Comparison between Partial versus Complete Excision of Sublingual Gland in Plunging Ranula Management (A Clinical Study)
Agha Taj Mohammad
General Surgery Department, Liaquat University of Medical and Health Sciences, Pakistan.
Jamshed Bashir
General Surgery Department, Muhammad Medical College, Mirpurkhas, Pakistan.
Mukhtar Ibrahim Singapuri
Otolaryngology (ENT) Department, Indus Medical College, Tando Muhammad khan, Pakistan.
Bushra Tasneem
General Surgery Department, Abbasi Shaheed Hospital, Karachi, Pakistan.
Rasool Bux Behan
General Surgery Department, Liaquat University of Medical and Health Sciences, Pakistan.
Syed Ghazanfar Hassan *
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Liaquat University of Medical and Health Sciences, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Objective: To compare the postoperative complications of complete versus partial excision of the sublingual gland (SLG) in the management of plunging ranula.
Subject and Methods: A total of 24 patients were equally divided into two groups; Group A was treated with partial excision, while Group B was treated with Complete excision. . CT and MRI were used to diagnose the lesions. Postoperatively, complications like pain, hematoma, and temporary numbness of tongue, dysgeusia, dysphgia and recurrence were recorded.
Results: In both groups, males were in majority as compared to females. 10 males and 2 females, 9 males and 3 females were reported in Group A and B respectively. Mean age of patients in group A was 22.34±3.61, while in group B it was 21.25±3.55. Nearby 25% recurrence rate was found in patients treated with partial excision of SLG, while none of the patient reported with recurrence in complete excision group.
Conclusion: Complete excision of sublingual gland was found superior management modality as compared with partial excision in terms of postoperative recurrence.
Keywords: Plunging Ranula, partial excision, complete excision, sublingual gland, recurrence