The piercing - Stretching suture technique for the treatment of simple oral floor ranula

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Objectives: Oral floor ranulas are pseudocysts located in the floor of the mouth that result from the extravasation of mucous from a sublingual gland. Historically, there has been little consensus on the ideal first-line treatment, but currently, definitive treatment involves excision of the sublingual gland, which can injure the lingual nerve and submandibular duct. Minimally invasive surgical techniques have been proposed, but so far have been associated with a high rate of recurrence. Methods: the so-called piercing-stretching suture technique was done in 14 naive adult and paediatric patients (6 females, mean age 20.3 years, range 7-55); clinical and ultrasonographic evaluation was performed in all patients; postoperative sialendoscopic check was done in two paediatric patients. Results: The surgical procedure was successful in all the patients and complete recovery of the ranula was seen in all but one of the patients who underwent a new suture replacement. No major or minor complications were encountered. Conclusions: This minimally invasive procedure may be considered a reliable and first line treatment modality for the management of simple oral floor ranulas.

Original languageEnglish
Pages (from-to)68-72
JournalJournal of Laryngology and Otology
Issue number1
Publication statusPublished - 2022


  • minimally invasive
  • oral floor
  • ranula
  • sialendoscopy
  • sublingual gland

ASJC Scopus subject areas

  • Otorhinolaryngology


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