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Year : 2020  |  Volume : 22  |  Issue : 2  |  Page : 50-56

Oral ranulas: A 15-year retrospective clinico-surgical evaluation in a major referral hospital in the Southern Province of the Kingdom of Saudi Arabia

1 Department of Maxillofacial Surgery, King Khalid Hospital, Najran, Kingdom of Saudi Arabia
2 Department of Oral and Maxillofacial Surgery, Specialty Regional Dental Center, Najran, Kingdom of Saudi Arabia

Correspondence Address:
Dr. Ramat Oyebunmi Braimah
Department of Oral and Maxillofacial Surgery, Specialty Regional Dental Center, Najran
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/SJOH.SJOH_4_20

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Background: A ranula is a mucous extravasation phenomenon involving the sublingual gland. The main objective of the current study was to present a clinic-surgical evaluation of ranula in our center. Materials and Methods: This is a 15-year retrospective analysis of ranulas in the main referral hospital in the Najran Region of the Kingdom of Saudi Arabia. Data collected includes demographics, type of ranula, modality of occurrence, laterality, surgical approach, and type of treatment. Data were stored and analyzed using IBM SPSS Statistics for IOS Version 25(IBM Corp., Armonk, NY, USA). Results were presented as simple frequencies and descriptive statistics. Results: Fifty-five cases of oral ranula were recorded out of a total of 75 ranulas during the study with a prevalence rate of 0.14 cases/1000 persons. There were 27 males and 28 females with a male-to-female ratio of 1:1.03. Their ages ranged from 2 years to 45 years with mean ± standard deviation (22.2 ± 10.7). The age group from 11 to 20 years had the highest frequency with 19 cases, representing 34.5% followed by the age group of 21–30 years with 16 cases, representing 29.1%. Of the total of 55 cases of oral ranula, 53 (96.4%) had the lesions excised together with the sublingual gland through intraoral approach, while only 2 (3.6%) cases were marsupialized. Conclusions: We have reported that oral ranulas represent about 73.3% of the ranulas. Surgical removal of the lesion and the sublingual gland is essential for the prevention of recurrence. Loose intraoral suturing in the floor of the mouth is advised to prevent saliva refilling.

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