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Bilateral plunging ranula: A case report.

Hilman Syawaluddin¹, Enggar Hestu Waseso¹, Kalia Labitta Yudhasoka²

¹Department of Radiology, Faculty of Medicine, University of Padjadjaran, Dr. Hasan Sadikin General Central Hospital, Bandung, West Java, Indonesia.

Radiology Case Reports

|November 13, 2024

Summary

Bilateral plunging ranula, a rare condition involving saliva leakage, was successfully treated in an 11-year-old boy. Surgical removal led to a complete recovery with no recurrence after six months.

Keywords:

Bilateral ranula Plunging ranula Sublingual gland Submandibular gland

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Published on: October 11, 2024

Area of Science:

Oral and Maxillofacial Surgery
Pediatric Otolaryngology
Surgical Pathology

Background:

Plunging ranula involves saliva extravasation from the sublingual gland into the submandibular space.
These lesions are typically unilateral, with bilateral cases being exceptionally rare.
Understanding the pathophysiology is crucial for accurate diagnosis and management.

Observation:

A case of bilateral plunging ranula in an 11-year-old male is presented.
Diagnosis was confirmed using ultrasound and computed tomography (CT) imaging.
The patient presented with symptoms necessitating surgical intervention.

Findings:

Histopathologic examination confirmed the diagnosis of ranula post-extirpation.
Surgical extirpation was performed for the bilateral plunging ranula.
The patient remained asymptomatic with no signs of recurrence at the six-month follow-up.

Implications:

This case highlights the possibility of bilateral plunging ranula in pediatric patients.
Effective surgical management can lead to favorable outcomes and resolution of symptoms.
Further research into the etiology and management of rare ranula presentations is warranted.