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[Plunging ranula]
1Odjel za bolesti uha, grla i nosa Opća bolnica Zadar 23 000 Zadar, Hrvatska.
Summary
Plunging ranulas, caused by saliva extravasation, can present intraorally or in the neck. Surgical excision of the sublingual gland, with varied approaches for neck ranulas, proved effective in preventing recurrence.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Pathology
Background:
- Ranulas result from saliva extravasation due to sublingual gland ductal issues.
- Plunging ranulas extend through or behind the mylohyoid muscle, often presenting in the submandibular or submental regions.
Observation:
- Diagnosis is straightforward for intraoral ranulas; neck-localized ranulas require histologic confirmation post-excision.
- Two cases of plunging ranula are presented: one submental treated transorally with marsupialization/aspiration, and one submandibular treated via cervical approach.
Findings:
- Both surgical approaches included sublingual gland excision.
- A 3.5-year follow-up showed no recurrence of neck ranulas or development of intraoral ranulas.
Implications:
- This study demonstrates the efficacy of surgical management, including sublingual gland removal, for plunging ranulas.
- The presented surgical techniques offer successful treatment options with low recurrence rates for plunging ranulas.