Strategy for the treatment of plunging ranula. Case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.10596

Keywords:

Ranula; Therapeutic approaches; Recurrence.

Abstract

Ranula is defined as a pseudocyst originated from the leakage of mucinoid fluid of the sublingual gland, often associated with trauma or obstruction of the gland duct. Clinically, characterized by bluish and translucent color on the floor of the mouth and can be classified as an intraoral or plunging ranula. Diagnosis includes detailed clinical and imaging exams combined with histopathological findings. Therapeutic approaches can be applied to treat this lesion, such as marsupialization, excision of the ranula with or without the sublingual gland and excision of the ranula together the sublingual and submandibular gland. The aim of this paper was to report a case of plunging ranula, treated by excision followed by marsupialization of the cystic lesion, after one year of follow-up with recurrence. We conclude that a less invasive treatment may not present the best strategy for the treatment of plunging ranula, due to the greater chances of recurrence.

Author Biographies

Laís Kawamata de Jesus, São Paulo State University

MSc student at the UNESP School of Dentistry department of Diagnosis and Surgery

Henrique Hadad, São Paulo State University

PhD student at the UNESP Araçatuba Dental School in the department of Diagnosis and Surgery

Raquel Barroso Parra da Silva, São Paulo State University

PhD student at the UNESP Araçatuba Dental School in the department of Diagnosis and Surgery

Ana Flávia Piquera Santos, São Paulo State University

PhD student at the UNESP Araçatuba Dental School in the department of Diagnosis and Surgery

Luara Teixeira Colombo, São Paulo State University

PhD student at the UNESP Araçatuba Dental School in the department of Diagnosis and Surgery

Paulo Zupelari Gonçalves, University Center of Integrated Colleges of Ourinhos

Professor of the discipline of Oral and Maxillofacial Surgery and Traumatology

Sabrina Ferreira, São Paulo State University

 Postgraduate professor in the area of Implantology in Araçatuba (NEC), Presidente Prudente (CPO) and São José do Rio Preto (COE).

Mariza Akemi Matsumoto, São Paulo State University

Adjunct professor of the discipline of Histology and Embryology and permanent professor in the postgraduate dentistry program in the concentration areas of Oral and Maxillofacial Surgery and Implantology at the UNESP Araçatuba Dental School

Idelmo Rangel Garcia Júnior, São Paulo State University

Assistant professor of the discipline of Oral and Maxillofacial Surgery and Traumatology and a permanent professor in the postgraduate dentistry program in the concentration areas of Oral and Maxillofacial Surgery and Implantology at the UNESP Araçatuba Dental School; and responsible for the Hospital Service at Santa Casa de Misericórdia in Araçatuba and hospital in Birigui

Francisley Ávila Souza, São Paulo State University

Assistant professor of the discipline of Oral and Maxillofacial Surgery and Traumatology and a permanent professor in the postgraduate dentistry program in the concentration areas of Oral and Maxillofacial Surgery and Implantology at the UNESP Araçatuba Dental School

References

Charnoff, S. K., & Carter, B. L. (1986). Plunging ranula: CT diagnosis. Radiology, 158(2), 467–468.

Chen, J. X., Zenga, J., Emerick, K., & Deschler, D. (2018). Sublingual gland excision for the surgical management of plunging ranula. American journal of otolaryngology, 39(5), 497–500.

Chin, S. J., Zeng, I. S., & Morton, R. P. (2016). The epidemiology of plunging ranula in South Auckland. The Laryngoscope, 126(12), 2739–2743.

Coit, W. E., Harnsberger, H. R., Osborn, A. G., Smoker, W. R., Stevens, M. H., & Lufkin, R. B. (1987). Ranulas and their mimics: CT evaluation. Radiology, 163(1), 211–216.

Davison, M. J., Morton, R. P., & McIvor, N. P. (1998). Plunging ranula: clinical observations. Head & neck, 20(1), 63–68.

Gupta, A., & Karjodkar, F. R. (2011). Plunging ranula: a case report. ISRN dentistry, 2011, 806928.

Harrison J. D. (2010). Modern management and pathophysiology of ranula: literature review. Head & neck, 32(10), 1310–1320.

Jain, R., Morton, R. P., & Ahmad, Z. (2012). Diagnostic difficulties of plunging ranula: case series. The Journal of laryngology and otology, 126(5), 506–510.

Jia, Y., Zhao, Y., & Chen, X. (2011). Clinical and histopathological review of 229 cases of ranula. Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban, 31(5), 717.

Kamalakaran, A., Jayaraman, B., Balasubramaniam, S., Thirunavukkarasu, R., & Ramakrishnan, B. (2018). Plunging Ranula in a 78- year- old Male - a Rare Case Report. Journal of clinical and experimental dentistry, 10(1), e92–e95.

Kinoshita, M., Kida, W., & Nakahara, H. (2012). Plunging ranula intruding into the parapharyngeal space treated with OK-432. American journal of otolaryngology, 33(3), 345–348.

Lai, J. B., & Poon, C. Y. (2009). Treatment of ranula using carbon dioxide laser--case series report. International journal of oral and maxillofacial surgery, 38(10), 1107–1111.

Lesperance M. M. (2013). When do ranulas require a cervical approach?. The Laryngoscope, 123(8), 1826–1827.

Lyly, A., Castrén, E., Aronniemi, J., & Klockars, T. (2017). Plunging ranula - patient characteristics, treatment, and comparison between different populations. Acta oto-laryngologica, 137(12), 1271–1274.

Mintz, S., Barak, S., & Horowitz, I. (1994). Carbon dioxide laser excision and vaporization of nonplunging ranulas: a comparison of two treatment protocols. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 52(4), 370–372.

O'Connor, R., & McGurk, M. (2013). The plunging ranula: diagnostic difficulties and a less invasive approach to treatment. International journal of oral and maxillofacial surgery, 42(11), 1469–1474.

Olojede, A., Ogundana, O. M., Emeka, C. I., Adewole, R. A., Emmanuel, M. M., Gbotolorun, O. M., Ayodele, A. O., & Oluseye, S. B. (2017). Plunging ranula: surgical management of case series and the literature review. Clinical case reports, 6(1), 109–114.

Parekh, D., Stewart, M., Joseph, C., & Lawson, H. H. (1987). Plunging ranula: a report of three cases and review of the literature. The British journal of surgery, 74(4), 307–309.

Patel, M. R., Deal, A. M., & Shockley, W. W. (2009). Oral and plunging ranulas: What is the most effective treatment?. The Laryngoscope, 119(8), 1501–1509.

Quick, C. A., & Lowell, S. H. (1977). Ranula and the sublingual salivary glands. Archives of otolaryngology (Chicago, Ill. : 1960), 103(7), 397–400.

Rho, M. H., Kim, D. W., Kwon, J. S., Lee, S. W., Sung, Y. S., Song, Y. K., Kim, M. G., & Kim, S. G. (2006). OK-432 sclerotherapy of plunging ranula in 21 patients: it can be a substitute for surgery. AJNR. American journal of neuroradiology, 27(5), 1090–1095.

Suresh, B. V., & Vora, S. K. (2012). Huge plunging ranula. Journal of maxillofacial and oral surgery, 11(4), 487–490.

Urso-Baiarda, F., Saravanappa, N., & Courteney-Harris, R. (2003). Radiology quiz case 1. Intraoral ranula. Archives of otolaryngology--head & neck surgery, 129(4), 490–492.

Woo, J. S., Hwang, S. J., & Lee, H. M. (2003). Recurrent plunging ranula treated with OK-432. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 260(4), 226–228.

Yoshimura, Y., Obara, S., Kondoh, T., & Naitoh, S. (1995). A comparison of three methods used for treatment of ranula. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 53(3), 280–283.

Zhao, Y. F., Jia, Y., Chen, X. M., & Zhang, W. F. (2004). Clinical review of 580 ranulas. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 98(3), 281–287.

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Published

08/12/2020

How to Cite

JESUS, L. K. de; HADAD, H.; SILVA, R. B. P. da .; SANTOS, A. F. P.; COLOMBO, L. T.; GONÇALVES, P. Z. .; FERREIRA, S.; MATSUMOTO, M. A.; FABRIS, A. L. da S. .; BASSI, A. P. F.; FAVERANI, L. P.; MAGRO FILHO, O.; GARCIA JÚNIOR, I. R.; SOUZA, F. Ávila. Strategy for the treatment of plunging ranula. Case report. Research, Society and Development, [S. l.], v. 9, n. 11, p. e93791110596, 2020. DOI: 10.33448/rsd-v9i11.10596. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/10596. Acesso em: 22 nov. 2024.

Issue

Vol. 9 No. 11

Section

Health Sciences

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Copyright (c) 2020 Laís Kawamata de Jesus; Henrique Hadad; Raquel Barroso Parra da Silva; Ana Flávia Piquera Santos; Luara Teixeira Colombo; Paulo Zupelari Gonçalves; Sabrina Ferreira; Mariza Akemi Matsumoto; André Luís da Silva Fabris; Ana Paula Farnezi Bassi; Leonardo Perez Faverani; Osvaldo Magro Filho; Idelmo Rangel Garcia Júnior; Francisley Ávila Souza

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