Plunging Ranulas in Children

Tavill, Michael A.; Wetmore, Ralph F.; Poje, Christopher P.; Faro, Scott H.

doi:10.1177/000348949510400512

“…This operation was more successful in dog than in human, with 9 of 12 excisions successful in dog 74,88 and only 5 of 28 excisions successful in human. 7,15,19,22,29,49,58,59,65,75,76 The greater success in dog probably relates to the anatomy because the posterior part of the sublingual gland is within the capsule of the submandibular gland, from which the anterior part of the sublingual gland extends anteriorly. 43 Thus part or all of the sublingual gland is likely to have been removed with the submandibular gland in dog.…”

Section: Discussionmentioning

confidence: 99%

Modern management and pathophysiology of ranula: Literature review

Harrison

¹

2010

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“…It is commonly a condition of young adults, although the reported age range is 2-61 years. [3][4][5] There is said to be a slight female preponderance of about 1.3:1 (F:M). 5 The true incidence of plunging ranula is unknown, but by 1987, only 89 well-documented cases had been reported in the English literature.…”

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confidence: 99%

“…5 The true incidence of plunging ranula is unknown, but by 1987, only 89 well-documented cases had been reported in the English literature. 8 There have been several subsequent reports, 3,9,10 but it remains an infrequent occurrence.…”

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confidence: 99%

“…15 The diagnosis is largely clinical. A fine-needle aspiration which shows mucus with prevalent histiocytes 3 and biochemistry of the aspirate which reveals a high amylase content 16 is helpful.…”

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confidence: 99%

“…3 Parekh et al 8 reviewed the results of all forms of treatment in the literature up until 1989 and found a recurrence rate in excess of 50% for any surgery which did not involve excision of the sublingual gland. Excision of the sublingual gland alone or in association with other treatments resulted in a recurrence rate of 2% or less, and they therefore concluded that the sublingual gland should always be excised.…”

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confidence: 99%

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Plunging ranula: Clinical observations

Davison

¹

,

Morton

²

,

McIvor

³

1998

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Background The plunging ranula is a relatively uncommon phenomenon which represents a mucus escape reaction occurring from disruption of the sublingual salivary gland. We present a series of 20 patients managed at Green Lane Hospital (Auckland, New Zealand) over a 9‐year period. Methods A retrospective review of 13 patients with this condition was undertaken, and a prospective study was conducted on 7 patients. Information was collected on age, sex, ethnic origin, history of onset, predisposing factors, treatment, and outcome of treatment. Results The patients were all young adults with a median age of 31 years. The sex distribution was relatively equal, with 11 men and 9 women. All patients were Maori or Pacific Island Polynesians. Six patients gave a clear history of preceding trauma to the neck or oral cavity. Two recurrences were seen, both in patients who had had the sublingual gland excised via a cervical approach. Five patients sustained lingual nerve damage during surgery. Full function recovered in four patients, but the complication was still present in the fifth patient at 2 years, after which he was lost to follow‐up. Conclusions Plunging ranulas appear to occur with greater incidence in the Maori and Pacific Island Polynesian populations. The precise etiology of their predisposition is unknown, although local trauma or inherent mylohyoid dehiscences may play important roles. Removal of the sublingual gland via either a cervical or intraoral approach is important in the management of this condition. Excision of the pseudocyst is probably unnecessary and places surrounding structures at risk of damage, but a biopsy of the pseudocyst wall is important to confirm the diagnosis. © 1998 John Wiley & Sons, Inc. Head Neck 20: 63–68, 1998.

show abstract

Plunging ranula: Clinical observations

Davison¹,

Morton²,

McIvor³

1998

View full text Add to dashboard Cite

Background The plunging ranula is a relatively uncommon phenomenon which represents a mucus escape reaction occurring from disruption of the sublingual salivary gland. We present a series of 20 patients managed at Green Lane Hospital (Auckland, New Zealand) over a 9‐year period. Methods A retrospective review of 13 patients with this condition was undertaken, and a prospective study was conducted on 7 patients. Information was collected on age, sex, ethnic origin, history of onset, predisposing factors, treatment, and outcome of treatment. Results The patients were all young adults with a median age of 31 years. The sex distribution was relatively equal, with 11 men and 9 women. All patients were Maori or Pacific Island Polynesians. Six patients gave a clear history of preceding trauma to the neck or oral cavity. Two recurrences were seen, both in patients who had had the sublingual gland excised via a cervical approach. Five patients sustained lingual nerve damage during surgery. Full function recovered in four patients, but the complication was still present in the fifth patient at 2 years, after which he was lost to follow‐up. Conclusions Plunging ranulas appear to occur with greater incidence in the Maori and Pacific Island Polynesian populations. The precise etiology of their predisposition is unknown, although local trauma or inherent mylohyoid dehiscences may play important roles. Removal of the sublingual gland via either a cervical or intraoral approach is important in the management of this condition. Excision of the pseudocyst is probably unnecessary and places surrounding structures at risk of damage, but a biopsy of the pseudocyst wall is important to confirm the diagnosis. © 1998 John Wiley & Sons, Inc. Head Neck 20: 63–68, 1998.

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Plunging Ranulas in Children

Cited by 15 publications

References 8 publications

Modern management and pathophysiology of ranula: Literature review

Modern management and pathophysiology of ranula: Literature review

Plunging ranula: Clinical observations

Plunging ranula: Clinical observations

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