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A Giant Diving Ranula Extending to the Skull Base in Pediatric Age
Yusuf Çağdaş Kumbul1, Nazan Okur2, Ibrahim Metin Çiriş3
1Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Faculty of Medicine, Suleyman Demirel University.
The Journal of Craniofacial Surgery
|July 28, 2021
Summary
Diving ranula, a rare salivary gland cyst, can present as a challenging neck mass in children. Surgical removal of the ranula along with associated salivary glands is recommended to prevent recurrence.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Oral and Maxillofacial Surgery
Background:
- Ranulas are retention cysts originating from salivary glands, with oral and diving subtypes.
- Diving ranulas exhibit distinct clinical features, often extending into neck spaces.
Observation:
- A 15-year-old female presented with floor of mouth and neck swelling.
- Physical examination revealed a cystic mass near Wharton's canal and a left submandibular mass.
- Magnetic resonance imaging confirmed a diving ranula extending from the parapharyngeal space to the skull base.
Findings:
- The diving ranula presented unusually, extending superiorly to the skull base.
- Surgical management involved complete excision of the diving ranula and associated submandibular and sublingual salivary glands.
Implications:
- Diving ranula requires consideration in the differential diagnosis of pediatric cystic neck masses.
- Complete surgical excision, including associated salivary glands, is crucial for minimizing recurrence rates of diving ranula.
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