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Plunging ranula following bilateral submandibular duct transposition
A Balakrishnan1, G R Ford, C M Bailey
1Department of Otolaryngology, Singapore General Hospital.
The Journal of Laryngology and Otology
|August 1, 1991
Summary
Submandibular duct transposition effectively treats severe drooling. A rare complication, plunging ranula, requires sublingual gland excision for successful surgical management and to prevent recurrence.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Surgical Complications
Background:
- Submandibular duct transposition is a standard surgical technique for managing severe drooling.
- This procedure involves rerouting the submandibular salivary gland duct.
Observation:
- A plunging ranula, a rare type of ranula, was observed as a complication following submandibular duct transposition.
- This complication represents an unusual outcome of the established surgical procedure.
Findings:
- The study details the first reported case of a plunging ranula occurring after submandibular duct transposition.
- Surgical management of this complication necessitates the complete excision of the sublingual gland.
Implications:
- Excision of the sublingual gland is crucial for preventing the recurrence of plunging ranula after submandibular duct transposition.
- This finding highlights an important consideration for surgeons performing this procedure and managing its potential complications.