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PubMed1989

Fibrin glue in the surgical treatment of ranulas.

The essential treatment of a ranula is meticulous dissection of the thin wall of the cyst in continuity with the sublingual gland of origin. We have used a technique of fibrin glue injection into the cystic space of the ranula after it had been evacuated by aspiration. The fibrin glue within the cystic cavity prevents collapse of the wall of the cyst during surgery and facilitates and simplifies the surgical procedure by clearly outlining the involved area and by sharply delineating its thin wall.

Fibrin Tissue Adhesive↗
PubMedDate not supplied

Congenital ranula. A report of two cases.

We report 2 unusual cases of congenital ranula in male Nigerian infants. Clinical examination could not discern the orifice of the submandibular duct on the affected sides, while a lower occlusal radiograph revealed no obvious calculi. Diagnosis was mainly by clinical presentation. The paper highlights possible aetiopathogenesis, clinical aspects and diagnostic features. Emphasis is laid on the need for careful evaluation of oral ranulas in order to discern their origin and provide appropriate treatment.

Child, Preschool↗
PubMed1990

Plunging ranula localized in the parapharyngeal space.

Plunging ranulas are a mucous extravasation and usually originate from the sublingual gland. They dissect between the facial planes and muscle of the base of the tongue to the submandibular triangle. We report here a rare case of plunging ranula localized in the parapharyngeal space. The relevant anatomy is reviewed and discussed.

Humans↗
PubMed2003

Treatment of ranula wth intracystic injection of the streptococcal preparation OK-432.

Intracystic injection of OK-432 was developed as a therapy for operatively difficult lymphangioma (cystic hygroma) and is currently becoming a treatment of first choice for this disease. We tried this therapy in 32 patients with ranula (oral floor type in 21 cases and plunging type in 11 cases). Disappearance or marked reduction of the lesion was observed in 31 patients (97%) who had this therapy, and local scarring did not occur in any patient. As side effects, local pain at the injection site and fever (37 degrees C to 39 degrees C) were observed in almost half of the patients who had this therapy, but such problems resolved within a few days. We treated the initial 4 cases in the hospital for 4 to 5 days, but after the safety of this method had been confirmed, we treated the other 28 cases on an outpatient basis. Thus, we confirmed that intracystic injection therapy with OK-432 is relatively safe and can be used as a substitute for surgery in the treatment of ranulas.

Adolescent↗
PubMedDate not supplied

Cervical ranulas.

Cervical ranulas, known also as plunging or burrowing ranulas, are an outcome of extravasated sublingual gland mucin that has gained access to the soft tissues of the neck. These pseudocystic lesions may be localized or extensive, and they require surgical excision of the sublingual gland for effective management.

Humans↗
PubMed1988

Plunging ranula in an infant.

This unusual case extends the age range of persons with plunging ranula to include those with congenital neonatal submandibular masses. The congenital nature of plunging ranula has not been widely discussed. Clinical diagnosis can be reinforced by diagnostic imaging (CT, MRI) if the mass extends into or abuts the sublingual space. Definitive treatment (generally excision) leads to resolution of the mass and prevention of recurrence.

Humans↗
PubMed1988

Ranulas--mucoceles of the oral cavity: experience in 26 children.

Ranulas or mucoceles of the floor of the mouth are uncommon but do occur in approximately 5% of patients undergoing submandibular duct relocation for the management of uncontrollable sialorrhea. Review of our experience with 26 patients over 12 years ending in 1986 substantiated a concept previously advocated by other authors that ranulas are usually extravasation pseudocysts developing after disruption of sublingual gland elements, and that excision of the ipsilateral sublingual gland is the management approach of choice.

Child↗
PubMed2003

Two cases of plunging ranula managed by the intraoral approach.

Two cases of plunging ranula are reported. Treatment consisted of the total removal of the sublingual gland and evacuation of the cystic contents by the intraoral approach. The cyst remained just after the surgery in both cases, but then gradually regressed and disappeared within two months after the surgery. These findings support total removal of the sublingual gland as being the best method of treatment. We believe that complete dissection of the cyst with cervical incision as well as drainage of the cystic contents are unnecessary when the diagnosis of the plunging ranula is confirmed.

Adolescent↗
PubMed1994

Cystic lymphangioma and plunging ranula treated by OK-432 therapy: a report of two cases.

Among head and neck angiotumors, cystic lymphangioma occurs in infancy in most cases and it is rare in adulthood. Plunging ranula is one of the diseases which need to be distinguished from lymphangioma, though operation is the first choice therapy for both of these. In the present study, we report on 2 cases in whom we conducted intralesional injection of OK-432 for cervical lymphangioma and ranula found in 20 and 35 year-old female patients. We obtained excellent improvement. First of all, we punctured the tumors and sucked out the liquid content as much as possible, and then used OK-432 in the same volumes to those drawn out. No swelling was observed in either patient after 1 month, and cysts disappeared in CT 4 and 12 months after injection, respectively; at present, the prognosis is satisfactory, without recurrence. The intralesional injection of OK-432 is considered an effective method, as the speed of complete disappearance by this therapy is high. Cosmetically it is superb, leaving no lesions in the skin of the injection site.

Adult↗
PubMed2005

Sublingual ranula: report of a submandibular clinical case.

Ranula is a raised mucocele on the oral floor. When the mucocele extends and passes the sublingual space and invades the submandibular space it may be called ''plunging ranula''. Its etiology is not completely known. Our clinical case is a clear example: a 10-year old formation, not painful, developed during several years and originally of small dimension located in the sublingual region. The purpose of this study is to underline that the surgical treatment of choice, in these clinical situations, is the drainage of the cavity and marsupialization rather than a radical removal.

Female↗
PubMed1983

Venous malformation of the neck secondary to a plunging ranula of the mouth.

An unusual case of plunging ranula, with development into a venous malformation, is presented. The patient was successfully treated by excision of one venous aneurysm and malformation and submandibular gland in one session followed by exteriorization of ranula and removal of a sublingual gland two months later.

Adult↗
PubMed1996

Ranula, or, what's in a name?

The etiology, pathogenesis and surgical management of intraoral and deep plunging ranulas are summarized. The term "ranula" is defined, and its derivation traced to the oral anatomy of the frog.

Animals↗
PubMed1986

Plunging ranula: CT diagnosis.

A plunging ranula is a cystic mass in the submandibular area arising from an occluded sublingual gland. Fluid from the obstructed gland dissects between the fascial planes and muscle of the base of the tongue to the submandibular triangle. A plunging ranula can be readily identified preoperatively with computed tomography as a cystic mass in the suprahyoid anterior neck. Three case reports are presented.

Adult↗
PubMed1975

Sarcoidosis and ranula of a sublingual gland.

A case is reported in which ranula was successfully managed by excision of the sublingual gland in a 26-year-old Negro man. Histopathologic examination revealed sarcoidosis of the sublingual gland. The transsected Wharton's duct was successfully transplanted in the floor of the oral cavity.

Adult↗
PubMed1989

Plunging ranula--an unusual presentation.

An unusual presentation of a plunging ranula is described which suggests that raised air pressures within the oral cavity may be an additional factor in its aetiology.

Adult↗
PubMed1991

Plunging ranula: a bilateral presentation.

A patient is described with bilateral plunging ranulae which arose asynchronously and solely as cervical swellings. The diagnostic difficulties caused by the clinical presentation and the different treatment modalities are discussed.

Adult↗