Surgical Treatment of a Plunging Ranula using the Intraoral and Submandibular Approach
Journal of the Korean Cleft Palate-Craniofacial Association
;
: 111-115, 2010.
Artigo
em Coreano
| WPRIM
| ID: wpr-109517
ABSTRACT
PURPOSE:
A plunging ranula is relatively uncommon and represents a mucus escape reaction occurring from a disruption of the sublingual salivary gland. It is a common condition found in young adults, even though the reported age range is 2 - 61 years. We report our experience of a complete excision of a plunging ranula via the intraoral and submandibular approach.METHODS:
A 23-year-old man had a large protruding mass in the right submandibular area. Initially, the protruding mass appeared bilaterally but the left side disappeared spontaneously. The MRI findings revealed a homogenous fluid attenuation mass in the submandibular space, suggesting a ranula. The sublingual gland was extirpated through the intraoral approach and the ranula excised totally via the submandibular approach.RESULTS:
The patient had an uneventful postoperative course without infection, paralysis and tongue sensory changes, etc. The pathology findings were characteristic of a pseudocyst without a lining epithelium or endothelium but with a vascular fibro-conective tissue wall filled with mucinous fluid. No recurrence was observed on the submandibular area during the 8 month follow-up period.CONCLUSION:
The combined intraoral approach and submandibular approach is an effective and highly recommended method for sublingual gland extirpation and complete excision of a plunging ranula.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paralisia
/
Rânula
/
Recidiva
/
Glândulas Salivares
/
Glândula Sublingual
/
Língua
/
Seguimentos
/
Endotélio
/
Epitélio
/
Reação de Fuga
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Cleft Palate-Craniofacial Association
Ano de publicação:
2010
Tipo de documento:
Artigo
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