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[Cervical ranula].

T W Geurts1, H P van den Akker, A J Balm

  • 1Afd. KNO-heelkunde, Academisch Medisch Centrum/Universiteit van Amsterdam, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|March 23, 2004
PubMed
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A plunging ranula, a type of cervical ranula, presents as neck swelling. Surgical removal of the sublingual gland is the recommended treatment for this pseudocyst.

Area of Science:

  • Otolaryngology
  • Surgical Pathology

Background:

  • A plunging ranula is a cystic mass in the neck, often extending from the sublingual space.
  • It represents a pseudocyst originating from the sublingual salivary gland.

Observation:

  • Three patients (2 men, 1 woman) presented with unilateral neck swelling.
  • Diagnosis involved fine needle aspiration of amylase-rich mucus and imaging (CT/MRI).
  • One patient diagnosed during surgery, another after two explorations.

Findings:

  • Complete resolution of symptoms occurred post-excision of the involved sublingual glands.
  • Key diagnostic clues include oral ranula history, characteristic cystic mass on imaging, and amylase-rich mucus aspiration.
  • Plunging ranulas are pseudocysts without epithelial lining.

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Implications:

  • Sublingual gland excision is the treatment of choice for plunging ranulas.
  • Accurate diagnosis relies on a combination of clinical presentation, imaging, and fluid analysis.
  • Understanding the nature of the pseudocyst guides effective therapeutic strategies.