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[Plunging ranula. Review].

P Pouzoulet1, C Collet1, J M Foletti2

  • 1Service de chirurgie maxillo-faciale et stomatologie, hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France; Aix-Marseille université, Jardin du Pharo, 58, boulevard Charles-Livon, 13284 Marseille cedex 07, France.

Revue De Stomatologie, De Chirurgie Maxillo-Faciale Et De Chirurgie Orale
|January 27, 2016
PubMed
Summary
This summary is machine-generated.

Plunging ranulas, pseudocysts of the sublingual gland extending into the neck, are best diagnosed with CT scans. Complete removal of the sublingual gland is the most effective treatment to prevent recurrence.

Keywords:
CouNeckRanulaRecurrenceRécidive

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Head and Neck Surgery
  • Surgical Pathology

Background:

  • Ranulas are pseudocysts originating from the sublingual gland, with unknown etiology.
  • Plunging ranulas can extend into the neck through the mylohyoid muscle.
  • Differential diagnosis can be challenging due to similar presentations with other cervical cystic lesions.

Purpose of the Study:

  • To review plunging ranulas.
  • To identify optimal diagnostic imaging modalities.
  • To determine the most effective treatment strategies.

Main Methods:

  • Literature review of PubMed database (2010-2015).
  • Keywords: plunging ranula, recurrent plunging ranula.
  • Analysis of 37 reported cases.

Main Results:

  • Thirteen articles were selected, detailing 37 cases.
  • Three cases (8.1%) experienced recurrence.
  • Diagnostic imaging included ultrasound (US), CT scan, and MRI.
  • Primary treatment involved sublingual gland removal, sometimes with marsupialization.

Conclusions:

  • CT scan is the most valuable diagnostic tool for plunging ranulas.
  • Total sublingual gland excision is the most effective treatment for preventing recurrence.