206 results match your criteria: "Ranulas and Plunging Ranulas"

Bilateral plunging ranula: A case report.

Radiol Case Rep

January 2025

Department of Pathology Anatomy, Faculty of Medicine, University of Padjadjaran, Dr. Hasan Sadikin General Central Hospital, Bandung, West Java, Indonesia.

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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Article 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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Unlabelled: The Plunging or cervical ranula is a mucus pseudocyst extension of the sublingual gland that is located below the mylohyoid muscle. In infants, owing to small sublingual and cervical space, clinically large cervical ranulas can lead to a significant impact on swallowing, crying, and even breathing (Carlini et al. in Pediatr Rep 8(4):6576, 2016; Övet et al.

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Epidermoid cysts rarely present in the submandibular area, constituting approximately less than 7% of all cystic lesions in the head and neck region and less than 0.01% of all oral cavity cysts. Therefore, epidermoid cysts can be easily misdiagnosed, as the differential diagnosis for a submandibular area mass is very broad.

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Ranula is a benign cystic lesion caused by the escape and collection of salivary mucus. Classically, it is divided into simple ranulas, a cystic mass in the floor of the mouth, and diving/plunging/cervical ranulas, a submandibular mass without apparent intraoral involvement. Although plunging ranula is a well-documented cause of neck swelling, its association with the presence of ectopic sublingual glands is extremely rare, with less than five cases reported.

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Objective(s): Despite advancements in imaging techniques and cytological analysis, plunging ranula remains a challenging surgical, radiologic, and pathologic phenomenon. Of the 18 patients we evaluated at our institution, we highlight three cases that illustrate the high rate of misleading imaging and cytological results when assessing plunging ranula.

Methods: Imaging results, biopsy findings, operative techniques, and pathological reports were reviewed from patients who had either a preoperative or postoperative diagnosis of ranula and underwent surgery by a single head and neck surgeon at a tertiary care center.

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Plunging Ranula Presenting as a Giant Anterior Cervical Cystic Mass: A Case Report and Literature Review.

Case Rep Oncol

August 2023

Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

Plunging ranula, a subtype of ranula, commonly presents as a submandibular or submental cystic mass without oral counterpart, and its clinical management remains challenging. Herein, the authors report an extremely rare case of 30-year-old female patient with plunging ranula involving the root of the left anterior neck.

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Dermoid cysts are the least commonly occurring developmental cysts in the oral and maxillofacial region. They may be congenital or acquired and are seen as asymptomatic swellings that are slow and progressive. It is very difficult to differentiate plunging ranulas from plunging dermoid cysts as both of them have very similar clinical features.

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Article Synopsis
  • - Oral symptoms can be early signs of HIV, with conditions like oral candidiasis and hairy leukoplakia being strongly linked to the virus.
  • - While ranulas occur due to salivary leakage from gland obstruction, there's no proven connection between this condition and HIV.
  • - A case study showcased a successful surgical removal of a plunging ranula in a patient with HIV, emphasizing the need for detailed patient history and strict safety practices during surgery.
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Epidermoid inclusion cysts are rare in the oral cavity, accounting for less than 0.01% of cysts found there. These cysts are defined as epidermoid if they contain only epithelial lining, dermoid if skin appendages, and teratoid if they contain other tissues such as muscle, cartilage, and bone.

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A Giant Epidermoid Cyst in the Floor of Mouth Mimicking Ranula.

Cureus

August 2023

Department of Otolaryngology - Head and Neck Surgery, Asian Super Specialty Hospital, Dhanbad, IND.

Dermoid cysts are benign ectodermal-derived epithelial cysts rarely found on the floor of the neck. They may be congenital or acquired. They comprise three histological variants according to their contents and include dermoid, epidermoid, and teratoma.

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A rare case of submandibular mucocele extending into the oral cavity: A case report.

Int J Surg Case Rep

October 2023

University of Sousse Faculty of Medicine of Sousse, ENT Department, Farhat Hached University Hospital, Sousse, Tunisia.

Article Synopsis
  • Salivary mucoceles, which are fluid-filled sacs from salivary glands, rarely happen in the submandibular gland, with very few cases reported.
  • A 9-year-old boy had swelling in his neck that turned out to be a mucocele, and he had surgery to remove it without any problems afterwards.
  • Diagnosing these mucoceles can be tricky because they can look like other conditions, so doctors need to use special imaging tools like CT scans and MRIs to be sure.
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Epidermoid cyst in the oral cavity is uncommon. It is even more rare to see an epidermoid cyst in the sublingual region. We report the case of a 30-year-old male presenting with a swelling in the floor of the mouth extending into the submental and submandibular regions.

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Congenital ranula cysts are rare, benign cysts that arise from the obstruction or rupture of the sublingual gland ducts in the oral cavity of newborns. Here, we present a case of a congenital ranula cyst in a newborn, highlighting the clinical presentation, diagnosis, and management of this rare condition. The neonate presented with a smooth, painless, and non-tender mass in the floor of the mouth, which was identified as a sublingual cyst via ultrasonography.

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Ranulas are cystic lesions located in the floor of the mouth. These are "pseudocysts" and are developed due to an obstruction in the sublingual gland. Congenital variants of plunging ranulas are very rare.

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 Ranulas are divided into oral (OR) and plunging (PR) and comprise the most common pathology of the sublingual gland. This study presents a case series of patients operated due to OR and PR within different type of modalities in a 1-year period.  The aim of this study is to determine the optimal surgical treatment of ranulas based on our results as well as in the literature review.

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Background: Plunging ranula is a variant of ranula, which present as a painless subcutaneous anterolateral neck mass and is located beyond the mylohyoid muscle. These swelling presentations with no intraoral component are extremely rare and rarely provide a diagnostic challenge.

Case Report: An elderly male presented with painless neck mass in the cervical region for three months.

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Purpose: To develop sonographic criteria for ranula that to allow rapid and precise diagnosis, differentiation between enoral (ER) and plunging ranula (PR), and differential diagnosis from other competing pathologies in this region.

Methods: Patients who presented with or were referred with ranula between 2002 and 2022 were assessed in a retrospective study. After clinical investigation, ultrasound examinations were performed in all cases.

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A ranula is a pseudocyst that originates from the sublingual gland after trauma. Acute cases of ranulas that progress rapidly and cause respiratory distress are rare. Holoprosencephaly is a complex brain malformation caused by incomplete cleavage of the prosencephalon.

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Non-neoplastic salivary gland diseases in children: a 10-year review at a tertiary center.

Oral Maxillofac Surg

December 2023

Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Kapucijnenvoer 33, 3000, Leuven, Belgium.

Objectives: Non-neoplastic salivary gland diseases are rare in children. This paper aims to present the spectrum of encountered non-neoplastic salivary gland diseases at a tertiary center by describing the demographics, clinical characteristics, and outcomes in this patient population.

Methods: A review of electronic medical records was performed from 2010 until 2020.

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Amylase as a Diagnostic Tool for Plunging Ranula: Clinical Series and Description of the Technique.

Laryngoscope

March 2023

Department of Otolaryngology-Head and Neck Surgery, Counties Manukau District Health Board, Auckland, New Zealand.

Objectives: This study describes a technique of measurement for neck cyst amylase content and reviews the experience of a tertiary referral center for cases of suspected plunging ranula.

Methods: A retrospective study was performed at the Manukau Surgical Center in Auckland, New Zealand. Patients with a possible diagnosis of plunging ranula based on clinical presentation and diagnostic aspiration of the cyst contents were included.

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