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October 1969

A Simplified Office Procedure for Treatment of Ranula

Arch Otolaryngol. 1969;90(4):504-508. doi:10.1001/archotol.1969.00770030506019

A COMPREHENSIVE review of the literature on cysts of the floor of the mouth was made by Johnson1 in 1942. He found that the majority of the articles reviewed were from European sources contributed by stomatologists and dentists rather than by otolaryngologists. He enumerated the multiform nature of such cysts, the varied etiological causes for them, and the criteria for making a differential diagnosis. The cysts may be congenital or acquired. The types of cysts listed were ranula, dermoid, epidermoid, thyroglossal, branchial, multilocular, and mucous. All of these various types of cysts have been classified as ranula at one time or another.

The treatments used included incision and drainage; attempts to produce permanent fistulization by the use of setons and rings left in the cyst; marsupialization; complete excision; and partial excision with destruction of the remaining lining by diathermy or chemical cautery. The consensus was that complete excision was

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