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Marsupialization is the surgical technique of cutting a slit into an abscess or cyst and suturing the edges of the slit to form a continuous surface from the exterior surface to the interior surface of the cyst or abscess. Sutured in this fashion, the site remains open and can drain freely.
A ranula is a type of mucocele, and therefore could be classified as a disorder of the salivary glands. Usually a ranula is confined to the floor of the mouth (termed a "simple ranula"). [6] An unusual variant is the cervical ranula (also called a plunging or diving ranula), where the swelling is in the neck rather than the floor of the mouth. [1]
Mucous retention cyst in maxillary sinus indicated by the asymmetrical blue lump to the right of the nose The most common location to find a mucocele is the inner surface of the lower lip. It can also be found on the inner side of the cheek (known as the buccal mucosa ), on the anterior ventral tongue , and the floor of the mouth .
Marsupialization—the creation of a window into the wall of a cyst by raising a mucoperiosteal flap and attaching the cyst lining to the oral mucosa - allowing the contents to be drained. The window is left open, and the lack of pressure within the cyst causes the lesion to shrink, as the surrounding bone starts to fill in again.
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Over time, the cyst decreases in size and bone regenerates in the cavity space. Marsupialization could also be performed, which involves suturing the edges of the gingiva surrounding the cyst to remain open. The cyst then drains its contents and heal without being prematurely closed. The end result is the same as the cystostomy, bone regeneration.
Marsupialization which involves the surgical opening of the cyst cavity and a creation of a marsupial-like pouch. This allows the cavity to be in contact with the outside of the cyst for an extended period of time. Marsupialisation results in slow shrinkage of the cyst allowing later enucleation.
Oral mucocele is the most common benign lesion of the salivary glands generally conceded to be of traumatic origin. It is characterized by the pooling of mucus in a cavity due to the rupture of salivary ducts or acini. It can occur in the lower lip, palate, cheeks, tongue and the floor of the mouth.