Plunging Ranula: Congenital or Acquired?

Morton, Randall P.; Ahmad, Zahoor; Jain, Prabha

doi:10.1016/j.otohns.2009.10.014

Cited by 66 publications

(65 citation statements)

References 16 publications

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“…The details included standard demographic information (racial group, age and gender), side and extent of lesion, investigations, surgical time and surgical outcomes. The demographics and epidemiologic considerations of this group have been described elsewhere [4].…”

Section: Methodsmentioning

confidence: 99%

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Surgery for plunging ranula: the lesson not yet learned?

Samant

Morton

Ahmad

2011

Eur Arch Otorhinolaryngol

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Our objective is to review our experience with treatment of plunging ranula and examine the efficacy of transoral excision of sublingual gland as the principal treatment. This study comprises a case series with chart review. A secondary otolaryngology service was used as the setting. Retrospective analysis of patient records was performed for a series of 95 consecutive cases of plunging ranula, which presented to our department between January 2001 and February 2010. Clinical presentation, investigations, diagnosis, treatment, complications and outcome were recorded. Literature search was performed using MEDLINE and OLD MEDLINE. 81 cases of plunging ranula were treated surgically by transoral excision of sublingual gland and evacuation of ranula contents. Mean operating time was 75.3 min. Twelve patients had undergone previous surgery elsewhere. One patient in our series had a recurrence, needing excision of sublingual gland remnant. Two patients had trauma to submandibular duct requiring excision of submandibular gland. Other complications were minor and transient. Review of literature revealed many diverse methods of treating ranula, with varying results. Our series makes a substantial contribution to the number of plunging ranulas reported in the world, and supports the use of transoral sublingual gland excision as first-line treatment of plunging ranula.

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Section: Methodsmentioning

confidence: 99%

“…Although most plunging ranulas appear in second or third decades of life, there have been reports of presentation in infancy [1] which, along with marked preponderance of ranula in peoples of Asian origin [2][3][4], and anatomical anomalies in the mylohyoid muscle [5,6] points toward a congenital etiology [4].…”

Section: Introductionmentioning

confidence: 99%

Surgery for plunging ranula: the lesson not yet learned?

Samant

Morton

Ahmad

2011

Eur Arch Otorhinolaryngol

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“…Our diagnostic and surgical methods have been discussed elsewhere in depth. [1][2][3] Our series demonstrates some of the presentations that can complicate diagnosis. A final diagnosis of lymphangioma following surgery for a presumed plunging ranula has also been described.…”

Section: Discussionmentioning

confidence: 92%

Diagnostic difficulties of plunging ranula: case series

2012

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“…1,4,5 The sublingual gland is more vulnerable in developing extravasation cysts, for in contrast to the submandibular and parotid glands it is characterized by permanent mucus excretion, even without the presence of stimuli. 4 Ranulas are soft cystic masses that develop mostly unilaterally.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 People in their second and third decades of life and those belonging to specific ethnic groups, Maori and Pacific Island Polynesians, are more prone to develop plunging ranulas, suggesting that they may also be congenital in some cases. 4,5 Ranulas can anatomically be divided into three main groups: (a) sublingual, above the mylohyoid muscle, (b) plunging, under the mylohyoid muscle and above the hyoid bone (suprahyoid ranulas) and (c) sublingual-plunging with an oral and a cervical component. 1,6 There are two main theories for the development of ranulas.…”

Section: Discussionmentioning

confidence: 99%

Sublingual-plunging ranula as a complication of supraomohyoid neck dissection

Dietrich

Vasilios

Lazaridou

et al. 2011

International Journal of Surgery Case Reports

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Ranulas are rare cystic lesions resulting from damage or rupture of one or more of the ducts of the sublingual gland, that lead to mucus extravasation or dilatation of the gland's duct. Extravasation cysts are more common than retention cysts. We present a case of a 45-year-old male with a squamous cell carcinoma of the ventral surface of the tongue that was treated with excision of the oral lesion and bilateral supraomohyoid neck dissection without supplementary radiotherapy. A left myocutaneous platysma flap was raised for defect closure. Ten months postoperatively he presented complaining of swelling of the right submandibular region. The diagnosis, based on his medical anamnesis and the CT imaging, was a sublingual-plunging ranula. It is postulated that the ranula resulted from damage to the ducts of the sublingual gland during selective neck dissection. One year postoperatively there are no signs of recurrence either of the ranula or of the cancer. We suggest that sublingual gland excision and intraoral cyst marsupialization is a logical treatment for sublingual-plunging ranulas.

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Plunging Ranula: Congenital or Acquired?

Cited by 66 publications

References 16 publications

Surgery for plunging ranula: the lesson not yet learned?

Surgery for plunging ranula: the lesson not yet learned?

Diagnostic difficulties of plunging ranula: case series

Sublingual-plunging ranula as a complication of supraomohyoid neck dissection

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