Nonsurgical Management of Ranula with Intralesional Sclerotherapy with 3% Sodium Tetradecyl Sulfate in Pediatric Patients
No Thumbnail Available
Date
2024-12
Journal Title
Journal ISSN
Volume Title
Publisher
International Research Organization for Life & Health Sciences
Abstract
Background: Ranula is a term for mucocele occurring on the floor of the mouth after trauma or obstruction to components of the salivary gland. Surgical method was the only choice of treatment for ranula. However, there are certain limitations of surgical approach. Alternatively, intralesional sclerotherapy with 3% sodium tetradecyl sulfate is newer, simpler and non-invasive treatment procedure. Objective: The objective is to analyze the effect of 3% sodium tetradecyl sulfate (STS) on ranula and to evaluate whether sclerotherapy can be a potent alternative to other surgical treatment modalities. Materials and Methods: This study was carried out among children aged between 7 and 14 years with the chief complaint of swelling in the floor of mouth causing functional impairment and pain in some cases. Surface local anesthesia was applied over the lesion. STS 3% was injected under aseptic conditions with an insulin syringe and this was subsequently repeated on weekly intervals till complete regression. Follow-up was done after every 1, 3, 6 months, and 1 year interval to check for any recurrence. Results: After the first injection of 0.5–1 mL of 3% STS, we observed a complete clinical disappearance of lesion in 9 (31%) cases, a moderate response in 13 (44.9%), and no response in 7 (24.1%) children. Four weeks after the first injection, regression of lesion was observed in all the cases. Conclusion: Sclerotherapy with 3% STS is minimally invasive, safe, and effective treatment of different oral lesions and may be the method of choice in pediatric populations.
Description
Keywords
3% Sodium tetradecyl sulfate, Intralesional injection, Ranula, Sclerosing agents, Sclerotherapy
Citation
Mahajan N, Kotwal B, Kaul B, Gupta A, Mahajan P, Shah SG. . Nonsurgical Management of Ranula with Intralesional Sclerotherapy with 3% Sodium Tetradecyl Sulfate in Pediatric Patients. International Journal of Scientific Study. 2024 Dec; 12(9): 54-60