This very large version of the typical diving ranula can be difficult to differentiate from cystic hygroma in this area on the basis of. Usually a ranula is confined to the floor of the mouth termed a simple ranula. The rupture triggers the formation of a pseudocyst that extends into the neck through a defect of. Diferencias entre mucocele y ranula trabajos finales 890. Deepthi gulivindala the dental clinic, hyderabad, india abstract oral ranula is a retention cyst arising from the sublingual gland on the floor of the mouth as. Ranulae present as a swelling of connective tissue consisting of collected mucin from a ruptured salivary gland caused by local trauma.
Giant ranula can be defined as any ranula that significantly involves the parapharyngeal space in addition to the submandibular space. A case report of ranula treated with marsupialization and. Apr 16, 2018 the mucus retention cyst has a presentation similar to that of a mucocele and a ranula, except that it does not fluctuate in size. The intraoral ranula is a benign pseudocystic extravasation with its origin in the sublingual. It has been reported from 2 to 61 years of age with a slight female preponderance. The american heritage medical dictionary defines marsupialization as a surgical alteration of a cyst or similar enclosed cavity by making an incision and suturing the flaps to the adjacent tissue, creating a pouch. Salivary gland extravasaron phenomenon is a lesion thai causes several types of mucoceles in different anatomic locaiions such as the floor of the mouih ranula or the buccal aspect of the lower lip, respectively the cases presented here. For a plunging ranula, the cyst extends beyond the sublingual space the space below and beneath the tongue and may interfere with the mylohyoid muscle a muscle forming the floor of the oral cavity. These lesions occur as the result of trauma or obstruction to the salivary gland excretory duct and spillage of mucin into the surrounding soft tissues. A ranula is a type of mucocele, and therefore could be classified as a disorder of the salivary glands. Salivary mucocele is a condition in which saliva leaks from a damaged salivary gland or duct and collects in the surrounding tissues. The ranula can be removed surgically by either marsupialization or enucleation. Modified marsupialisation of a giant intraoral ranula. Partial sublingual glandectomy with ranula excision.
In other cases, ranulas occur after trauma to the floor of the mouth like an oral surgery. Open access case report ranula in a 12 year old girl ecronicon. Once the size of the lesion reducesthen a second surgery is done to remove the complete lining. Generally speaking, ranulas have a larger size than lip mucoceles. These lesions occur as the result of trauma or obstruction to the salivary gland excretory duct and spillage of mucin into the surrounding soft ti. A case report of ranula treated with marsupialization and low level laser therapy dr. A ranula is a bluish, transparent, and thinwalled swelling in the floor of the mouth.
Aug 28, 2017 another type of ranula is a diving or plunging ranula, which occurs when a simple ranula ruptures. There is no need to remove the gland as such, you can get the ranula removed. A ranula is a mucous cyst found on the floor of the mouth. Collectively, the mucocele, the oral ranula, and the cervical, or plunging, ranula are clinical terms for a pseudocyst that is associated with mucus extravasation into the surrounding soft tissues. We present a case of left submandibular swelling in a child. Sometimes, the cause of a ranula is unknown and the swelling occurs spontaneously. Ranula,sublingual gland,ok432 how to cite this article. Ranulas present as a swelling of connective tissue consisting of collected mucin from a ruptured salivary gland duct, which is usually caused by local trauma. If small and asymptomatic further treatment may not be needed, otherwise minor oral surgery may be indicated.
Diferencias entre mucocele y ranula trabajos finales. The fluidfilled lesions tend to slowly enlarge with welldefined margins that are freely movable. However, the reported recurrence rate associated with simple marsupialization can range from 14% to 67%. Marcelo guzmanletelier a,f, claudia crisostojara b, barbara reyesmarislao c, miguel penarrochadiago d, david penarrochaoltra e. Thyroglossal duct cyst, lingual thyroid, dermoid cyst, granular cell myoblastoma and heterotopic gastric mucosal cyst. Ranula develops from extravasation of mucus after trauma to the sublingual gland or obstruction of the ducts. Ranula in a 12 year old girl an interesting case report. Ranula in a 12 year old girl an interesting case report citation. With the simple addition of packing the entire pseudocystic cavity with gauze. Occasionally, diving ranulas may attain large dimensions giant ranula. Open access case report ranula in a 12 year old girl an.
The domeshaped nodule has a smooth intact surface that imparts a pink, yellow, blue, or red color. The most common presentation of ranula is a painless, slowgrowing, soft, and moveble mass located in the floor of the mouth. One way is a spontaneous occurrence, which is impossible to prevent, and the second is in response to mouth trauma, such as from surgery or an injury. The objective of this report was to describe a case of multicompartmental extensive ranula with atypical clinical and ultrasound features. Ranula is a form of mucocele which specifically occurs in the floor of the mouth in association with the ducts of the submaxillary or sublingual gland. The reason for the extravasation is considered to be trauma to the sublingual gland and related structure1,78. Congenital ranula the authors describe a case of congenital ranula diagnosed by a routine prenatal ultrasonography at 21 weeks of gestation. A ranula is a mucus extravasation cyst involving a sublingual gland and is a type of mucocele found on the floor of the mouth. A ranula is a type of mucocele found on the floor of the mouth. The condition is also known as sialocele, cervical sialocele, cervical mucocele, ranula, and salivary cyst. A ranula, or mouth cyst, is indicated by blue swelling under the tongue. Simple marsupialization to manage oral ranula has fallen into disfavor because of excessive failures and the high incidence of iatrogenically caused cervical ranula that may follow this procedure. Jun 03, 2016 one indication for marsupialization is to create a new accessory tract for drainage of a gland.
Ranula, mucocele, lesions of the salivary glands, oral cavity, epidemiology. A plunging ranula also goes by the names of cervical ranula or diving ranula. Ranula is a rare benign acquired cystic lesion that occurs at the floor of the mouth. The latin rana means frog, and a ranula is so named because its appearance is sometimes compared to a frogs. Followup ultrasound scans revealed no changes in the size or the position of the cyst. Excision ranula with sublingual gland was performed on seven patients 63. Rarely, these ranulas may arise independent of oral swelling. In many cases, a plunging ranula is iatrogenic and follows surgery to an oral ranula. The common form of a ranula is a pseudocyst derived from the extravasation of the sublingual gland317. Media in category ranula the following 3 files are in this category, out of 3 total. They originate from the extravasation and subsequent accumulation of saliva from the sublingual gland.
Diseases of the dog and their treatment 1911 14598257879. The term ranula is used because this lesion often resembles the swollen abdomen of a frog. They are most common in the second decade of life and in females. Plunging ranulas, also known as deep, diving, cervical or deep plunging ranula, usually appear in conjunction with oral ranula. No introduction ranulas are cystic lesions which results from rupture or damage of ducts of the sublingual glands. Nuvia suarez garcia 1, sergio german pilona ruiz 2. Apr 16, 2018 collectively, the mucocele, the oral ranula, and the cervical, or plunging, ranula are clinical terms for a pseudocyst that is associated with mucus extravasation into the surrounding soft tissues. Plunging ranula is defined as a pseudocyst of mucous ex travasation into deep. Though she herself was a dentist, she insisted to try with micromarsupiliazation technique first rather than proceeding with surgical excision due to. Various authors have reported this technique for the management of oral ranula, particularly in the pediatric population. As diving ranula and cystic hygroma are managed with different surgical approaches, avoidance of this pitfall is critical.
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