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Plunging ranula following bilateral submandibular duct transposition

  • A. Balakrishnan (a1), G. R. Ford (a1) and C. M. Bailey (a1)

Abstract

Submandibular duct transposition is now a standard surgical procedure for the treatment of severe drooling. However, this is our first experience of a plunging ranula arising as a complication of the technique. In the surgical management of this complication, the single most important step is excision of the sublingual gland to prevent recurrence.

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Corresponding author

Mr A. Balakrishnan F.R.C.S.Ed., Consultant ENT Surgeon, Department of Otolaryngology, Singapore General Hospital, Outram Road, Singapore0316, Republic of Singapore. Facsimile No: 65-2262079.

References

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Bailey, C. M., Wadsworth, P. V. (1985) Treatment of the drooling child by submandibular duct transposition. Journal of Laryngology and Otology, 99: 11111117.
Black, R. J., Croft, C. B. (1982) Ranula; pathogenesis and management. Clinical Otolaryngology, 7: 299303.
Burton, M. J., Leighton, S. E. J., Lund, W. S. (1991)Long term results of submandibular duct transposition for drooling. Journalof Laryngology and Otology, 105: 101103.
Cotton, R. T., Richardson, M. A. (1981) The effect of submandibular submandibular duct re-routing in the treatment of sialorrhoea in children. Otolaryngology-Head and Neck Surgery, 89: 535541.
Harrison, J. D., Sowray, J. H., Smith, N. J. D. (1981)Recurrent ranula: A case report. British Dental Journal, 40: 180182.
Khafif, R. A., Schwartz, A., Friedman, E. (1975)The plunging ranula. Journal of Oral Surgery, 33: 537541.
Last, R. J. (1972) Anatomy, Regional and Applied. Fifth Edition. Churchill Livingstone: London. p 643.
Quick, C. A., Lowell, S. H. (1977) Ranula and sublingual salivary glands. Archives of Otolaryngology, 103: 397400.
Roediger, W. E. W., Lloyd, P., Lawson, H. H. (1973) Mucous extravasation theory as a cause of plunging ranulas. British Journal of Surgery, 60: 720722.
Van den Akker, H. P., Bays, R. A., Becker, A. E. (1978) Plunging or cervical ranula: Review of the literature and report of cases. Journal of Maxillofacial Surgery, 6: 286293.

Keywords

Plunging ranula following bilateral submandibular duct transposition

  • A. Balakrishnan (a1), G. R. Ford (a1) and C. M. Bailey (a1)

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