RESUMO
Pathologies developing on the floor of the mouth create difficulty for the patient and pose a challenge to oral physicians both clinically and surgically as this area manifests numerous vital structures. While diagnosing, an accurate differential diagnosis should be established to rule out other lesions that usually occur on the floor of the mouth such as ranula, lipoma, salivary gland tumours, dermoid cyst, and vascular lesions. Cystic lesions developing from the salivary glands are commonly known as "mucoceles", these lesions develop mostly in relation to the minor salivary glands and rarely, in relation to the major salivary glands. Mucoceles basically are of two types: Mucous retention cyst and Mucous extravasation cyst. A Ranula is a form of mucous extravasation cyst which commonly occurs on the floor of the mouth. Deep seated lesions when herniate through mylohyoid muscle give rise to a clinical variant; plunging or cervical Ranula. Various treatment modalities for ranula has been suggested that include excision of lesion with or without excision of ipsilateral sublingual salivary gland, marsupialization, aspiration of cystic fluid, sclerotherapy, incision and drainage and many more. Those various treatments have shown diverse results. Here we present a case report and review of Sublingual Ranula in a 47-year-old female patient, treated with the excision of the Ranula. A follow-up of 3 months revealed no recurrence.
RESUMO
Dentigerous Cyst (DC) is a common type of cyst encountered in oral cavity. These types of cysts are usually found covering the crowns of unerupted teeth and expand in size due to collection of cystic fluid in the region of dental follicle. They can be treated by marsupialisation or enucleation of the lesion based on the involvement of the lesion with the adjacent structures. We wanted to analyze the demographic distribution, clinical, and radiographic features of DC cases reporting to the dental department at NSCB Medical College, Jabalpur (M.P.).METHODSA retrospective study of clinical, radiographic presentation and management of 13 cases of DC attending OPD of Department of Dentistry and treated by enucleation and marsupialization, at Netaji Subhash Chandra Bose (NSCB) Medical College at Jabalpur (M.P.) from July 2016 till December 2017 was conducted.RESULTSOut of 13 cases 8 patients (61.53%) were males and 5 (38.46%) were females. Wide variation in age was seen (14-47 years). 8 (61.53%) patients had a lesion in mandible and was most commonly associated with mandibular third molar which was encountered in 5 cases (38.46%). Most common presenting symptom was a swelling which was found in 76.92% patients. 9 cases (69.23%) were treated with enucleation and marsupialisation was used to treat 4 cases (30.76%).CONCLUSIONSA male: female ratio of 1.6:1 was reported showing a slight male dominance. DC most commonly involved unerupted mandibular third molars. The prognosis of patients treated with enucleation and marsupialisation is satisfactory.
RESUMO
Background and Objectives: Vallecular cysts are rare and generally asymptomatic. In infants and children they present with stridor, feeding difficulties, failure to thrive. Treatment is surgical excision with cautery or laser.Presentation of Case: We discuss the clinical, radiological presentation of a 7 months old child with vallecular cyst which was surgically treated with deroofing and marsupialisation with elecrocautery. There was no recurrence even up 2 years of follow-up.Discussion: Flexible nasopharyngolaryngoscopic examination was done which showed present of swelling in the left vallecula pushing the epiglottis posteriorly and to the right with narrowed normal endolarynx. Radiological investigations with CT scan showed cystic lesion noted in left side of neck with no septation and solid component. The lesion was extending to ipsilateral vallecula and paraglottic region with narrowing of endolarynx.Conclusion: Vallecular cyst is rare cause of noisy breathing in infants and children. In adults it is usually asymptomatic. Treatment of choice is marsupialization with electrocautery or laser.