Since tumours cells present the ability to produce mucin and form cystic spaces, some of the mec can resemble ranulas or other mucoceles. If it is deeper it does not have this bluish appearance. Mucoceles found in deeper areas are usually larger. The condition is also known as sialocele, cervical sialocele, cervical mucocele, ranula, and salivary cyst. Ranula article about ranula by the free dictionary. A mucocele is a swelling in mouth caused by a blocked salivary gland. A case report of mucocele ike siti indiarti1, dwi ariawan2 departments of 1pediatric dentistry, 2oral surgery, faculty of dentistry, indonesia university, jakarta, indonesia mucocele is a common benign lesion in the oral cavity. Mucoepidermoid carcinoma mimicking a mucocele ranula in the. Current concept of pathophysiologic basis and surgical management options daniel kokong1,2 augustine iduh3 ikechukwu chukwu3 joyce mugu4 samuel nuhu5 sule augustine6 published online. Ventral tongue mucoceles have a tendency to recur after excision. Usually a ranula is confined to the floor of the mouth termed a simple ranula. A salivary mucocele is a collection of saliva that has leaked from a damaged salivary gland or salivary duct, and has accumulated in the tissues. This type of ranula is confined to the floor of the mouth.
Mucoceles outnumbered mucus retention cysts by a ratio of 15. Feb, 2017 the term ranula was derived from the latin word rana, meaning frog and ranula describing a little frog, denoting its resemblance to a bulging frogs underbelly. The following 3 files are in this category, out of 3 total. As diving ranula and cystic hygroma are managed with different surgical approaches, avoidance of this pitfall is critical. Partial sublingual glandectomy with ranula excision. Collectively, the mucocele, the oral ranula, and the cervical, or plunging, ranula are clinical terms for a pseudocyst that is associated with mucus extravasation into the surrounding soft tissues. Aug, 2008 an oral ranula is a fluctuant swelling with a bluish translucent color that somewhat resembles the underbelly of a frog rana. Figures 1 and 3 sublingual mucocele also called a ranula. Mucocele on the midline ventral surface of the tongue involving the glands of blandin and nuhn. A quarterinch penrose drain is placed through the opening of the ranula and advanced past the mylohyoid and into the cervical portion of the ranula and then sutured to the floor of mouth. A ranula, or mouth cyst, is indicated by blue swelling under the tongue. The reason for the extravasation is considered to be trauma to the sublingual gland and related structure1,78. Pdf the term ranula is derived from a latin word rana which means. Mucocele involves mucin accumulation causing limited swelling.
The remaining floor of mouth is closed loosely with 40 vicryl sutures. Ranula in a 12 year old girl an interesting case report. Recurrent multiple superficial mucocele on the palate. Clinically ranula has been classified into two types. Ranula, surgical versus nonsurgical treatment alternatives. Open access case report ranula in a 12 year old girl an. In this type the extravasating pseudocyst breaches the mylohyoid to present as neck. To highlight the current scientific basis of ranula development that informed the preferred surgical approach. Salivary mucocele sialocele or salivary cyst overview a salivary mucocele is a collection of saliva that has leaked from a damaged salivary gland or salivary duct, and has accumulated in the tissues. Another frequent location for the formation of a mucocele is on the floor of the mouth alongside the. Diagnostiek en behandeling van mucocele, orale en cervicale ranula en plunging. The treatment of choice was the complete excision of the mucocele and the left submandibular salivary gland. In most cases mouth cysts are painless, but the mass may be large enough to interfere with eating, chewing and swallowing. A ranula can be defined as a mucous filled cavity, a mucocele located in the floor of the mouth with the sublingual gland.
Boyd described ranula as a dilatation of the duct of the. Doctor answers on symptoms, diagnosis, treatment, and more. A ranula is a type of mucocele found on the floor of the mouth. Mucus retention cysts may occur on the gums mucocele or on the floor of the mouth ranula the frenulum linguae, a band of tissue that connects the floor of the mouth to the tongue, may oral lesions view in chinese.
The name ranula is derived from the latin word rana meaning frog. A ranula by definition is a mucus filled cavity, a mucocele, in the floor of the mouth in relation to the sublingual gland 1, 2. More limited histopathologic studies document that the mucus retention cyst. Our omfs resident provides a discussion of these conditions. See your dentist to remove the cyst and blocked gland with for soft tissue laser. Thyroglossal duct cyst, lingual thyroid, dermoid cyst, granular cell myoblastoma and heterotopic gastric mucosal cyst. What are potential complications of mucocele and ranula.
The latin rana means frog, and a ranula is so named because its appearance is sometimes compared to a frogs. These lesions occur as the result of trauma or obstruction to the salivary gland excretory duct and spillage of mucin into the surrounding soft tissues. Ranula is a mucocele caused by extravasation of the sublingual gland on the floor of the mouth. Surgical procedure for mucocele, ranula, and plunging ranula. Ranulas and mucoceles are probably the most common disorders of the salivary glands. Mucoceles of the oral cavity med oral patol oral cir bucal.
Mucocele also known as ranula or salivary gland mucous cyst of the newborn is a lesion present on the intraoral cavity, with the potential to interfere with respiration and feeding. This is often noted as a fluctuant, painless swelling of the neck or within the oral cavity. The swelling resembles a frogs translucent underbelly or air sacs. Hippocrates described ranula as due to chronic inflammation, while pare thought ranula represents descent of the brain and the pituitary matter. It can also be found on the inner side of the cheek, on the anterior ventral tongue, and on the floor of the mouth. Ranula in a 12 year old girl an interesting case report citation. A differential diagnosis of mucocele of whartons duct, lingual.
Roboticassisted transoral removal of a bilateral floor of mouth ranulas roboticassisted transoral removal of a bilateral floor of mouth ranulas. Clinically they are characterized by single or multiple, soft, fluctuant nodule, ranging from the normal color of the oral mucosa to deep blue. Apr, 2016 studentrdh provides lots of free educational content for the dental hygiene community. Dec 30, 2012 oral mucocele is the most common benign minor accessory salivary gland lesion, caused due to mechanical trauma to the excretory duct of the gland. It is the best cure and fastest healing and recovery. Plunging ranula was recorded in 35 50% patients from the latter group.
Ranula is blue swellings under the tongue, caused by salivary glands problem. Diferencias entre mucocele y ranula trabajos finales 890. In other cases, ranulas occur after trauma to the floor of the mouth like an oral surgery. Mucoceles rarely cause problems like difficulty in speaking, swallowing, and mastication depending on. Oral mucocele is the most common benign minor accessory. Nov 10, 2014 a patient with a ranula or mucocele is presented in this video.
It is a collection of saliva in the upper neck region, under the jaw, or in the intermandiublar region between the jaws. It is known to slowly enlarge in size into painless fluctuant swelling. Treating a child patient ga for just a mucocele is not feasible most of the times. Apr 16, 2018 jinbu y, tsukinoki k, kusama m, watanabe y. The edges of the ranula are tagged with 40 vicryl sutures in 3 points. Ranulas present as a swelling of connective tissue consisting of collected mucin from a ruptured salivary gland duct, which is usually caused by local trauma. Seventy 77% of them were diagnosed with hiv infection.
Micromarsupialization as an alternative treatment for. Anatomy of the minor salivary, sublingual and submandibular glands. Occasionally, diving ranulas may attain large dimensions giant ranula. Salivary mucocele is a condition in which saliva leaks from a damaged salivary gland or duct and collects in the surrounding tissues. A ranula is a mucus filled cavity, a mucocele, in the floor of the mouth in relation to the sublingual gland 5.
Diseases of the dog and their treatment 1911 14598257879. A mucocele developed on the gums is called epulis 1,2. The term ranula was derived from the latin word rana, meaning frog and ranula describing a little frog, denoting its resemblance to a bulging frogs underbelly. Excision of a mucocele in continuity with the submandibular gland reduces the recurrence rate.
Dermatologia cosmetica, medica y quirurgica, volumen 14, numero 1, eneromarzo 2016 created date. It resembles a frogs under bellyair sac, which is translucent. Mucocele in a spectacled owl pusilatrix perspicillata though this condition is more prevalent in dogs as reported by oconner 1958 ranula has been encountered in buffaloes jana and jana, 2010 and krishna et al. Definition name derived from latin word rana, which means frog, because the swelling may resemble a frogs translucent underbelly. Mucocele of the ventral surface of the tongue a case report mohammed h. Sep 01, 2014 ranula simple and plunging represented 84. Ranulas arise either spontaneously or as a result of trauma to the floor of mouth, including surgery. It is a form of mucocele that specifically occurs in the floor of the mouth in association with ducts of the submaxillary or sublingual gland. The name ranula has been derived from the latin word rana which means frog. Pdf a ranula can be defined as a mucous filled cavity, a mucocele located in the floor of the mouth with the sublingual gland. A ranula may also be classified as a plunging ranula when it extends into and past the mylohyoid muscle.
It is a collection of saliva in the upper neck region, at the angle of the jaw, or between the mandibles. Mucocele salival american college of veterinary surgeons. In plunging ranulas, the mucous collection extends into the neck, with or without associated intraoral swelling. A ranula is a type of mucocele, and therefore could be classified as a disorder of the salivary glands.
A mucocele is a cystlike lesion in your mouth, most commonly found at the surface of the lower lip. Mucocele speekselkliercyste en ranula mondbodem huidziekten. The ranula results from an injury to the ducts in the floor of the mouth that involves the sublingual gland duct bartholins ducts, and occasionally the submandibular gland duct whartons duct. The anatomical basis and rational for the transoral. A ranula is quite large and appears under the tongue or on the floor of the mouth. Symptomatic floorofmouth swelling with neck extension in a 14yearold girl symptomatic floorofmouth swelling with. They result from obstruction of a sublingual gland or adjacent minor salivary gland with resultant formation of a mucous retention cyst 1,5. A rare case of congenital simple cystic ranula in a neonate a rare case of congenital simple cystic ranula in a neonate. We identified 90 adults presenting with oral mucocele, type ranula. When found on the floor of the mouth, the mucocele is referred to as a ranula. Mucocele is a common lesion of the oral mucosa that results from an alteration of minor salivary glands due to a mucous accumulation. There is no consensus opinion on a definitive surgical management option for ranulas to curtail recurrence, largely from the existing gap in knowledge on the pathophysiologic basis. The common form of a ranula is a pseudocyst derived from the extravasation of the sublingual gland317.
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