Plunging ranula (2)

This case needed 3 times of injection.
Please do not give up, if the first injection was not effective.

Left: Before treatment, Middle: The next day after treatment, Right: 2 weeks after OK-432 treatment.

39 years old lady. She had swelling on her chin. At first, 0.6 KE of OK-432 was injected. But, there was no response (inflammatory response such as increased swelling, redness of the skin) on the next day. There was no effect 2 weeks after OK-432 injection.

Left: Before treatment, Middle: Two days after treatment, Right: 2 Weeks after treatment.

So, second injection of OK-432 was performed 2 weeks after the first treatment. This time. 1.0 KE of OK-432 was injected. You can see increased swelling and redness of the skin at 2 days after treatment. This means good response. 2 weeks later, the swelling was gradually reduced.

Left: Before treatment, Middle: Two weeks after treatment, Right: 4 weeks after treatment.

The third injection of OK-432 was performed 4 weeks after the second treatment. This time, 1.0 KE of OK-432 was injected . 2 weeks after, the swelling was markedly reduced. 4 weeks after the cyst was disappeared. In case of bad response, repeat and increased dose will make good result. She had no recurrence at least one year after last treatment.

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