Popescu Eugenia, Gogălniceanu D, Dănilă V, Popa Cristina, Cârdei Oana, Daniil C, Lupaşcu Otilia, Laba Elisabeta
Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicina Dentară, Clinica de Chirurgie Orală şi Maxilo-Facială.
Rev Med Chir Soc Med Nat Iasi. 2004 Oct-Dec;108(4):903-8.
The plunging ranula is a relatively uncommon phenomenon which represents a mucus escape reaction occurring from disruption of the sublingual salivary gland. We present a retrospective study over a 10 years period on patients suffering of plunging ranula treated in Oral and Maxillo-Facial Clinic, resumed by a clinical example. These 7 patients with plunging ranula are related to all the patients operated for ranula in the same period of time in our clinic and were analyzed on age, sex, imaging exploration technique, treatment, and outcome. We found this kind of lesion both in children and young adults, between 10 to 40 years, more frequent on male (1.33/1). Two patients presented only the cervical form of ranula instead of the other five patients (both oral and cervical ranula). Only two of them received IRM examination. All of them received surgical treatment, the approach being cervical; it was removed both the cyst and the sublingual salivary gland. The surveying period, except the last case, was 1 year and includes no recurrences. We consider, besides esthetic loss that the cervical approach of plunging ranula seems to be the optimal access both on lesion and sublingual gland.
舌下腺囊肿脱垂是一种相对罕见的现象，它代表了由于舌下唾液腺破裂而发生的黏液外渗反应。我们对口腔颌面诊所10年间治疗的舌下腺囊肿脱垂患者进行了一项回顾性研究，并通过一个临床实例进行总结。这7例舌下腺囊肿脱垂患者与同期在我们诊所接受舌下腺囊肿手术的所有患者相关，并对其年龄、性别、影像学检查技术、治疗方法及结果进行了分析。我们发现这种病变在10至40岁的儿童和年轻人中均有出现，男性更为常见（比例为1.33/1）。两名患者仅表现为颈部舌下腺囊肿，而其他五名患者则同时出现口腔和颈部舌下腺囊肿。只有两人接受了磁共振成像（MRI）检查。所有患者均接受了手术治疗，手术入路为颈部；囊肿和舌下唾液腺均被切除。除最后一例患者外，随访期为1年，均无复发。我们认为，除了美观问题外，舌下腺囊肿脱垂的颈部手术入路似乎是处理病变和舌下腺的最佳途径。
