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Surgical management of the plunging ranula: a review of seven cases

Published online by Cambridge University Press:  29 June 2007

Keiichi Ichimura ,
Yasushi Ohta  and
Niro Tayama
Keiichi Ichimura*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Tokyo, Japan
Yasushi Ohta
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Tokyo, Japan
Niro Tayama
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Tokyo, Japan
*
Address for correspondence: Keiichi Ichimura, M.D., Ph.D., Department of Otolaryngology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo 113 Japan. Fax: +81-3-3814-9486
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Abstract

We have treated seven patients with a plunging ranula during the past 10 years. All patients underwent surgery via a cervical approach. In two, the ranula reached the anterior neck by passing through a dehiscence in the mylohyoid muscle, while in the other five the plunging ranula passed posteriorly to the mylohyoid muscle. A pseudocyst was extirpated in each patient. Although total sublingual gland excision was not performed in two patients, no recurrence was observed in any patient. Incision of the pseudocyst facilitated subsequent procedures and decreased the incidence of transient facial paralysis. In the presence of a cervical mass without swelling of the oral floor, a cervical approach may still be the method of choice either for the first operation or for salvage surgery after recurrence subsequent to intraoral procedures. It is based on the fact that there may be ectopic sublingual glands residing on the inferior surface of the mylohyoid muscle.

Keywords

RanulaSublingual glandMouth floor
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 6 , June 1996 , pp. 554 - 556
Copyright
Copyright © JLO (1984) Limited 1996

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Footnotes

This paper was Presented at the 8th Meeting of the Japan Society of Stomatopharyngology held on September 15–17, 1995 in Beppu, Japan.

References

Braun, T. W., Sotereanos, G. C. (1982) Cervical ranula due to an ectopic sublingual gland. Journal of Maxillofacial Surgery 10: 56–58.CrossRefGoogle Scholar
Bridger, A. G., Carter, P., Bridger, G. P. (1989) Plunging ranula: Literature review and report of three cases. Australia, New Zealand Journal of Surgery 59: 945–948.CrossRefGoogle ScholarPubMed
Castelli, W. A., Huelke, D. F., Celis, A. (1969) Some basic anatomic features in paralingual space surgery. Oral Surgery, Oral Medicine and Oral Pathology 27: 613–621.CrossRefGoogle ScholarPubMed
de Visscher, J. G. A. M., van der Wai, K. G. H., de Vogel, P. L. (1989) The plunging ranula. Pathogenesis, diagnosis and management. Journal of Cranio-Maxillo-Facial Surgery 17: 182–185.CrossRefGoogle ScholarPubMed
Engel, J. D., Harn, S. D., Cohen, D. M. (1987) Mylohyoid herniation: Gross and histologic evaluation with clinical correlation. Oral Surgery, Oral Medicine and Oral Pathology 63: 55–59.CrossRefGoogle ScholarPubMed
Gaughran, G. R. L. (1963) Mylohyoid boutonniere and sublingual bouton. Journal of Anatomy 97: 565–568.Google Scholar
Harrison, J. D., Garrett, J. R. (1972) Mucocele formation in cats by glandular duct ligation. Archives of Oral Biology 17: 1403–1414.CrossRefGoogle ScholarPubMed
Khaflf, R. A., Schwartz, A., Friedman, E. (1975) The plunging ranula. Journal of Oral Surgery 33: 537–541.Google Scholar
Langlois, N. E. I., Kolhe, P. (1992) Plunging ranula: A case report and a literature review. Human Pathology 23: 1306–1308.CrossRefGoogle ScholarPubMed
Mair, I. W. S., Schewitsch, I., Svendsen, E., Haugeto, O. K. (1979) Cervical ranula. Journal of Laryngology and Otology 93: 623–628.CrossRefGoogle ScholarPubMed
Quick, C. A., Lowell, S. H. (1977) Ranula and the sublingual salivary glands. Archives of Otolaryngology 103: 397–00.CrossRefGoogle ScholarPubMed
Roediger, W. E. W., Kay, S. (1977) Pathogenesis and treatment of plunging ranulas. Surgery, Gynecology and Obstetrics 144: 862–864.Google ScholarPubMed
van den Akker, H. P., Bays, R. A., Becker, A. E. (1978) Plunging or cervical ranula. Review of the literature and report of four cases. Journal of Maxillo-facial Surgery 6: 286–293.CrossRefGoogle ScholarPubMed
Whitelock, R. I. H., Summersgill, G. B. (1962) Ranula with cervical extension. Report of a case. Oral Surgery, Oral Medicine and Oral Pathology 15: 1163–1171.CrossRefGoogle Scholar