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Value of sialendoscopy-assisted transoral sublingual gland resection for a plunging ranula: case report and review

Published online by Cambridge University Press:  16 April 2015

K Truong ,
L A Guerin  and
H Hoffman
K Truong*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, USA
L A Guerin
Affiliation:
Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, USA
H Hoffman
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, USA
*
Address for correspondence: Dr Kristy Truong, Department of Otolaryngology – Head and Neck Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA Fax: +1 319 356 4108 E-mail: [email protected]
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Abstract

Objective:

To highlight the value of sialendoscopy during transoral resection of the sublingual gland for a plunging ranula to prevent iatrogenic injury to the submandibular duct.

Method and results:

The clinical course of a 20-year-old male with a plunging ranula was analysed. The patient underwent transoral resection of the affected sublingual gland and pseudocyst. Sialendoscopy was used to confirm patency of the submandibular duct with placement of a Marchal dilator to aid in preservation of the duct during sublingual gland dissection. The sublingual gland was successfully removed, with no injury to the submandibular duct or lingual nerve. During follow up, the patient had slight numbness to the tip of the tongue, which resolved after 2–3 days. Post-operative examination showed the submandibular duct to be intact and there was no swelling of the submandibular area.

Conclusion:

Sialendoscopy-assisted transoral sublingual gland resection for a plunging ranula is a safe and effective technique. Sialendoscopy aids in skeletonisation and preservation of the submandibular duct.

Keywords

RanulaWharton's DuctEndoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 5 , May 2015 , pp. 509 - 512
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Harrison, JD. Modern management and pathophysiology of ranula: literature review. Head Neck 2010;32:1310–20CrossRefGoogle ScholarPubMed
2Magadevan, M, Vasan, N. Management of pediatric plunging ranula. Int J Pediatr Otorhinolaryngol 2006;70:1049–54CrossRefGoogle Scholar
3Zhao, YF, Jia, Y, Chen, XM, Zhang, WF. Clinical review of 580 ranulas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98:281–7CrossRefGoogle ScholarPubMed
4Yulin, J, Yifang, Z, Xinming, C. Clinical and histopathological review of 229 cases of ranula. J Huazhong Univ Sci Technolog Med Sci 2011;31:717–20Google Scholar
5Rho, MH, Kim, DW, Kwon, JS, Lee, SW, Sung, YS, Song, YK et al. OK-432 sclerotherapy of plunging ranula in 21 patients: it can be a substitute for surgery. AJNR Am J Neuroradiol 2006;27:1090–5Google ScholarPubMed
6Choi, TW, Oh, CK. Hydrodissection for complete removal of a ranula. Ear Nose Throat J 2003;82:946–7CrossRefGoogle ScholarPubMed
7Mortellaro, C, Dall'Oca, S, Lucchina, AG, Castiglia, A, Farronato, G, Fenini, E et al. Sublingual ranula: a closer look to its surgical management. J Craniofac Surg 2008;19:286–90CrossRefGoogle ScholarPubMed
8Baurmash, H. Treatment of an oral ranula using the Er,Cr:YSGG laser. J Oral Maxillofac Surg 2006;64:1459CrossRefGoogle ScholarPubMed
9Niccoli-Filho, W, Morosolli, AR. Surgical treatment of ranula with carbon dioxide laser radiation. Lasers Med Sci 2004;19:12–14CrossRefGoogle ScholarPubMed
10Shimm, DS, Berk, FK, Tilsner, TJ, Coulthard, SW. Low-dose radiation therapy for benign salivary disorders. Am J Clin Oncol 1992;15:76–8CrossRefGoogle ScholarPubMed
11Mun, SJ, Choi, HG, Kim, H, Park, JH, Jung, YH, Sung, MW et al. Ductal variation of the sublingual gland: a predisposing factor for ranula formation. Head Neck 2014;36:540–4CrossRefGoogle ScholarPubMed
12Patel, MR, Deal, AM, Shockley, WW. Oral and plunging ranulas: what is the most effective treatment? Laryngoscope 2009;119:1501–9CrossRefGoogle ScholarPubMed
13Lesperance, MM. When do ranulas require a cervical approach? Laryngoscope 2013;123:1826–7CrossRefGoogle ScholarPubMed