simple method.

References

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Citations

Dec 3, 2013·Journal of Maxillofacial and Oral Surgery·B Venkat Suresh, Sambhav K Vora
Sep 1, 2006·Photomedicine and Laser Surgery
Sep 12, 2014·Current Opinion in Otolaryngology & Head and Neck Surgery·Keqian ZhiWenhao Ren
Feb 13, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Nikolaos KolomvosIoannis Iatrou
Feb 18, 2010·Lasers in Medical Science·Umberto RomeoMassimo De Luca
May 23, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Malcolm Zola
May 26, 2015·The British Journal of Oral & Maxillofacial Surgery·Guo-Rong ZhaoFu-Gui Zhang
Sep 18, 2016·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Michihide KonoDaichi Chikazu
Jan 30, 2014·Brazilian Dental Journal·Rodrigo Alexandre ValérioFrancisco Wanderley Garcia de Paula-Silva
Jan 25, 2008·The Journal of Craniofacial Surgery·Carmen MortellaroGilberto Sammartino

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