Pediatr. praxi 2019; 20(3): 175-179 | DOI: 10.36290/ped.2019.037

Sublingual ranula – a diagnostic challenge

prof. MUDr. Vladimír Mihál, CSc.1,2, MUDr. Petr Michl, Ph.D.3, MUDr. Jaroslav Michálek4, MUDr. Kamila Michálková5
1 Ústav molekulární a translační medicíny LF UP Olomouc
2 Dětská klinika LF UP a FN v Olomouci
3 Klinika ústní, čelistní a obličejové chirurgie LF UP a FN v Olomouci
4 Ústav klinické a molekulární patologie LF UP a FN v Olomouci
5 Radiologická klinika LF UP a FN v Olomouci

Ranula is a rare pseudocyst containing mucosal fluid in the submandibular space resulting from extravasation and subsequent accumulation of saliva from the sublingual gland. The most common clinical manifestation is a painless, slowly growing, pliable mass in the floor of the mouth, sometimes extending below the jaw by a defect of the mylohyoideus musculus. The authors present a case report of a 13-year-old girl suspected of developing a submerged ranula in the submental area and emphasize the role played by ultrasound examination and other diagnostic tools in diagnosis. The diagnosis was confirmed by histopathological examination. The lesion was completely removed by the intraoral approach.

Keywords: sublingual ranula, pseudocyst, plunging ranula, child

Published: June 20, 2019  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Mihál V, Michl P, Michálek J, Michálková K. Sublingual ranula – a diagnostic challenge. Pediatr. praxi. 2019;20(3):175-179. doi: 10.36290/ped.2019.037.
Download citation

References

  1. Daniel Kokong D, Iduh A, Chukwu I, et al. Ranula: current concept of pathophysiologic basis and surgical management options. World J Surg 2017; 41: 1476-1481. Go to original source... Go to PubMed...
  2. Stanko P, Jakubíková H, Halmová K, et al. Ranuly a mukokély u detí. Pediatr. Praxi. 2013; 14(2): 62-63.
  3. Samant S, Morton RP, Ahmad Z. Surgery for plunging ranula: the lesson not yet learned? Eur Arch Otorhinolaryngol 2011; 268: 1513-1518. Go to original source... Go to PubMed...
  4. Harrison JD, Garrett JR. Mucocele formation in cats by glandular duct ligation. Arch Oral Biol 1972; 17: 1403-1414. Go to original source...
  5. Gaughran GR. Mylohyoid boutonni?re and sublingual bouton. J Anat 1963; 97: 565-568. Go to PubMed...
  6. Torres Y, Brygo A, Ferri J. A 17-year surgical experience of the intraoral approach for ranulas. J Stomatol Oral Maxillofac Surg 2018; 119: 172-176. Go to original source...
  7. Packiri S, Gurunathan D, Selvarasu K, et al. Management of paediatric oral ranula: a systematic review. J Clin Diag Res 2017; 11(9): ZE06-ZE09. Go to original source...
  8. Nirmal SVSG, Ramesh V, Rajasekhar G, et al. Ranula in a 12 year old girl - an intresting case report. Ec Pediatrics 2017; 4.6: 170-174.
  9. Carlini V, Calcaterra V, Pasqua N, et al. Plunging ranula in children: case report and literature review. Pediatr Rep 2016; 8(4): 6576. doi: 10.4081/pr.2016.6576.eCollection 2016 Nov 17. Go to original source... Go to PubMed...
  10. Kim S-H, Huh K-H, An C-H, et al. Giant plunging ranula: a case report. Imaging Sci Dent 2013; 43: 55-58. Go to original source... Go to PubMed...
  11. O'Connor R, McGurk M. The plunging ranula: diagnostic difficulties and a less invasive approache to tratment. Int J Oral Maxillofac Surg 2013; 41: 1469-1474. Go to original source...




Pediatrics for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.