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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ranula

I was just told by oral surgeon that I had a RANULA. He wants to cut each side of the floor of my mouth and drain but not cut it out. Then stitch it up. I'm not comfortable with the evasiveness and not removal of it. Can you tell me what my options are? Thanks Marilyn
Mon, 3 Nov 2014
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Dentist,  's  Response
Hello,
You can consider removal, but this can include some additional removal of surrounding tissue or part of the salivary gland. Drainage as a first step is less aggressive. Ifthe condition does not reoccur and is not chronic, you may not need additional treatment. Conservative treatment as a first step is generally my recommendation.
Injection of an antibiotic directly into the site is another consideration for treatment. Consider seeing another surgeon for a second opinion, if you are not comfortable. A thorough clinical exam with diagnostic test is necessary to give you proper recommendations, but do not feel forced to make a choice if you do not feel you have all the details necessary to make you comfortable with proceeding.
Thank you for your inquiry.
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Suggest Treatment For Ranula

Hello, You can consider removal, but this can include some additional removal of surrounding tissue or part of the salivary gland. Drainage as a first step is less aggressive. Ifthe condition does not reoccur and is not chronic, you may not need additional treatment. Conservative treatment as a first step is generally my recommendation. Injection of an antibiotic directly into the site is another consideration for treatment. Consider seeing another surgeon for a second opinion, if you are not comfortable. A thorough clinical exam with diagnostic test is necessary to give you proper recommendations, but do not feel forced to make a choice if you do not feel you have all the details necessary to make you comfortable with proceeding. Thank you for your inquiry.