ABSTRACT
Congenital oral masses are rare entities. The establishment of formal fetal diagnostic teams has led to an increased antenatal detection of such lesions. The congenital ranula is a distinct entity from the more familiar variant presenting later in life. The congenital variant may result from an anomaly of the Wharton duct with subsequent dilation of the duct. The variant presenting later in life is the more familiar mucous extravasation phenomenon in the floor of the mouth. Management of the congenital ranula is distinct from its noncongenital counterpart and more conservative and is discussed in the present report.
Subject(s)
Salivary Ducts/abnormalities , Submandibular Gland/abnormalities , Female , Follow-Up Studies , Humans , Infant , Ranula/congenital , Submandibular Gland Diseases/congenitalABSTRACT
Cyst and fistulas of the gills grooves and thyro-glossal tracts are well documented. On the contrary, congenital neck salivary fistulas are uncommon.
Subject(s)
Cutaneous Fistula/diagnosis , Neck/abnormalities , Salivary Gland Fistula/diagnosis , Adult , Cutaneous Fistula/congenital , Cutaneous Fistula/surgery , Humans , Male , Neck/surgery , Salivary Gland Fistula/congenital , Salivary Gland Fistula/surgery , Submandibular Gland Diseases/congenital , Submandibular Gland Diseases/diagnosis , Submandibular Gland Diseases/surgerySubject(s)
Sublingual Gland/pathology , Submandibular Gland Diseases/congenital , Submandibular Gland/abnormalities , Adult , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Hypertrophy , Positron-Emission Tomography , Sublingual Gland/diagnostic imaging , Submandibular Gland Diseases/diagnosis , Tomography, X-Ray ComputedSubject(s)
Salivary Ducts/abnormalities , Submandibular Gland Diseases/congenital , Submandibular Gland/abnormalities , Cysts/congenital , Cysts/diagnosis , Cysts/surgery , Diagnosis, Differential , Follow-Up Studies , Humans , Infant , Male , Salivary Ducts/surgery , Submandibular Gland/surgery , Submandibular Gland Diseases/diagnosis , Submandibular Gland Diseases/surgeryABSTRACT
Congenital salivary fistulae are rare and may be associated with abnormalities of the branchial apparatus or arise from aberrant or accessory salivary tissue. Previous case reports have documented cutaneous fistulae. We report a case of a salivary fistula between the submandibular gland and the oropharynx and discuss a possible embryological basis for the abnormality.
Subject(s)
Fistula/diagnostic imaging , Pharyngeal Diseases/diagnostic imaging , Salivary Gland Fistula/congenital , Submandibular Gland Diseases/congenital , Adult , Female , Humans , Oropharynx/diagnostic imaging , Radiography , Salivary Gland Fistula/diagnostic imaging , Submandibular Gland Diseases/diagnostic imagingABSTRACT
A lesion which appeared clinically consistent with a ranula was explored surgically and found to represent a dilated submandibular duct. The differential diagnosis of cystlike swelling in the floor of the mouth should include sialolithiasis, mucous retention phenomenon (mucocele, ranula), dermoid and epidermal inclusion cyst, thyroglossal duct cyst, branchial cleft cyst, hemangioma, lymphangioma, cystic hygroma, lipoma, and occasionally pleomorphic adenoma. The case presented here demonstrates, both clinically and histologically, the cystic appendix-like appearance of a dilated submandibular duct manifest at birth. Reference is made to the limited number of similar cases noted in the relevant literature.
