J Korean Cleft Palate-Craniofac Assoc Search


Journal of Korean Cleft Palate-Craniofacial Association 2010;11(2):111-115.
Surgical Treatment of a Plunging Ranula using the Intraoral and Submandibular Approach.
Jung Hong Kim, Seok Chan Eun, Rong Min Baek
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. sceun@snubh.org
A plunging ranula is relatively uncommon and represents a mucus escape reaction occurring from a disruption of the sublingual salivary gland. It is a common condition found in young adults, even though the reported age range is 2 - 61 years. We report our experience of a complete excision of a plunging ranula via the intraoral and submandibular approach. METHODS: A 23-year-old man had a large protruding mass in the right submandibular area. Initially, the protruding mass appeared bilaterally but the left side disappeared spontaneously. The MRI findings revealed a homogenous fluid attenuation mass in the submandibular space, suggesting a ranula. The sublingual gland was extirpated through the intraoral approach and the ranula excised totally via the submandibular approach.
The patient had an uneventful postoperative course without infection, paralysis and tongue sensory changes, etc. The pathology findings were characteristic of a pseudocyst without a lining epithelium or endothelium but with a vascular fibro-conective tissue wall filled with mucinous fluid. No recurrence was observed on the submandibular area during the 8 month follow-up period.
The combined intraoral approach and submandibular approach is an effective and highly recommended method for sublingual gland extirpation and complete excision of a plunging ranula.
Keywords: Ranula; Sublingual gland; Submandibular approach
  • PDF Links   PDF Links
  • Full text via DOI   Full text via DOI
  • Cited  Cited
    export Copy
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 1,266 View
  • 0 Download
Related articles in ACFS

Surgical treatment of rhinophyma using an ordinary bur2020 August;21(4)

Surgical Correction of the Prominent Ear using the Posterior Approach.2002 October;3(2)


Browse all articles >

Editorial Office
Dept. of Plastic and Reconstructive Surgery Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju 61469, Korea
Tel: +82-62-220-6354    Fax: +82-62-220-6357    E-mail: office_acfs@kcpca.or.kr                

Copyright © 2024 by Korean Cleft Palate-Craniofacial Association.

Developed in M2PI

Close layer
prev next