Plunging ranula in 26 years old male: a case report

Authors

  • Rachna Dhingra Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab
  • Jailal Davessar Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab
  • Pushkal . Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab
  • Vignesh A. K. Guru Gobind Singh medical college and hospital, Faridkot
  • Shruti Sharma Guru Gobind Singh medical college and hospital, Faridkot

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20201706

Keywords:

Plunging ranula, Sublingual gland, Cystic lesion, Submandibular gland

Abstract

Ranula is a bluish translucent cystic lesion in the floor of mouth. It can be true cyst occurring due to obstruction of the sublingual gland or a minor salivary gland or a pseudocyst as a result of ductal injury leading to extravasation and accumulation of saliva in surrounding tissues. Two variants of ranula are described in the literature: simple oral ranula and deep diving or plunging ranula. We report a case of plunging ranula with both oral and cervical components which is treated successfully by surgical excision. This case report involves an unusually large ranula involving floor of mouth with cervical extension, more towards left side, in a 26 years old male. It is successfully removed in- toto by transcervical approach. The patient was followed up on a regular basis and was disease free.

Author Biographies

Rachna Dhingra, Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab

Department of otorhinolaryngology, assistant professor

Jailal Davessar, Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab

Department of otorhinolaryngology, Head of the department

Pushkal ., Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab

Department of otorhinolaryngology, Junior resident

Vignesh A. K., Guru Gobind Singh medical college and hospital, Faridkot

Department of otorhinolaryngology, Junior resident

Shruti Sharma, Guru Gobind Singh medical college and hospital, Faridkot

Department of otorhinolaryngology, Junior resident

References

Kamalakaran A, Jayaraman B, Balasubramaniam S, Thirunavukkarasu R, Ramakrishnan B. Plunging Ranula in a 78 years old Male a Rare Case Report. J Clin Exp Dent. 2018;10(1):92-5.

Olojede ACO, Ogundana OM, Emeka CI. Plunging ranula: surgical management of case series and the literature review. Clin Case Reports. 2018;6(1):109-14.

Kolomvos N, Kalfarentzos E, Papadogeorgakis N. Surgical treatment of plunging ranula: Report of three cases and review of literature. Oral Maxillofacial Surg Cases. 2019;5(1):100098.

Bhat V, Thomas N, Shilpa, Naik, Kiran, Ravi KS. Plunging Ranula: A Case Report and Review of Literature. Scholars J Med Case Reports. 2015;3:82-5.

Ovet G, Alataş N, Guzelkara F, Kocacan FN, Ovet H, Onal M. A Rare Cause of Acute Respiratory Distress: Cervical Ranula. Turk Arch Otorhinolaryngol. 2015;53(3):133-5.

Langlois NEI, Kolhe P. Plunging ranula: a case report and a literature review. Hum Pathol. 1992;23(11):1306-8.

Visscher DJG, Wal KG, Vogel PL. The plunging ranula: Pathogenesis, diagnosis and management. J Cranio Maxillofac Surg. 1989;17(4);182-5.

Skouteris CA, Sotereanos GC. Plunging ranula: report of a case. J Oral Maxillofac Surg. 1987;45(12):1068-72.

Zhao YF, Jia Y, Chen XM, Zhang WF. Clinical review of 580 ranulas. Oral Surg Oral Pathol Oral Radiol Endod. 2004;98(3):281-7.

Iida S, Kogo M, Tominaga G, Matsuya T. Plunging ranula as a complication of intraoral removal of a submandibular sialolith. Br J Oral Maxillofac Surg. 2001;39(3):214-6.

Balakrishnan A, Ford GR, Bailey CM. Plunging ranula following bilateral submandibular duct transposition. J Laryngol Otol. 1001;105:667-9.

Lonely WW, Termini S, Sisto J. Plunging ranula formation as a complication of dental implant surgery: a case report. J Oral Maxillofac Surg. 2006;64(8):1204-8.

Parekh D, Stewart M, Joseph C, Lawson HH. Plunging ranula: a report of three cases and review of literature. Br J Surg. 1987;74:307-9.

Yoshimura Y, Obara S, Kondoh T, Naitoh SI. A comparison of three methods used for treatment of ranula. J Oral Maxillofac Surg. 1995;53:280-2.

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Published

2020-04-21

Issue

Section

Case Reports