Honor society of nursing stti there is no known way to prevent a ranula from forming. Diferencias entre mucocele y ranula trabajos finales. Ranula is a rare benign acquired cystic lesion that occurs at the floor of the mouth. Ranula in a 12 year old girl an interesting case report citation. A ranula, or mouth cyst, is indicated by blue swelling under the tongue. Excision ranula with sublingual gland was performed on seven patients 63. 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. A ranula is a mucous cyst found on the floor of the mouth. As diving ranula and cystic hygroma are managed with different surgical approaches, avoidance of this pitfall is critical. The reason for the extravasation is considered to be trauma to the sublingual gland and related structure1,78. No introduction ranulas are cystic lesions which results from rupture or damage of ducts of the sublingual glands. Partial sublingual glandectomy with ranula excision. The ranula can be removed surgically by either marsupialization or enucleation.
Diseases of the dog and their treatment 1911 14598257879. The domeshaped nodule has a smooth intact surface that imparts a pink, yellow, blue, or red color. 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. 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. Ranula is a traumatic lesion that forms due to the rupture of one or more salivary gland. A ranula is a type of mucocele, and therefore could be classified as a disorder of the salivary glands. 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. However, the reported recurrence rate associated with simple marsupialization can range from 14% to 67%. Various authors have described marsupialization, including jacobson, who provided the first description in 1950 for management of. The fluidfilled lesions tend to slowly enlarge with welldefined margins that are freely movable. Plunging ranula is defined as a pseudocyst of mucous ex travasation into deep. Various authors have reported this technique for the management of oral ranula, particularly in the pediatric population. She experienced gradually rapid increase in the ranula over next 3 days which caused difficulty while deglutition. This very large version of the typical diving ranula can be difficult to differentiate from cystic hygroma in this area on the basis of.
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. Ranula, mucocele, lesions of the salivary glands, oral cavity, epidemiology. A ranula is a bluish, transparent, and thinwalled swelling in the floor of the mouth. Salivary mucocele is a condition in which saliva leaks from a damaged salivary gland or duct and collects in the surrounding tissues. Thyroglossal duct cyst, lingual thyroid, dermoid cyst, granular cell myoblastoma and heterotopic gastric mucosal cyst. A plunging ranula also goes by the names of cervical ranula or diving ranula. Congenital ranula the authors describe a case of congenital ranula diagnosed by a routine prenatal ultrasonography at 21 weeks of gestation. They are most common in the second decade of life and in females. Sometimes, the cause of a ranula is unknown and the swelling occurs spontaneously.
The term ranula is used because this lesion often resembles the swollen abdomen of a frog. Jun 03, 2016 one indication for marsupialization is to create a new accessory tract for drainage of a gland. They are benign and relatively uncommon lesions, as a result from the saliva leakage surrounding soft tissue after traumatic rupture or by obliteration one or more. The common form of a ranula is a pseudocyst derived from the extravasation of the sublingual gland317. A case report of ranula treated with marsupialization and. Usually a ranula is confined to the floor of the mouth termed a simple ranula. Ranulae present as a swelling of connective tissue consisting of collected mucin from a ruptured salivary gland caused by local trauma. Open access case report ranula in a 12 year old girl ecronicon. The most common presentation of ranula is a painless, slowgrowing, soft, and moveble mass located in the floor of the mouth. Once the size of the lesion reducesthen a second surgery is done to remove the complete lining. Open access case report ranula in a 12 year old girl an.
Generally speaking, ranulas have a larger size than lip mucoceles. An unusual variant is the cervical ranula also called a plunging or diving ranula, where the swelling is in the neck rather than the floor of the mouth. The intraoral ranula is a benign pseudocystic extravasation with its origin in the sublingual. 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. Ranula develops from extravasation of mucus after trauma to the sublingual gland or obstruction of the ducts. In most cases mouth cysts are painless, but the mass may be large enough to interfere with eating, chewing and swallowing.
Diferencias entre mucocele y ranula trabajos finales 890. 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. Media in category ranula the following 3 files are in this category, out of 3 total. If small and asymptomatic further treatment may not be needed, otherwise minor oral surgery may be indicated. A case report of ranula treated with marsupialization and low level laser therapy dr. Aug 28, 2017 another type of ranula is a diving or plunging ranula, which occurs when a simple ranula ruptures. Giant ranula can be defined as any ranula that significantly involves the parapharyngeal space in addition to the submandibular space. There is no need to remove the gland as such, you can get the ranula removed. Occasionally, diving ranulas may attain large dimensions giant ranula. 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. 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. Ranula,sublingual gland,ok432 how to cite this article. The condition is also known as sialocele, cervical sialocele, cervical mucocele, ranula, and salivary cyst.
Marcelo guzmanletelier a,f, claudia crisostojara b, barbara reyesmarislao c, miguel penarrochadiago d, david penarrochaoltra e. The rupture triggers the formation of a pseudocyst that extends into the neck through a defect of. The objective of this report was to describe a case of multicompartmental extensive ranula with atypical clinical and ultrasound features. With the simple addition of packing the entire pseudocystic cavity with gauze. In other cases, ranulas occur after trauma to the floor of the mouth like an oral surgery. They originate from the extravasation and subsequent accumulation of saliva from the sublingual gland. Followup ultrasound scans revealed no changes in the size or the position of the cyst. Nuvia suarez garcia 1, sergio german pilona ruiz 2. 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. Modified marsupialisation of a giant intraoral ranula. A ranula is a mucus extravasation cyst involving a sublingual gland and is a type of mucocele found on the floor of the mouth. Rarely, these ranulas may arise independent of oral swelling. The term ranula is used in reference to mucoceles occurring in the mouth floor.
Plunging ranulas, also known as deep, diving, cervical or deep plunging ranula, usually appear in conjunction with oral ranula. A ranula is a type of mucocele found on the floor of the mouth. It can also be found on the inner side of the cheek, on the anterior ventral tongue, and on the floor of the mouth. Ranula in a 12 year old girl an interesting case report. In many cases, a plunging ranula is iatrogenic and follows surgery to an oral ranula.
The latin rana means frog, and a ranula is so named because its appearance is sometimes compared to a frogs. Though she herself was a dentist, she insisted to try with micromarsupiliazation technique first rather than proceeding with surgical excision due to. 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. It has been reported from 2 to 61 years of age with a slight female preponderance. 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. We present a case of left submandibular swelling in a child.
465 1368 419 423 276 531 970 967 1108 1165 524 131 128 745 1223 708 821 450 1254 395 1511 550 961 918 1563 1148 885 635 947 257 1270 142 857 373 416