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Related Experiment Video

Updated: Feb 18, 2026

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Transoral Robotic Surgery with Sialendoscopy for a Plunging Ranula.

Ryan M Carey1, Benjamin L Hodnett, Christopher H Rassekh

  • 1Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USA.

ORL; Journal for Oto-Rhino-Laryngology and Its Related Specialties
|November 29, 2017
PubMed
Summary

Plunging ranulas, a type of oral mucocele, can be difficult to diagnose. A novel transoral robotic surgery (TORS) approach with sialendoscopy offers promising results for treating these challenging neck masses.

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Area of Science:

  • Otolaryngology
  • Oral and Maxillofacial Surgery
  • Surgical Robotics

Background:

  • Plunging ranulas are mucoceles originating from the sublingual gland, often presenting as neck masses.
  • Diagnosis can be challenging due to their deep location and lack of direct visualization.
  • Surgical intervention is the primary treatment, necessitating careful consideration of the surgical approach.

Observation:

  • A case report details a 33-year-old patient with a plunging ranula presenting as an isolated neck mass.
  • The patient underwent a novel treatment combining transoral robotic surgery (TORS) with sialendoscopy.

Findings:

  • Transoral robotic surgery (TORS) provided excellent visualization and access to the ranula and sublingual gland.
  • The procedure successfully avoided critical neurovascular structures.
Keywords:
Case reportPlunging ranulaRanulaSalivary glandSialendoscopyTransoral robotic surgery

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  • The patient experienced a good recovery with no recurrence or complications.

    • Implications:

    • The TORS-assisted approach with sialendoscopy shows potential for treating plunging ranulas.
    • This technique may be a viable option for specific clinical scenarios.
    • Further research is warranted to evaluate the efficacy of TORS for plunging ranulas.