Purpose: This report compares the treatment results for oral and plung
ing ranulas. Patients and Methods: Twenty-seven patients were retrospe
ctively examined concerning treatment methods and recurrence on the ba
sis of their medical records. The surgical specimens were also examine
d microscopically. Results: Four patients had excision of the ranula o
nly, 22 had marsupialization, and nine had removal of the sublingual g
land combined with the excision of the ranula. These treatments showed
a 25.0%, 36.4% and 0% recurrence rate, respectively. Histological obs
ervation revealed no epithelial lining in any of the examined specimen
s. Conclusions: Removal of the sublingual gland combined with the ranu
la was the most reliable method among the above three used.