What is Salivary Mucucele +/- Ranula Marsupializatiom?

Indications:

• A salivary mucocele (sialocele) occurs due to damage to a salivary gland or duct, leading to an accumulation of saliva in the subcutaneous space. It is most commonly idiopathic (60% of cases) but can also result from trauma, neoplasia, or sialoliths.
• Ranula refers specifically to a mucocele under the tongue, often caused by injury to the mandibular and sublingual salivary glands. It can cause difficulty breathing if located in the pharynx.

Procedure:

1. Surgical Treatment:
   • Surgical intervention is the treatment of choice for both conditions.
   • For sialoceles, the affected salivary gland(s) are removed.
   • For ranulas, marsupialization is an option. This procedure creates an opening through which trapped saliva can drain into the mouth. A full-thickness section of tissue is removed, and mucosal edges are sutured to the lining of the sialocele.

Postoperative Care:

• Monitor the surgical site for any signs of complications (e.g., swelling, discharge).
• Keep the patient indoors and restrict activity for about 2 weeks.
• Ranulas may require additional attention to prevent self-trauma.

Benefits:

• Surgical treatment provides a reliable and permanent solution.
• Improved quality of life for the patient.
• Marsupialization ensures continuous drainage for ranulas.

 

Remember to consult your veterinarian for personalized advice. If you have further questions, feel free to ask!