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Thoracic ranula: an extremely rare case.

Claudine Elizabeth Pang1, Tee Sin Lee, Kenny Peter Pang

  • 1Department of Otolaryngology, National University Hospital, Singapore.

The Journal of Laryngology and Otology
|April 23, 2005
PubMed
Summary
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This study details the first reported case of a thoracic ranula, a rare salivary gland cyst extension. Surgical excision of the ranula and associated glands prevented recurrence over three years.

Area of Science:

  • Surgical Case Report
  • Head and Neck Surgery
  • Thoracic Surgery

Background:

  • Ranulas are typically benign, mucus-retention cysts originating from the sublingual salivary glands.
  • While most ranulas are confined to the floor of the mouth, rare cases can extend into adjacent anatomical spaces.
  • Previous surgery for a salivary gland cyst may predispose to ranula recurrence and unusual extensions.

Observation:

  • A patient presented with a progressively enlarging mass in the anterior chest wall.
  • Imaging and clinical evaluation revealed a thoracic ranula originating from the left submandibular region.
  • The patient had a history of prior surgery for a benign left salivary gland cyst.

Findings:

  • This case represents the first documented instance of a thoracic ranula extending into the chest wall.

Related Experiment Videos

  • The thoracic ranula was successfully excised along with the ipsilateral sublingual and submandibular glands.
  • A transcervical surgical approach was utilized for the complete removal of the ranula and affected glands.

    • Implications:

    • This case expands the known anatomical distribution of ranulas, highlighting potential for extensive submucosal spread.
    • Complete surgical excision of the ranula and associated salivary glands is crucial for preventing recurrence.
    • Early recognition and appropriate surgical management are essential for favorable outcomes in complex ranula cases.