Gediz Murat SERİN, Şenol POLAT, Özcan ÇAKMAK, Hasan TANYERİ

Servikal Ranula: Bir Olgu Sunumu

Plunging veya servikal ranula sublingual bezden kaynaklanan ve mylohyoid kası içinden uzanım gösteren nadir görülen bir mukus ekstravazasyon kistidir. Mukus doku planlarını ayırarak aşağı doğru iner ve sıklıkla submental veya submandibular alanda şişlik olarak kendini gösterir. Tedavide ile seçenek plunging ranulanın cerrahi eksizyonudur. Basit eksizyon, marsüpiyalizasyon ve intraoral veya servikal yaklaşımla ranula ve sublingual gland eksizyonu gibi çeşitli cerrahi varyasyonlar bulunmaktadır. Bu tedavi seçeneklerine rağmen hastaların bir kısmında rekürrens görülmekte ve daha büyük lezyonlar ortaya çıkabilmektedir

Cervical Ranula: a Case Report

Plunging or cervical ranula is a rare phenomenon that represents mucous extravasation pseudocyst arising from the sublingual gland herniating through the mylohyoid muscle. The mucous dissects the tissue planes inferiorly and usually manifests as a swelling in the submental or submandibular regions. Surgical management of plunging ranula is the first-choice therapy. There are variable surgical treatments for plunging ranula, including simple excision, marsupialization, and e xcision of the ranula and sublingual gland via an intraoral or cervical approach. Despite these treatments, many patients have experienced recurrence, and sometimes larger lesions have occurred. Sclerotherapy is a potentially curative procedure that may be used as a primary treatment choice for plunging ranula before considering surgery. A case of plunging ranula is reported. Treatment consisted of the total removal of the sublingual gland and the plunging ranula by the cervical approach

Keywords:

Cervical ranula, sublingual gland,

PDF

___

Quick CA, Lowell SH. Ranula and sublingual salivary glands. Arch Otolaryngol 1977; 103(7): 397-400.

Batsakis JG, McClatchey KD. Cervical ranulas. Ann Otol Rhinol Laryngol 1988; 97(5 Pt 1): 561-2.

Davison MJ, Morton RP, McIvor NP. Plunging ranula: clinical observations. Head Neck 1998; 20(1): 63-8.

Macdonald AJ, Salzman KL, Harnsberger HR. Giant ranula of the neck: differentiation from cystic hygroma. AJNR Am J Neuroradiol. 2003 Apr;24(4):757-61.

de Visscher JG, van der Wal KG, de Vogel PL. The plunging ranula. Pathogenesis, diagnosis and management. J craniomaxillofac Surg 1989; 17(4): 182-5.

Ichimura K, Ohta Y, Tayama N. Surgical management of theplunging ranula: a review of seven cases. J Laryngol Otol 1996;110(6): 554-6.

Bridger AG, Carter P, Bridger GP. Plunging ranula: literature review and report of three cases. Aust N Z J Surg 1989; 59(12): 945-8.

Braun TW, Sotereanos GC. Cervical ranula due to an ectopic sublingual gland. J Maxillofac Surg 1982; 10(1): 56-8.

Patel MR, Deal AM, Shockley WW. Oral and plunging ranulas: What is the most effective treatment? Laryngoscope. 2009 Aug;119(8):1501-9.

Huang SF, Liao CT, Chin SC, Chen IH. Transoral approach for plunging ranula--10-year experience. Laryngoscope. 2010 Jan;120(1):53-7.

Parekh D, Stewart M, Joseph C, Lawson HH. Plunging ranula: a report of 3 cases and a review of the literature. Br J Surg 1987;74:307–09

Davison MJ, Morton RP, McIvor NP. Plunging ranula: clinical observations. Head Neck. 1998 Jan;20(1):63-8.

Yura J, Hashimoto S, Mizno T, et al. Cervical tumors and cysts of children with special reference to bleomycin therapy for cystic hygroma. Jpn J Surg Int Med 1976;8:279–85

Ogita S, Tsuto T, Yokiwa K, et al. Intracystic injection of OK-432: a new sclerosing therapy for cystic hygroma in children. Br J Surg 1987;74:690–91

Fukase S, Ohta N, Inamura K, et al. Treatment of ranula with intracystic injection of the streptococcal preparation OK-432. Ann Otol Rhinol Laryngol 2003;112:214–20

Rho MH, Kim DW, Kwon JS, Lee SW, Sung YS, Song YK, Kim MG, Kim SG. OK-432 sclerotherapy of plunging ranula in 21 patients: it can be a substitute for surgery. AJNR Am J Neuroradiol. 2006 May;27(5):1090-5.