Sublingual gland excision for the surgical management of plunging ranula.
Am J Otolaryngol
; 39(5): 497-500, 2018.
Article
en En
| MEDLINE
| ID: mdl-30017374
ABSTRACT
OBJECTIVE:
A plunging ranula is a pseudocystic collection of mucin extravasated from the sublingual gland into the floor of mouth and through the mylohyoid muscle into the neck. While the lining of a ranula is non-secreting and resection of the sublingual gland is adequate for simple sublingual mucoceles, many surgeons attempt to address plunging ranulas with extensive transoral and transcervical dissections. We review our experience managing plunging ranulas with intraoral sublingual gland excision and ranula drainage alone.METHODS:
This is a case series of patients with plunging ranulas who underwent transoral sublingual gland excision and ranula drainage in the past 10â¯years at the Massachusetts Eye and Ear. All ranulas were confirmed by radiographic imaging. Data were gathered from the medical record and telephone surveys.RESULTS:
Twenty-one patients with 22 distinct ranulas underwent this surgical approach. Average ranula size on imaging was 4.3â¯cm (SDâ¯=â¯1.3). Thirteen patients with 14 ranulas were followed up for greater than 6â¯months while the remaining 7 patients were lost to follow-up. Median follow-up for the 13 patients was 30â¯months (range 6 to 80). One ranula recurred requiring excision of residual sublingual gland (7%). One patient developed a local infection that was treated with antibiotics (7%). No long term complications were reported.CONCLUSION:
Simple transoral excision of the sublingual gland with ranula drainage is sufficient for treatment of plunging ranulas. It is essential to obtain a full resection of the gland to prevent relapse. This limited approach has low rates of complications and ranula recurrence.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Ránula
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Glándula Sublingual
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Procedimientos Quirúrgicos Orales
Tipo de estudio:
Etiology_studies
/
Incidence_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Otolaryngol
Año:
2018
Tipo del documento:
Article
País de afiliación:
Estados Unidos