This series of 15 patients describes treatment for ranulas with a suture technique performed as an outpatient under local anaesthesia, in a two-stage process. The authors state that they have modified a historical Chinese technique. During the first visit, the intra-oral ranula is needle aspirated, and the patient asked to re-attend 48 hours later. At the second visit, a silk suture is placed around the re-accumulated, but smaller, ranula. The intention is to strangulate the ranula and cause fibrosis of the feeding duct, preventing re-accumulation. In time, the silk suture extrudes and is swallowed. They describe two patients of the 15 who did not respond to this treatment and went on to formal gland removal.