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Giant plunging ranula: a case report.

Seong-Ha Kim1, Kyung-Hoe Huh, Chang-Hyeon An

  • 1Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

Imaging Science in Dentistry
|March 26, 2013
PubMed
Summary

A ranula is a fluid-filled swelling originating from the sublingual gland. This case highlights a plunging ranula, emphasizing the importance of radiological differentiation from cystic hygroma for appropriate surgical management.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Radiology
  • Surgical Pathology

Background:

  • Ranulas are benign cystic lesions in the floor of the mouth, typically arising from sublingual gland saliva extravasation.
  • Plunging ranulas extend beyond the sublingual space into adjacent fascial planes, posing diagnostic challenges.

Observation:

  • A 21-year-old woman presented with a large left submandibular swelling.
  • Contrast-enhanced CT revealed a midline-dissecting lesion extending to the parapharyngeal and submandibular spaces, with septa and a fluid-fluid level.

Findings:

  • The lesion was diagnosed as a plunging ranula based on its central location and the presence of a sublingual tail sign.
  • Distinguishing ranulas from cystic hygromas is crucial due to differing surgical treatment strategies.
Keywords:
Contrast MediaMouth FloorRanulaTomography, X-Ray Computed

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Implications:

  • Accurate radiological differentiation of plunging ranulas from other cystic masses like hygromas is essential for guiding surgical planning.
  • Understanding the anatomical spread of ranulas informs surgical approaches and improves patient outcomes.