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Related Experiment Videos

The plunging ranula

A Mizuno1, K Yamaguchi

  • 1First Department of Oral and Maxillofacial Surgery, Nagasaki University, School of Dental Medicine, Japan.

International Journal of Oral and Maxillofacial Surgery
|April 1, 1993
PubMed
Summary
This summary is machine-generated.

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Plunging ranulas, often caused by sublingual gland issues, require specific treatment. Excision of the sublingual gland combined with transoral drainage offers the most effective management for these cysts.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Pathology

Background:

  • Plunging ranulas are rare, fluid-filled cysts that can develop in the floor of the mouth.
  • They arise from the sublingual salivary gland and can extend into the neck.
  • Understanding the etiology is crucial for effective treatment planning.

Observation:

  • This report details five cases of plunging ranulas.
  • Treatment approaches varied, including splint obturation, combined extraoral-intraoral gland excision, and intraoral gland excision with marsupialization.
  • One case involved a removable, partial-denture-like splint for exteriorization and obturation.

Findings:

  • The study suggests that plunging ranulas result from sublingual gland duct extravasation and herniation through the mylohyoid muscle.
  • Excision of the sublingual gland is a key component in managing these lesions.

Related Experiment Videos

  • Transoral drainage of the cyst, alongside gland excision, is identified as the optimal therapeutic strategy.

    • Implications:

    • Effective management of plunging ranulas involves addressing the source, the sublingual gland.
    • Surgical strategies should prioritize complete gland removal and cyst decompression.
    • This approach aims to prevent recurrence and improve patient outcomes in cases of plunging ranula.