{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:01:53Z","timestamp":1789966913056,"version":"4.0.1"},"reference-count":99,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To systematically review and compare recurrence rates associated with different management strategies for simple and plunging ranulas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A PRISMA\u2010guided search of PubMed, Embase, Web of Science, Scopus, and CINAHL was performed. Studies reporting post\u2010treatment outcomes of ranulas with clearly defined initial management strategies were included. Two reviewers independently screened studies and extracted data on ranula subtype, treatment details, duration of follow\u2010up, and recurrence. Risk of bias was assessed using study design\u2010appropriate tools. Given the predominance of retrospective case series with heterogenous designs and incomplete outcome reporting, quantitative pooling was not feasible; results were synthesized descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy\u2010one studies comprising 809 patients (563 simple, 246 plunging) met inclusion criteria. Excision with ipsilateral sublingual gland removal (30%) was associated with recurrence rates below 10%. Excision without gland removal and marsupialization demonstrated higher and more variable recurrence rates, ranging from 15%\u201330% across cohorts. Sclerotherapy outcomes varied by agent, with recurrence rates of 3%\u201310% for bleomycin and over 50% for OK\u2010432, particularly in plunging ranulas. Most recurrences occurred within 3\u20136\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sublingual gland excision was consistently associated with the lowest recurrence rates, while outcomes following marsupialization and sclerotherapy varied by technique and agent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.70274","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T10:22:16Z","timestamp":1773742936000},"page":"1816-1827","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Systematic Review and Meta\u2010Analysis of the Management and Outcomes of Recurrent Ranulas"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2858-1225","authenticated-orcid":false,"given":"Kenny","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Arkansas for Medical Sciences (UAMS)  Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Goodman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Arkansas for Medical Sciences (UAMS)  Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukta","family":"Vibhute","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Arkansas for Medical Sciences (UAMS)  Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay","family":"Blake","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences Library  Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gresham T.","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Arkansas for Medical Sciences (UAMS)  Little Rock Arkansas USA"},{"name":"Divison if Pediatric Otolaryngology \u2013 Head and Neck Surgery Arkansas Children\u2019s Hospital  Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anvesh","family":"Kompelli","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Arkansas for Medical Sciences (UAMS)  Little Rock Arkansas USA"},{"name":"Baptist Health UAMS Ear, Nose, and Throat Clinic  Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"issue":"9","key":"e_1_2_10_2_1","article-title":"Concurrent Perioperative Diagnosis of HIV in a Patient With Plunging Ranula: A Case Report","volume":"15","author":"Abdullah M. 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