AI Summary & Key Takeaways
AI InsightTreatment consisted of the total removal of the sublingual gland and the plunging ranula by the cervical approach
📌 3 Key Takeaways
Abstract
Plunging or cervical ranula is a rare phenomenon that represents mucous extravasation pseudocyst arising from the sublingual gland herniating through the mylohyoid muscle. The mucous dissects the tissue planes inferiorly and usually manifests as a swelling in the submental or submandibular regions. Surgical management of plunging ranula is the first-choice therapy. There are variable surgical treatments for plunging ranula, including simple excision, marsupialization, and e xcision of the ranula and sublingual gland via an intraoral or cervical approach. Despite these treatments, many patients have experienced recurrence, and sometimes larger lesions have occurred. Sclerotherapy is a potentially curative procedure that may be used as a primary treatment choice for plunging ranula before considering surgery. A case of plunging ranula is reported. Treatment consisted of the total removal of the sublingual gland and the plunging ranula by the cervical approach
Özet
Plunging veya servikal ranula sublingual bezden kaynaklanan ve mylohyoid kası içinden uzanım gösteren nadir görülen bir mukus ekstravazasyon kistidir. Mukus doku planlarını ayırarak aşağı doğru iner ve sıklıkla submental veya submandibular alanda şişlik olarak kendini gösterir. Tedavide ile seçenek plunging ranulanın cerrahi eksizyonudur. Basit eksizyon, marsüpiyalizasyon ve intraoral veya servikal yaklaşımla ranula ve sublingual gland eksizyonu gibi çeşitli cerrahi varyasyonlar bulunmaktadır. Bu tedavi seçeneklerine rağmen hastaların bir kısmında rekürrens görülmekte ve daha büyük lezyonlar ortaya çıkabilmektedir