Mizuno A, Yamaguchi K
First Department of Oral and Maxillofacial Surgery, Nagasaki University, School of Dental Medicine, Japan.
Int J Oral Maxillofac Surg. 1993 Apr;22(2):113-5. doi: 10.1016/s0901-5027(05)80815-x.
Five cases of "plunging ranula" are reported. In one case, treatment consisted of exteriorization and obturation by a removable, partial-denture-like splint. A second case was treated by total removal of both the ranula and the sublingual gland by a combined extraoral-intraoral approach. In the other three cases, treatment consisted of excision of the sublingual gland and marsupialization of the cyst by an intraoral approach. Since a plunging ranula is due to extravasation from the sublingual gland herniating through the mylohyoid muscle, excision of the sublingual gland followed by transoral drainage of the plunging ranula is regarded as the best treatment.
报告了5例“舌下腺囊肿脱垂”病例。其中1例的治疗方法是通过可摘除的、类似局部义齿的夹板进行外置和封闭。第2例通过口外-口内联合入路完全切除舌下腺囊肿和舌下腺进行治疗。另外3例通过口内入路切除舌下腺并对囊肿进行袋形缝合。由于舌下腺囊肿脱垂是由于舌下腺渗出液通过下颌舌骨肌疝出所致，因此切除舌下腺并经口引流脱垂的舌下腺囊肿被认为是最佳治疗方法。
