Mucous cysts in the submandibular region--so-called 'plunging' ranula--are relatively uncommon. We report a case of a plunging ranula that complicated excision of an intraductal sialolith of the submandibular gland.
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Surgical management of a large plunging ranula: A case report and review of diagnostic challenges.
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Introduction: Ranulas are mucous cysts that arise from the sublingual gland due to ductal obstruction or trauma. Plunging ranulas, a rare variant, extend into the neck and often present diagnostic challenges. Definitive surgical management is necessary to prevent recurrence and ensure successful outcomes.
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Plunging ranula is the extravasation of saliva from the sublingual gland caused by trauma or obstruction of the duct, extending through a defect in the mylohyoid muscle into the submandibular gland. The prevalence of plunging ranula is estimated to be about 2.6 per 100,000 cases with mostly unilateral lesions.
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Plunging ranulas are rare retention pseudocysts of the major salivary glands, most often of the sublingual gland, and usually occur in individuals from the first to the sixth decade of life with female predominance. Given their similar location and physical and imaging characteristics to thyroglossal cysts, distinguishing the two lesions is often a differential diagnostic dilemma even for the experienced physician. This case report presents a 42-year-old man for whom a preliminary diagnosis of a thyroglossal duct cyst was made based on a physical examination.
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View Article and Find Full Text PDFArticle Synopsis
- A plunging ranula, a type of sublingual salivary gland cyst, can initially be mistaken for a vallecular cyst, but ultrasound and MRI are important for accurate diagnosis.* -
- The case presented involves an 18-year-old male with a rare form of plunging ranula that extends above the mylohyoid muscle into the oropharynx without a typical cervical swelling.* -
- The report emphasizes the importance of using MRI for distinguishing between diagnoses and highlights the need for establishing guidelines for further investigations in such atypical cases.*
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