Vorpahl H, Schauss F
Klinik für HNO-Krankheiten und Plastische Operationen, Krankenhaus Maria Hilf GmbH, Mönchengladbach.
HNO. 1997 Jul;45(7):563-6. doi: 10.1007/s001060050132.
The case of a 24-year-old woman with a plunging ranula is reported. Primarily, the patient noticed extensive swelling of the neck, which had developed 3 months previously. The polycystic, firmly attached tumor and the sublingual and submandibular glands of the right side of the neck were surgically removed. Pathological examination showed a retention cyst by means of a plunging ranula. The etiology, pathogenesis, clinical aspect and diagnostic procedures for the plunging ranula are described. Various therapeutic possibilities are discussed in regard to their value. We prefer surgical treatment with a histological examination to verify the diagnosis. The plunging ranula originates on the sublingual gland; therefore, its simultaneous extirpation is recommended to avoid recurrences. In extensive cases, the additional removal of the submandibular gland can be advised.
报告了一例24岁患有舌下腺囊肿脱垂的女性病例。最初，患者注意到颈部出现广泛肿胀，该症状于3个月前开始出现。手术切除了右侧颈部的多囊性、紧密附着的肿瘤以及舌下腺和下颌下腺。病理检查显示为舌下腺囊肿脱垂导致的潴留性囊肿。描述了舌下腺囊肿脱垂的病因、发病机制、临床症状及诊断方法。讨论了各种治疗方法的价值。我们更倾向于采用手术治疗并进行组织学检查以确诊。舌下腺囊肿脱垂起源于舌下腺；因此，建议同时切除舌下腺以避免复发。在病情广泛的情况下，可建议额外切除下颌下腺。
