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The recurrent ranula is best treated by:

 # The recurrent ranula is best treated by:
A. Electrosurgery
B. Cryosurgery
C. Marsupialization
D. Sublingual gland excision



The correct answer is D. Sublingual gland excision.

The usual treatment of a ranula is marsupialization, in which a portion of the oral mucosa of the floor of the mouth is excised, along with the superior wall of the ranula. Subsequently, the ranula wall is sutured to the oral mucosa of the floor of the mouth and allowed to heal by secondary intention with cicatrix formation and a decreased likelihood of recurrence. The preferred treatment for recurrent or persistent ranulas is excision of the ranula as well as the sublingual gland via an intraoral approach to the anterior floor of mouth; several recent studies have indicated that this might be appropriate for initial therapy since the recurrence rate with marsupialization may be unacceptably high. 

Hupp, 6th Edition page 410


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