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Published on: May 3, 2018
Plunging ranula of the submandibular area
Mahnaz Sheikhi1, Faranak Jalalian, Roghayeh Rashidipoor
1Torabinejad Dental Research Center, Department of Oral and Maxillofacial Radiology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Dental Research Journal
|February 2, 2013
Summary
Ranulas are floor of mouth swellings from salivary gland issues. Treatment options vary, impacting ranula recurrence rates.
Area of Science:
- Oral Surgery
- Otolaryngology
- Pathology
Background:
- Ranulas are benign cystic lesions in the floor of the mouth.
- They originate from salivary glands, typically the sublingual or submandibular glands.
- Etiologies include mucous extravasation or retention cysts.
Observation:
- Common presentation: painless, slow-growing, soft, movable mass in the floor of the mouth.
- Two types: simple ranulas (oral cavity) and plunging ranulas (extend into the neck).
- Differential diagnosis includes thyroglossal duct cyst, branchial cleft cyst, and other neck masses.
Findings:
- Various surgical interventions exist, including marsupialization, cyst excision, sclerotherapy, and sublingual gland excision.
- Recurrence rates are dependent on the chosen surgical procedure.
- Plunging ranulas require careful consideration due to their potential for extensive cervical involvement.
Implications:
- Accurate diagnosis is crucial for appropriate management of ranulas.
- Understanding the different types and their origins aids in surgical planning.
- Further research into optimal surgical techniques may reduce ranula recurrence rates.
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