TABLE IV.
Complications Associated With the Treatments for Plunging Ranula.
OK-432* | Ranula Excision | Submandibular Gland+Ranula | Sublingual Gland Excision | Sublingual Gland+Ranula (Transoral Approach)† | Sublingual Gland+Ranula (Cervical Approach) | Sublingual+ Submandibular Glands+Ranula | |
---|---|---|---|---|---|---|---|
Recurrences | 16/39 (41.0%) | 0/5 (0%) | 1/3 (33.3%) | 0/13 (0%) | 0/24 | 0/16 (0%) | 2/14 (14.3%) |
Complications | |||||||
Tongue hypesthesia | 0/39 (0%) | 2‡/5 (40%) | 1§/3 (33.3%) | 0/13 (0%) | 0/24 | 4∥/16 (25%) | 3/14 (21.4%) |
Wharton duct injury | 0/39 (0%) | 0/5 (0%) | 0/3 (0%) | 0/13 (0%) | 0/24 | 0/16 (0%) | 0/14 (0%) |
Bleeding/hematoma | 0/39 (0%) | 0/5 (0%) | 0/3 (0%) | 0/13 (0%) | 1/24 (4.2%) | 2/16 (12.5%) | 0/14 (0%) |
Post-op infection | 0/39 (0%) | 1/5 (20%) | 0/3 (0%) | 0/13 (0%) | 0/24 | 0/16 (0%) | 0/14 (0%) |
Plunging ranula total | 16/39 (41.03%) | 3/5 (60%) | 2/3 (66.7%) | 0/13 (0%) | 1/24 (4.2%) | 6/16 (37.5%) | 5/15 (33.3%) |
Reference | 16, 17 | 6, 26 | ¶ | 7, 8, 11 | 10, 11, 26¶ | 3, 6, 7, 26¶ | 26¶ |
Post-op = postoperative.
Rate based on initial injection.
Ranula drained or excised.
One case with permanent lingual nerve damage & temporary marginal mandibular nerve palsy (2 cases in the series had partial SLG removal).
Dysarthria that resolved after 2 months.
marginal mandibular nerve paresis that resolved in 3 months.
Taken from the University of North Carolina series.