Skip to main content Accessibility help
×
Home

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

  • Keiichi Ichimura (a1), Yasushi Ohta (a1) and Niro Tayama (a1)

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.

Copyright

Corresponding author

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

Footnotes

Hide All

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

Footnotes

References

Hide All
Braun, T. W., Sotereanos, G. C. (1982) Cervical ranula due to an ectopic sublingual gland. Journal of Maxillofacial Surgery 10: 5658.
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: 945948.
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: 613621.
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: 182185.
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: 5559.
Gaughran, G. R. L. (1963) Mylohyoid boutonniere and sublingual bouton. Journal of Anatomy 97: 565568.
Harrison, J. D., Garrett, J. R. (1972) Mucocele formation in cats by glandular duct ligation. Archives of Oral Biology 17: 14031414.
Khaflf, R. A., Schwartz, A., Friedman, E. (1975) The plunging ranula. Journal of Oral Surgery 33: 537541.
Langlois, N. E. I., Kolhe, P. (1992) Plunging ranula: A case report and a literature review. Human Pathology 23: 13061308.
Mair, I. W. S., Schewitsch, I., Svendsen, E., Haugeto, O. K. (1979) Cervical ranula. Journal of Laryngology and Otology 93: 623628.
Quick, C. A., Lowell, S. H. (1977) Ranula and the sublingual salivary glands. Archives of Otolaryngology 103: 397–00.
Roediger, W. E. W., Kay, S. (1977) Pathogenesis and treatment of plunging ranulas. Surgery, Gynecology and Obstetrics 144: 862864.
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: 286293.
Whitelock, R. I. H., Summersgill, G. B. (1962) Ranula with cervical extension. Report of a case. Oral Surgery, Oral Medicine and Oral Pathology 15: 11631171.

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed